Ian Wisecarver, Sanjay Kamboj, MD, David Galambos, Michelle Korah-Sedgwick, MD, Ross McCarron, MD, Fred Lopez, MD CASE PRESENTATION A 72 year-old African American man with a past medical history of hypertension, heart failure with reduced ejection fraction, and alcohol use presented to the emergency department (ED) with a chief complaint of a one day history […]
Read MoreGiuseppe Nisi, M.D., and Andrea Sisti, M.D. A 48-year-old man presented to the clinic for evaluation of dysphagia and limited neck movements (flexion and rotation of the head). The patient was found to have Madelung’s disease, also known as benign symmetric lipomatosis or the Launois–Bensaude syndrome. Madelung’s disease is a rare condition that is characterized by […]
Read MoreTanweer Karim and Margaret Topno Case Report A case of a 4 year old male child who presented in the casualty with the history of a fall into a gutter while walking on the road; when he fell, an iron rod penetrated into his head [Figure 1]. There was no history of loss of consciousness or convulsions. […]
Read MoreA 56-year-old man was taken to a remote hospital by his co-worker because he arrived at work looking unwell and had mental changes. The patient’s medical history was significant for hypertension, cholecystectomy and obstructive sleep apnoea with lisinopril, losartan and furosemide as his daily medications. He had recently experienced a dry cough for more than […]
Read MoreA 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she had reported intermittent colicky abdominal pain and loose stool, which had been attributed to irritable bowel syndrome. Laboratory evaluation was unremarkable, with no evidence of […]
Read MoreA 54-year-old woman presented with a 2-day history of a painful, enlarging rash over her face (Panel A), ears (Panel B), breasts, and extremities. Laboratory studies revealed neutropenia (neutrophil count, 1070 per cubic millimeter) and lymphopenia (lymphocyte count, 680 per cubic millimeter); the detection of antineutrophil cytoplasmic antibodies (ANCA) by immunofluorescence testing showed the perinuclear […]
Read MoreCongenital hemangiomas are benign vascular tumors that have grown to their maximum size at birth and do not exhibit accelerated postnatal growth.They can be subdivided into three subgroups: rapidly involuting congenital hemangioma (RICH), noninvoluting congenital hemangioma (NICH), and partially involuting congenital hemangioma (PICH) A newborn presented with a 9-by-12.5-cm mass in the frontal region that […]
Read MoreA 24-year-old male defence personnel reported to the casualty department of our institution around 2:45 a.m. after a suicidal attempt by his service rifle during his night duty hours. The appearance was very horrific with total disfigured anatomy of the left half of his face [Figure 1]. His general medical condition was poor with vitals recorded […]
Read MoreA 60-year-old game-keeper with a medical history of mild depression presented to his local primary care centre with a high-velocity GSW to his face, following an attempted suicide with a shotgun. The practice immediately called for an ambulance and the air ambulance and ground team were mobilised. The first responder was at the scene 7 min […]
Read MoreA four year old girl was brought to her pediatrician by her parents because of intermittent bilious emesis, which had started two weeks earlier. There were no other changes in her bowel or bladder habits, and she had not lost weight. Her parents reported that she occasionally pulled at and ate her hair, but they […]
Read MoreA 33 year old woman, para 2, presented to the emergency department with a report of vaginal bleeding and abdominal pain of several days’ duration. She had no history of pelvic inflammatory disease. Right adnexal tenderness was noted on physical examination. On screening, the serum β human chorionic gonadotropin level was 47,281 IU per liter, […]
Read MoreA 55 year old woman with a long history of hypertension presented to the hospital with a 1-day history of periorbital discomfort, inferior chemosis, and conjunctival injection of the left eye (Panel A). She reported having a 2-year history of episodic headache and pulsatile tinnitus in the left ear. Examination of the left eye revealed […]
Read MoreFigure 1 A 38-year-old woman’s left thumb was amputated by a boat propeller while she was scuba diving, and it was not retrieved. Panel A shows her left hand three weeks after the accident. Four months after the accident skin from the groin was attached to the thumb stump and web area, and three months later […]
Read MoreA 26 year old woman presented with pain and discoloration in the fingertips of both hands on exposure to cold (Panels A and B) . She had had the same symptoms every winter for the past decade. The patient’s history and physical examination revealed no signs or symptoms suggestive of systemic lupus erythematosus or scleroderma. […]
Read MoreA 10 year old Kenyan girl presented with abdominal pain that had grown progressively worse over a period of 3 days. Nonprojectile, nonbloody vomiting and abdominal distention had also developed. On examination, she was cachectic, with a distended abdomen and a soft, tender mass at the right iliac fossa that was associated with guarding and […]
Read MoreIn December 2012, a 35-year-old Berber man, without any past medical history, presented to our Emergency Department with incomplete amputation of his penis after being assaulted by an unknown actor who cut off his penis using a shaving blade 3cm distal from the mons pubis. A physical examination did not show any other remarkable finding. […]
Read MoreFigure 1 A 30-year-old man with the acquired immunodeficiency syndrome (CD4 cell count, 14 per cubic millimeter) presented with a six-month history of enlarging facial lesions. The lesions had not responded to a six-week course of oral acyclovir (800 mg five times a day). The patient had no history of herpes or any other opportunistic infections. […]
Read MoreFigure 1 A 54-year-old man was struck by lightning and was initially stuporous. The emergency medical team found him conscious and in sinus rhythm, with normal vital signs and numbness and paresthesia of the left shoulder, flank, and leg. On his arrival at the emergency department, he felt well, and an examination revealed a fern-leaf pattern […]
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