The American journal of case reports
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Female, 32 FINAL DIAGNOSIS: Intraosseous lipoma Symptoms: Swelling of the thigh Medication: - Clinical Procedure: Excision of the mass Specialty: Surgery. ⋯ A intraosseous lesion with this size could still be benign even if its lager than 5 cm. Keeping in mind that with a lesion this size malignancy should always be ruled out.
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Female, 36 FINAL DIAGNOSIS: Pregnancy - placenta increta Symptoms: - ⋯ CIABO was found to be more effective than IIABO for reducing blood loss during cesarean hysterectomy. Failure of IIABO can be explained by the presence of extensive anastomoses in the pelvic vasculature.
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Female, 65 FINAL DIAGNOSIS: Ruptured abdominal aorta aneursym Symptoms: - ⋯ Emergency physicians should keep in mind that AAA and its rupture can present with a wide range of symptoms that appear to be simple.
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Male, 19 FINAL DIAGNOSIS: Hyperleukocytosis • thrombocytosis ⋯ We and others showed that myeloproliferative neoplasm, quantitative or qualitative platelet abnormalities, aspirin, coagulopathy, and obesity are associated with development of RPH following BM trephine biopsy. Early diagnosis and intervention are crucial. Correction of coagulopathy and cessation of anti-platelet treatment prior to biopsy can prevent this serious complication.
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Male, 61 FINAL DIAGNOSIS: Hashimoto's encephalopathy Symptoms: Neuropsychiatric or neurological manifestations Medication: Steroids and immunoglobulins Clinical Procedure: Immunoglobulin combined with corticosteroid therapy Specialty: Neurology. ⋯ Any patient presenting with acute or subacute unexplained encephalopathy should be considered Hashimoto's encephalopathy, even if the thyroid function is normal. Thyroid antibody testing should be performed because this may be the most important clue to diagnosis. As soon as the diagnosis is made, steroid therapy is the first choice. If the steroid therapy does not lead to immediate improvement, IVIG is an effective alternative treatment.