“…Three weeks prior, she followed a low carbohydrate and severely calorie deficient diet to reduce her insulin requirements because of the history of fetal macrosomia noted on ultrasound. …”
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“…Clinical Case: A 67-year-old female with myelodysplastic syndrome (MDS), maintained on lenalinomide and periodic blood transfusions, presented with progressive nausea, vomiting, diarrhea, posterior chest pain, and dyspnea. Her medical history also included chronic hypothyroidism. …”
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“…The patient denied any headache, problems swallowing, history of ophthalmoplegia difficulties with speech, vertigo, lightheadedness, or any focal weakness, numbness, or tingling in her arms or legs. She reported a similar event happening the month prior while pregnant and MRI of the brain without contrast at that time showed an enlargement of the pituitary gland. …”
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“…Right renal agenesis was diagnosed in infancy. Her bone age was advanced as 10 years of age, and Luteinizing hormone(LH) showed pubertal response in LHRH stimulation test. …”
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“…She noticed hair growth on her face, arms, and stomach since turning 13yo which was gradually getting worse. …”
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“…A subsequent MRI showed no lesion in the uncinate process and the patient’s surgery was deferred. Thereafter, her VIP levels spontaneously normalized. Endoscopic ultrasound (EUS) with fine needle aspiration cytology of the uncinate process showed normal pancreatic acini with no evidence of NET. …”
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“…However, on a close follow up visit, her TSH increased to 9.60 mIU/L and Free T4 was found at 0.9 mIU/L, leading us to a diagnosis of overt Hypothyroidism requiring medical management. …”
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“…Although we present great improvement in our patient with somatostatin treatment as primary therapy, remission was short lived, and patient will need surgical resection to achieve cure from her disease. Radiological recurrence after discontinuation of medical therapy has not been reported. …”
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“…She reported as being compliant with her insulin regimen. Physical examination showed rapid breathing and acetone breath. …”
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“…CASE 2: A 51 year old female with chronic kidney disease on maintenance hemodialysis for 3 years, presented with low backache and acute onset weakness of both lower limbs. Her iPTH was 673.1 pg/ml with S.Calcium of 7.7mg/dl. …”
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“…Case Presentation: A 40-year-old female without significant medical history initially presented to her primary care provider with 12 months of left-sided neck pain, point tenderness in the lower neck, and minimal improvement in pain despite multiple courses of physical therapy for presumed musculoskeletal pathology. …”
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“…In 2006, a 32-year-old French Canadian woman was referred in endocrinology for evaluation of a left 2.7 x 2.0 cm incidentally discovered adrenal mass. On presentation, her hormonal work up included a normal 1mg overnight dexamethasone suppression test (DST) and dehydroepiandrosterone sulfate (DHEA-S) within normal limits. …”
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“…Clinical Case 1: A 64-year-old Caucasian female with history of type 2 diabetes (T2DM) presented to the emergency department (ED) with nausea, vomiting and abdominal pain 24 hours after evisceration of her eyes with implantation. She was on Jardiance for the last 3 months. …”
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“…Post-operatively the patient had complete resolution of her hypoglycemia. Conclusion: This case highlights a diagnostic challenge which required interdisciplinary collaboration to use alternative imaging to localize an insulinoma preoperatively. …”
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“…Progesterone receptors (PRs) are key modifiers of ER target gene selection and drivers of luminal breast cancer progression. In addition to Her2 and estrogen receptor (ER), total PRs rather than isoform-specific PR expression levels are measured in breast tumors as indicators of functional ER. …”
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“…BACKGROUND: Virtual reality training (VRT) uses computer software to track a user’s movements and allow him or her to interact with a game presented on a television screen. …”
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“…METHODS: This study included a total of 97 samples from a cohort of 50 women (aged 29–76, with 46% ER+ and 20% HER2+ tumours) with primary operable breast cancer who had been treated with neoadjuvant chemotherapy. …”
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“…BACKGROUND: A person’s perception of health service quality depends on his or her expectations and priorities. If the perception of care is good, then it eventually enhances future health service utilization, adherence to treatment and desired outcomes. …”
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“…RESULTS: A bivariate analysis revealed a significant association between “severe symptoms of IPPD” and the following variables: “clinical diagnosis of ZIKV during pregnancy” (OR = 13.36; 95% CI = 5.34–33.39); “was separated or divorced in the last year” (OR = 3.58; 95% CI = 1.42–8.99); “suffered an accident in the last year” (OR = 3.32, 95% CI = 1.12–9.82); “suffered emotional violence during pregnancy” (OR = 3.80; 95% CI = 1.81–7.99); “suffered physical violence during pregnancy” (OR = 11.86; 95% CI = 2.07–67.82); “fear of her partner” (OR = 17.90; 95% CI = 3.44–92.99); “dengue fever during pregnancy” (OR = 7.85; 95% CI: 1.66–37.05), and “has a family member diagnosed with mental illness” (OR = 2.54; 95% CI = 1.09–5.93). …”
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“…Therefore, we recommend that in Nepal health literacy should be measured for each patient and support regarding management of his or her condition should be provided if necessary.…”
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