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3041“…In the absence of infection or use of surgical adjuncts such as antimetabolites or radiation, the necrosis is presumed to be directly related to surgical trauma and is hence termed surgically induced necrotizing scleritis (SINS). A high index of suspicion is required for an early diagnosis of SINS and its differentiation from infective scleritis is important as the treatment modalities of these two related conditions are different. …”
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3042por Navahi, Roshanak Aliakbar, Babaheidarian, Pegah, Sedaghat, Ahad, Naseripour, Masood, Aghai, Gholamhoseyn, Mardani, Azam, Ahangarani, Mohammadreza“…METHODS: A 9-year-old girl, presented with a rapidly growing unilateral intraocular white mass unresponsive to intra-arterial chemotherapy, underwent enucleation with the clinical suspicion of retinoblastoma versus malignant astrocytoma. …”
Publicado 2018
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3043por Yabaş Kızıloğlu, Özge, Paksoy Türköz, Fatma, Totuk Gedar, Özgün Melike, Mestanoğlu, Mert, Yapıcıer, Özlem“…Ocular motility deficit in a patient with breast carcinoma should raise suspicion of metastasis to the orbit involving the extraocular muscles. …”
Publicado 2019
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3044“…The authors aim to urge clinicians to maintain a high index of suspicion for ectopic ACTH secretion (EAS) through a multimodal approach when caring for patients with CS.…”
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3045“…Initial imaging revealed a 14cm solid, enhancing renal mass and suspicion for liver and bone metastases. Family history included a brother with clear cell renal cell carcinoma and mother with glioblastoma multiforme. …”
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3046por Singh, Mukesh Kumar, Deora, Harsh, Tripathi, Manjul, Mohindra, Sandeep, Batish, Aman“…A thorough knowledge of the mechanism of injury, direction of the projectile object, low index of suspicion, appropriate radiological investigations, medical management, and timely surgical intervention are necessary for the prevention of any serious complication. …”
Publicado 2019
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3047por Baig, Mirza Zain, Aziz, Abeer, Abdullah, Umm E Hani, Khalil, Mohammad Salman, Abbasi, Sumiya“…Our patient had a positive outcome which may be due to the fact that we had a high clinical suspicion, on the basis of which we opted for early operative management rather than delaying definitive treatment by obtaining imaging.…”
Publicado 2019
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3048por Da Porto, Andrea, Battellino, Michele, Colussi, Gianluca, Di Piazza, Vito, Sechi, Leonardo“…Rapid and correct diagnosis is crucial for complicated cases but is often delayed because of low suspicion or unusual clinical presentation. In this paper the authors describe two atypical presentations of Lyme disease and tick-borne encephalitis in order to help clinicians resolve diagnostic challenges. …”
Publicado 2019
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3049“…As ophthalmologist may be the first physician to encounter such patients, a high index of suspicion is required for timely and adequate management.…”
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3050por Klinaki, Eleni, Argyri, Ioanna, Amountza, Georgia, Ioannidou, Gerina, Maritsi, Despoina, Garoufi, Anastasia, Vartzelis, George“…Discontinuation of vigabatrin quickly improved her symptoms and reversed the EEG slowing. A high index of suspicion is required in order to diagnose vigabatrin-induced encephalopathy, especially as the underlying disorders of these patients can be erroneously considered the cause of the observed encephalopathy.…”
Publicado 2019
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3051por Chaudhry, Rama, Thakur, Chandan Kumar, Gupta, Nitin, Sagar, Tanu, Bahadur, Tej, Wig, Naveet, Sood, Rita, Misra, Mahesh Chandra“…We report here five cases of scrub typhus to highlight the fact that high clinical suspicion for such a deadly disease is an absolute necessity.…”
Publicado 2019
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3052“…This case emphasizes the need for a high index of suspicion of anti-NMDA receptor encephalitis when approaching a patient with unexplained changes in mentation.…”
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3053por Saouma, Samer, Olson, Peter C., Uddin, Asif, Spagnola, Jonathan, Mobarakai, Neville, Lafferty, James C.“…Our case highlights the need to maintain a high clinical suspicion of bacterial infection when patients present with sepsis and have evidence of pericarditis.…”
Publicado 2019
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3054“…Maintain a high level of suspicion if a patient taking amiodarone is experiencing adverse reactions and presents with new symptoms Consider potential drug interactions when other drugs are prescribed with amiodarone. …”
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3055“…A clinician should have a heightened suspicion in endemic areas or when outbreaks appear. …”
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3056“…Due to the rarity of this disease, along with nonspecific presenting symptoms, diagnosis can be delayed or missed without a high index of suspicion. In this case, we discuss a patient diagnosed with AML relapse in the form of myeloid sarcoma two years after allogeneic hematopoietic stem cell transplant (alloHSCT) for myelodysplastic syndrome (MDS) with the initial presentation for back pain misdiagnosed as spinal stenosis. …”
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3057“…CONCLUSION: Caecal perforations may occur in children as young as two years of age following enteric fever. High index of suspicion is needed for early detection.…”
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3058“…The absence of specific clinical and radiological signs makes suspicion and preoperative diagnosis difficult. Delayed management can compromise ovarian viability. …”
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3059por Alharbi, Badr, Rajih, Emad, Adeoye, Adewunmi, Allatiefe, Bashar Abed, Abdullah, Mohammad Hasan“…This case accentuates the need for a high index of suspicion to rule out concomitant testicular ischemia secondary to epididymo-orchitis that might be salvaged in the future with immediate surgical intervention. …”
Publicado 2019
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3060“…Scrub typhus is still underdiagnosed despite a resurgence in incidence as the clinical presentation is often atypical leading to low index of suspicion among clinicians. We report a case of a young girl presenting as lobar pneumonia and diagnosed as scrub typhus. …”
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