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643 articles
October 202624
PTCD and Peroral Electronic Cholangioscopy with Holmium Laser Lithotripsy for CBD Stones in a Super-Elderly Patient Post-Billroth II Gastrojejunostomy.
The management of impacted common bile duct stones in patients with prior Billroth II gastrectomy poses unique challenges. Altered gastrointestinal anatomy renders duodenoscope passage and biliary cannulation during…
Integrated physical, cognitive and psychological rehabilitation following multiple ACL reconstructions in a professional handball player: a case report.
A 31-year-old professional handball player with two ACL reconstructions, meniscal repairs, a postoperative knee infection, and multiple arthroscopic procedures had persistent knee instability, pain, and psychological…
Extensive recurrent pterygium following photorefractive keratectomy: a case report.
A healthy 39-year-old man developed an extensive recurrent pterygium three months after uneventful photorefractive keratectomy (PRK), having undergone primary pterygium surgery two months before PRK.
Clinicopathologic Evaluation of Amyloid Clearance in Alzheimer Disease.
A man in his 50s with mild cognitive impairment and the Alzheimer disease risk-associated p.R47H TREM2 variant received 30 doses of aducanumab (cumulative dose 280 mg/kg) over 4.5 years in a clinical trial.
Conus Medullaris Syndrome Following Traumatic Thoracolumbar Burst Fractures: Clinical Presentation, Surgical Management, and Early Outcomes in Three Cases.
Three patients with traumatic thoracolumbar burst fractures had conus medullaris syndrome with differing neurological presentations.
Extracting the Unexpected: A 35-mm Curved Nail as an Intraocular Foreign Body.
A 31-year-old man presented with left-eye pain and severe vision loss seven days after penetrating injury from a metallic object.
Excessive Yawning During Escitalopram Therapy in a Rwandan Woman with Co-Morbid Depression and Post-Traumatic Stress Disorder: A Case Report.
A 44-year-old woman from rural Rwanda with severe depression and comorbid post-traumatic stress disorder developed markedly increased yawning three days after starting escitalopram 10 mg daily—about six episodes every…
Effect of Oliceridine on Early Postoperative Recovery in Children Undergoing Adenotonsillectomy: A Prospective, Double-Blind, Randomized Controlled Trial.
Children undergoing adenotonsillectomy may be vulnerable to opioid-related adverse effects, creating a need for analgesic strategies that support rapid postoperative recovery.
A case of renal hypouricemia type 1 associated with compound heterozygous URAT1/SLC22A12 variants A209V and F379L: clinical evidence for their pathogenic significance.
A 69-year-old woman was evaluated for renal dysfunction and hypouricemia. Testing showed serum uric acid of 0.7 mg/dL and a fractional urate clearance (Cua/Ccr) of 60.5%, alongside CKD stage G3b and a renal stone.
Delayed eculizumab therapy guided by markedly elevated soluble C5b-9 in a child with dialysis-requiring acute poststreptococcal glomerulonephritis: a case report.
A 9-year-old girl developed gross haematuria, oliguria and stage 3 acute kidney injury after an illness with vomiting and abdominal pain.
A case of immunofluorescence-negative light chain deposition disease diagnosed by mass spectrometry.
A 53-year-old man with kidney dysfunction and edema had nodular glomerular lesions on biopsy, but immunofluorescence did not show immunoglobulin or light-chain deposits.
Postoperative acute kidney injury associated with cast nephropathy and marked renal interstitial plasma cell infiltration in multiple myeloma: a case report.
An 84-year-old man with smoldering multiple myeloma developed severe acute kidney injury after lumbar fixation for a burst fracture.
Hodgkin Lymphoma With Sarcoid-Like Reaction: Importance of Clinicopathological Correlation in Granulomatous Lymphadenopathy.
A 63-year-old man with systemic lymphadenopathy had a cervical lymph node biopsy showing epithelioid granulomas but no identifiable neoplastic cells, prompting an initial suspicion of sarcoidosis.
Brought with the wind: A case of melioidosis acquired in the United States presenting with multiple pulmonary nodules.
A Florida resident without recent international travel presented with fever, pleuritic chest pain, and hypoxia after severe weather.
Unilateral adrenal haemorrhage during bridging anticoagulation in primary antiphospholipid syndrome: a case-based review.
A 42-year-old man with primary antiphospholipid syndrome (APS) and recurrent pulmonary embolism and deep vein thrombosis developed acute right upper-quadrant pain while receiving peri-procedural bridging anticoagulation…
Early-onset autosomal dominant distal renal tubular acidosis caused by a de novo SLC4A1 R589C variant with growth failure and rickets.
A Japanese boy had marked growth failure from 6 months of age and was diagnosed with autosomal dominant distal renal tubular acidosis at 27 months.
The Effects of Multimodal Communication Treatment With Discourse and Group Activities via Telepractice on People With Severe Nonfluent Aphasia: A Case Study.
Two people with severe nonfluent aphasia—one with Broca’s aphasia and one with global aphasia—received 10 weeks of telepractice multimodal communication treatment.
Use of Instructional Therapeutic Play during the preoperative nursing consultation of a child with orofacial clefts.
An 8-year-old girl with an orofacial cleft was preparing for cleft palate repair and expressed fear and anxiety about surgery, especially that she might not wake up after anesthesia.
Robotic-assisted transduodenal ampullectomy for a neuroendocrine tumour: A step-by-step surgical video.
A 71-year-old man had an incidental 14 mm ampullary neuroendocrine tumour detected during routine screening. 68Ga-DOTATATE PET-CT showed intense somatostatin-receptor avidity (SUVmax 66.8) without FDG uptake; the…
Robotic Parenchyma-Preserving Pancreatic Resection for Focal Congenital Hyperinsulinism in an Infant.
An infant weighing 4.6 kg with focal congenital hyperinsulinism underwent robot-assisted, parenchyma-preserving pancreatic resection using indocyanine green, intraoperative ultrasound, and suture-based retraction.
Long-Term Follow-Up of Epidermolysis Bullosa Acquisita with Fluctuations in Serum Cytokine Levels: A Case Report.
A 47-year-old man with epidermolysis bullosa acquisita (EBA) had a disease course lasting more than 10 years. Serial testing showed that anti-basement membrane zone IgG and anti-type VII collagen antibody titers…
Multifactorial Contributors to Diagnostic Delay in a High-Risk Patient with Hepatocellular Carcinoma: A Case Report with Clinical Lessons.
A 45-year-old Chinese man with chronic hepatitis B, type 2 diabetes, and a family history of primary liver cancer (PLC) was at high risk but had no regular PLC surveillance for three years.
Pediatric conjunctival papilloma managed with staged multimodal therapy: a case report.
A 4-year-old boy presented with multifocal conjunctival papillomatous lesions and was diagnosed with conjunctival papilloma. Topical and intralesional interferon alfa-2b were used before surgery to reduce lesion size.
Intrafamilial phenotypic variation in four Palestinian siblings with CFAP418-related ciliopathy: a familial case series.
Four Palestinian siblings from a consanguineous family were homozygous for the CFAP418 splice-donor variant NM_177965.3:c.155 + 1G > A.
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