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  1. 3981
    “…Despite being a rare manifestation of tuberculosis, in the correct epidemiological context, haemoptysis should raise the suspicion of pulmonary tuberculosis. The clinical setting and the need for immediate care should not limit clinical investigation or the differential diagnosis.…”
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  2. 3982
    “…He was diagnosed with Polymyalgia Rheumatica, but the lack of response to corticosteroids led to the suspicion of an alternative diagnosis, like, for example, an occult neoplasm. …”
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  3. 3983
    “…It is important to maintain a high index of suspicion of Sjögren’s syndrome and diffuse lymphadenopathy in patients with KFD.…”
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  4. 3984
    “…Chronic unproductive cough should raise a suspicion of isolated aortitis. The critical diagnostic exam for aortitis is a PET-CT scan. …”
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  5. 3985
    “…The correlation between the clinical picture and investigations raised the possibility of hepatopulmonary syndrome which was confirmed by contrast-enhanced transthoracic echocardiography. CONCLUSIONS: High suspicion is required to diagnose hepatopulmonary syndrome in patients with liver disease and hypoxemia. …”
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  6. 3986
    “…A young otherwise healthy male presented with asymptomatic pinkish-red nodule over postero-lateral tongue with the suspicion of having developed oral cancer. Biopsy from the lesion showed multiple circumscribed nodules in the lamina propria comprised of numerous oval and spindle-shaped cells. …”
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  7. 3987
    “…This case highlights the need to have a high index of suspicion for gallbladder torsion as a differential diagnosis for right upper quadrant (RUQ) pain apart from the typical calculous acute cholecystitis, especially in high risk groups such as thin, elderly females. …”
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  8. 3988
    “…In addition, we intend to raise clinical suspicion on the diagnosis of PMP and comment on several challenging issues concerning the origin and classification of PMP.…”
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  9. 3989
    “…The incidence of mechanical complications declined over time secondary to reperfusion therapies, improved control of blood pressure, the use of beta blockers and angiotensin-converting enzyme inhibitors, and aspirin. A high degree of suspicion is required, especially in elderly patients with complications post-PCI (percutaneous coronary intervention). …”
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  10. 3990
    “…We present this case to raise clinical suspicion in the medical fraternity regarding cancer recurrence; Even in the absence of biochemical markers or typical clinical signs and symptoms.…”
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  11. 3991
    “…Hence, there is a dilemma for the management of these cases, but with modern radiological equipment and high degree of suspicion, it is possible to diagnose early. The overall prognosis of this condition is good, provided an early surgical intervention is instituted; we are reporting a case of a 6-year-old male with spontaneous perforation of common hepatic duct. …”
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  12. 3992
    “…An estimated 2%-17% of oncological patients may be affected by multiple primary malignancies and a high degree of clinical suspicion along with appropriate diagnostic procedures is required for a definitive diagnosis.…”
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  13. 3993
    “…Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) has diagnostic accuracy and negative predictive value for the diagnosis of mediastinal tubercular lymphadenitis, especially when culture and cytological diagnosis is combined with high clinical suspicion. Both sarcoidosis and tuberculosis (TB) demonstrate granulomatous inflammation on cytology. …”
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  14. 3994
    “…The exclusion of other aetiologies and the simultaneous presence of thromboembolic events in other organs raised the suspicion of a hypercoagulable state, which upon investigation revealed occult neoplasia of the lung. …”
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  15. 3995
    “…Therefore, a high degree of clinical suspicion is paramount for early diagnosis of this complication in UFE patients.…”
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  16. 3996
    por Der, E. M., Seidu, S.
    Publicado 2019
    “…CONCLUSION: Immature ovarian teratoma affects primarily younger patients; it is important for clinicians to have a high sense of suspicion whenever the diagnosis of a germ cell tumour is entertained.…”
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  17. 3997
    por Arjunan, Ananth, Rai, Hema
    Publicado 2019
    “…Diagnosis requires a low threshold of suspicion and is considered in WM patients with unexplained neurologic symptoms. …”
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  18. 3998
    “…The peripheral smear examination showed Alder–Reilly (AR) granules leading to a suspicion of underlying Mucopolysaccharidosis (MPS). …”
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  19. 3999
    “…Consider breast TB as a differential diagnosis of mammary nodules. A high level of suspicion is necessary to make an early diagnosis and start appropriate treatment before irreversible damage takes place.…”
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  20. 4000
    “…In the case of chronic ear discharge resistant to routine antibiotic treatment, the clinician should not rule out suspicion of tuberculosis.…”
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