Kidney with five renal arteries

A 9-year-old girl with a single dysplastic kidney and chronic kidney disease presented to the hospital to undergo transplantation of a kidney from a deceased donor. During preparation of the kidney for transplantation, the donor kidney was found to have five renal arteries. During fetal development, multiple mesonephric arteries supply blood to the kidney. Typically, […]

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Above-the-knee replantation in a child: a case report with a 24-year follow-up

On April 23, 1986, a 3-year-old girl was brought to our institution after a 1.5-ton truck ran over her left lower limb. She suffered a floating knee injury with fractures at the supracondylar level of the femur and middle third of the tibia. An above the knee and near-total amputation was sustained at the supracondylar […]

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Tenosynovitis Due to Mycobacterium avium Complex

A 51-year-old right-handed man presented to the clinic with a 3-year history of worsening swelling of the left wrist associated with pain and numbness in the fingers. His medical history included type 2 diabetes and human immunodeficiency virus infection; he was adherent to an antiretroviral therapy regimen and his CD4 cell count was 357 per […]

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Fallopian Tube Torsion

A 19-year-old woman (gravida 0, para 0) presented to the emergency department with severe abdominal pain that had started 9 hours earlier. On examination, the abdomen was soft and nondistended without guarding, but rebound tenderness was present in the suprapubic and left iliac fossa regions. A urine test for beta human chorionic gonadotropin was negative. […]

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Neurons firing in real time

3D imaging of neurons from intact brain tissue. Green is to the amygdala, and purple is from the amygdala. This image is from a recent methods paper (https://www.nature.com/articles/s41467-019-09515-0#Sec15). Characterizing the precise three-dimensional morphology and anatomical context of neurons is crucial for neuronal cell type classification and circuitry mapping. Recent advances in tissue clearing techniques and […]

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Thoracic Stab Wound: A Curious Case Report

Case Presentation A 38-year-old male, a chronic alcoholic who committed an attempt of suicide, was presented to the emergency department of the University Hospital “St. George”- Plovdiv. On initial presentation, the patient was in a prone position, awake, oriented, and hemodynamically stable (blood pressure 140/90 mmHg and heart rate 92 bpm). The external examination revealed […]

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History of lobotomies

On 12 November 1935, a Portuguese neurologist named Antonio Egas Moniz became the first individual to perform what would later be known as a lobotomy. Moniz’s early experiments involved drilling holes into patients’ skulls & pouring alcohol into the frontal cortex to sever nerves; and coring out regions of the brain with hollow needles. Moniz’s […]

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Tetanus in a child – case report

A 6-year-old female patient with a low socioeconomic status, with an incomplete immunization schedule according to her age (only one dose of pentavalent vaccine and rotavirus had been applied). She began her clinical presentation 11 days prior to hospital admission, after having a sharp slice of wood on her right arm. She went to the […]

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Successful Facial Reconstruction in Complex Facial Avulsion Injury

A 56 years old female presented with history of road traffic accident with resultant avulsion of her left side of face. There was degloving and avulsion of the left hemi-face including the upper lip nose, forehead skin and eyebrow, upper and lower eyelids and the entire left cheek. The zygomatic bone was also avulsed and […]

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Suspicious lump turns to be a worm (MIGRATING DIROFILARIA REPENS) – case report

A 32-year-old woman presented to an ophthalmologist with a 2-week history of nodules that moved around her face. She had first noted a nodule below her left eye (Panel A). Five days later, it had moved to above her left eye (Panel B), and 10 days after that to the upper lip (Panel C). She […]

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