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643 articles
November 202624
Conservative Management of Presumptive Free Flap Pedicle Compromise on Postoperative Day 6: Report of Two Cases and Literature Review.
Two patients underwent lower-extremity free-flap reconstruction for exposed tibial bone or hardware. On postoperative day 6, both developed loss of Doppler signal and clinical ischemia, raising concern for late pedicle…
Fascial Patch Reconstruction of a Gastric Conduit Defect Using an Anterolateral Thigh-Vastus Lateralis Composite Free Flap: A Case Report.
A 71-year-old man with a retrosternal gastric conduit developed a full-thickness rupture during coronary artery bypass grafting through median sternotomy.
Persistent Amotivation After Cannabis-Related Psychosis: Diagnostic Challenges and Clinical Course With Electroconvulsive Therapy: A Case Report.
A 19-year-old man developed auditory hallucinations, persecutory delusions, and agitation associated with cannabis use. Antipsychotic treatment improved the psychosis, but marked amotivation and inactivity persisted…
Oral administration of parenteral S-ketamine in wound care when 'conventional' medication regimens are not sufficient: a case series.
A case series described four patients whose pain during wound care was not adequately controlled by conventional medication regimens.
Emergency management of obturator hernıa in elderly patients: A case series and surgical strategy.
Three elderly, cachectic women presented with symptoms and signs of mechanical intestinal obstruction. CT imaging identified obturator hernias, and all underwent emergency surgery.
Severe acute gastric volvulus: A case report with perforation and extra-gastric ischemic findings.
A 36-year-old man presented with sudden abdominal distension and respiratory distress, with severe hemodynamic instability and an acute abdomen. Imaging showed intraperitoneal free air, leading to emergency laparotomy.
Father-Daughter Autosomal Recessive Gitelman Syndrome Caused by Compound Heterozygous Variants in the SLC12A3 Gene.
A Chinese father and daughter were found to have Gitelman syndrome, a kidney tubular disorder associated with pathogenic SLC12A3 variants.
A rare injury combination: Hawkins type I talar neck fracture, Jones fracture, and calcaneal avulsion fracture accompanying a bimalleolar ankle fracture.
A patient with a bimalleolar ankle fracture also had a Jones fracture, a Hawkins type I talar neck fracture, and a calcaneal avulsion fracture.
Green Vaginal Discharge in a Late-Preterm Neonate With Massive Ascites.
A late-preterm girl developed abdominal distension and respiratory distress shortly after birth, with anemia, coagulopathy, and massive ascites containing internal debris on ultrasonography.
Anti-Contactin-1 Nodopathy Presenting With Dysphagia and Nephrotic Syndrome: Remarkable Neurological and Renal Recovery Following Early B-Cell-Targeted Therapy.
A 77-year-old man with diabetes and pre-existing heavy proteinuria developed rapidly progressive distal numbness, weakness, sensory ataxia, mild dysphagia, and functional decline.
An Infant With Extreme Hypernatremia Treated With Peritoneal Dialysis.
A 34-day-old, 3.6-kg male infant developed serum sodium >200 mmol/L and multiple organ dysfunction after accidental salt poisoning.
Pump-Predicted Ciprofol Ce50 for Suppressing the Cardiovascular Response to Tracheal Intubation During Fixed Sufentanil-Esketamine Induction: An Age-Stratified Dixon Up-and-Down Study.
To estimate the ciprofol pump-predicted effect-site target concentration associated with a 50% probability of suppressing the cardiovascular response to tracheal intubation (Ce50) during fixed sufentanil-esketamine…
Fetoscopic Treatment of Twin-to-Twin Transfusion Syndrome After Spontaneous Preoperative Preterm Premature Rupture of the Membranes.
A 23-week monochorionic-diamniotic twin pregnancy was complicated by Stage II twin-to-twin transfusion syndrome (TTTS), followed by spontaneous preoperative preterm premature rupture of the membranes (PPROM).
Transformation to Small-Cell Lung Carcinoma and Then to Sarcomatoid Carcinoma in an EGFR-Mutant Lung Adenocarcinoma Patient During Systemic Therapy: A Case Report.
A patient with EGFR-mutant lung adenocarcinoma developed resistance to osimertinib with transformation to combined small-cell lung carcinoma.
Aberrant Internal Carotid Artery: A Rare Cause of Unfitness Revealed During Admission Audiometry.
A 23-year-old woman undergoing medical assessment for army enlistment was found on audiometry to have unilateral conductive hearing loss. Otoscopy showed a pale red, pulsatile middle-ear mass anterior to the umbo.
Brain Abscesses as a Complication of Brain Hematomas in Infective Endocarditis: A Rare Case Report.
A previously healthy 26-year-old man with methicillin-sensitive Staphylococcus aureus infective endocarditis had a 24-mm parietal hematoma; angiography showed no aneurysm.
Q-switched Nd:YAG Laser for Extrafacial Lichen Planus Pigmentosus: A Case Series Highlighting Outcomes and Risks.
Three patients with biopsy-proven lichen planus pigmentosus (LPP) involving facial and extrafacial sites received Q-switched neodymium:yttrium aluminum garnet laser treatment.
Peanut Allergy and the Basophil Activation Test in the Military Healthcare System: A Case Series of Monozygotic Twins.
Two adolescent monozygotic twins in a military family had longstanding peanut-allergy labels based on positive routine allergy tests.
A Neonate With Excessive Weight Loss and Electrolyte Abnormalities.
A 7-day-old girl was hospitalized for excessive weight loss. Initial testing showed hyponatremia and hyperkalemia, prompting evaluation for endocrine, renal, and metabolic causes.
Dual Remission of Atopic Dermatitis and Frequently Relapsing Nephrotic Syndrome With Dupilumab.
A 9-year-old girl had atopic dermatitis and frequently relapsing, steroid-sensitive nephrotic syndrome, with relapses increasing despite treatment with two immunosuppressants.
A Triad of Hematologic Diseases in a Military Member Requiring Splenectomy Case Report.
An active-duty servicemember with hereditary spherocytosis, sickle cell trait, and Factor VII deficiency developed recurrent, worsening pain crises after flights.
Non-Small Cell Lung Carcinoma With Bilayered Architecture and TP53 Alteration: A Diagnostic Pitfall and a Potential Distinct Entity.
A 75-year-old never-smoker had a 1.1-cm pulmonary nodule with an intact bilayered architecture, including a continuous basal cell layer.
Pediatric Liver Transplantation Following Donation After Circulatory Death Using Normothermic Regional Perfusion: A Novel Application.
A 15-year-old girl with fulminant hepatic failure after acetaminophen overdose underwent liver transplantation using a donation-after-circulatory-death graft recovered with thoracoabdominal normothermic regional…
Excellent Long-Term Outcome in a Staged, Simultaneous Liver-Kidney Transplantation of a Highly Sensitized Pediatric Patient With B and T Cell Positive Crossmatch.
A highly sensitized small child with high-titer class I and II donor-specific antibodies underwent staged simultaneous liver-kidney transplantation from the same donor despite a positive cytotoxic crossmatch.
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