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Case Report

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By EFRAIN PAEZ Internal Medicine since 1988. Interested in all aspects of Medicine.
Gurpreet Dhaliwal, Amirkasra Mojtahed, Annemarie E Fogerty, Stephan Kadauke, Johnathan P Mack
Presentation of Case. Dr. Amy E. Yuan (Medicine): A 30-year-old man was admitted to this hospital during the summer because of fatigue, rash, fevers, anemia, and thrombocytopenia. Three years before this admission, the patient was involved in a motor vehicle accident that resulted in a large..
November 23, 2017: New England Journal of Medicine
Dedrick Kok-Hong Chan, Kuok-Chung Lee
BACKGROUND: Intestinal tuberculosis can mimic many conditions. The incidence of intestinal tuberculosis in developed countries has risen in tandem with the increase in patients with immunocompromised states. This is a condition which needs to be considered in patients who present with symptoms and signs of bowel perforation on a background of immunosuppression in order to obtain the correct diagnosis and, consequently, the correct treatment. CASE REPORT: We report a patient with a background of sarcoidosis who had been on mycophenolate mofetil, tacrolimus, and high-dose prednisolone...
2015: American Journal of Case Reports
Harsh V Gupta, Rohan Samant, Murat Gokden, Ricky W Lee, Kinshuk Sahaya, Tuhin Virmani
No abstract text is available yet for this article.
September 29, 2015: Neurology
Salman Bhai, Alessandro Biffi, Khamidulla Bakhadirov, Sashank Prasad
No abstract text is available yet for this article.
August 25, 2015: Neurology
Joel D Brown
No abstract text is available yet for this article.
December 2015: American Journal of Medicine
A H Dédjan, A Chadli, S El Aziz, A Farouqi
Introduction. Female hyperandrogenism is a frequent motive of consultation. It is revealed by hirsutism, acne or seborrhea, and disorders in menstruation cycle combined or not with virilisation signs. Several etiologies are incriminated but the hyperandrogenism-insulin resistance-acanthosis nigricans syndrome is rare. Observation. A 20-year-old girl, having had a five-year-old secondary amenorrhea. The exam revealed a patient, normotensive with a body mass index at 30 kg/m(2) and a waist measurement of 120 cm, a severe hirsutism assessed to be 29 according to Ferriman Gallwey scale, virilisation signs of male morphotype, clitoridic hypertrophy and frontal alopecia, and an acanthosis nigricans behind the neck, in the armpits and elbows...
2015: Case Reports in Endocrinology
Michael Romano, Tomislav Jelic, Jordan Chenkin
There is evidence to suggest that point-of-care ultrasound assessment of the lungs has a higher sensitivity and specificity than chest radiography for the diagnosis of pneumonia. It is unknown if the same is true for pneumonia complications. We present and discuss the case of a 61-year-old woman who presented to the emergency department with confusion, decreased level of consciousness, and signs of sepsis. A chest x-ray revealed a right sided infiltrate. An ultrasound of the patient's lungs was performed, and revealed a complex loculated fluid collection consistent with an empyema...
September 2016: CJEM
Chaitanya Bonda, Pankaj Sharma, Kathrin LaFaver
No abstract text is available yet for this article.
July 14, 2015: Neurology
Mikhail Petrov, Yan Yatsynovich, Catalina Lionte
Rhabdomyolysis is a rare phenomenon that may be challenging to recognize in an emergency setting. Drugs are one of the common causes. Trimethoprim-sulfamethoxazole is a commonly used antibiotic effective in the treatment of upper and lower respiratory tract infections as well as renal, urinary, and gastrointestinal tract infections. It has variable side effects, ranging from mild symptoms of fatigue and insomnia to a potentially life-threatening Steven-Johnson syndrome and renal failure. Rhabdomyolysis is a rare complication of therapy with this drug and is commonly seen in immunocompromised patients or those with an allogenic stem cell transplant...
January 2015: American Journal of Emergency Medicine
Aibek E Mirrakhimov, Alaa M Ali, Carolyn Stroncek
Chest pain is one of the most common reasons for emergency department visits. Emergency medicine doctors should focus their initial assessment on patients' stability. History, physical examination, and ancillary testing should exclude serious causes such as acute coronary syndrome, acute aortic syndromes, pulmonary embolism, pneumothorax, esophageal perforation, and rupture as well as pericardial tamponade. Young age should not be used alone as a predictor of a benign condition. Below we present a case of a 24-year-old female who was found to have ascending aortic dissection and was sent for emergent surgery...
2014: Case Reports in Emergency Medicine
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