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  1. 4081
    “…PCM can present before or concomitantly with the diagnosis of cancer, and its clinical presentation may rise the suspicion of malignancies or be part of reactivation by immunosuppression. …”
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  2. 4082
    “…In current era with increasing use of ECMO, newer rarer complications should be kept in mind. High index of suspicion is required for diagnosing fungal endocarditis after ECMO.…”
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  3. 4083
    “…DISCUSSION: Because bisphosphonate prevents bone healing and remodeling, it is difficult to accomplish the bony union despite of proper treatment in patients who have fractured after long-term use of bisphosphonate. CONCLUSION: A high suspicion index and early diagnosis through the use of MRI are essential for the successful treatment of these fractures.…”
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  4. 4084
    “…The placental position was the right fundus, and color Doppler ultrasound revealed myometrial thinning and subplacental hypervascularity, leading to a suspicion of placenta accreta spectrum (PAS). Emergency cesarean section was performed at 28(1/7) weeks of gestation due to severe preeclampsia. …”
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  5. 4085
    “…This is being reported to enhance increased suspicion amongst surgeons in cases of testicular masses within endemic settings like Nigeria.…”
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  6. 4086
    “…With this case, we project the need for a high index of clinical suspicion to make an early diagnosis, especially in patients with atypical symptoms such as abdominal pain, and acknowledge the fact that IV contrast can possibly act as a second hit in underlying GPA, unmasking the active renal symptoms of the disease.…”
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  7. 4087
    “…However, it was determined to test the patient for coronavirus disease 2019 (COVID-19) infection despite extremely low clinical suspicion. Unfortunately, she was found to be COVID-19 positive after she was discharged from the hospital while she remained asymptomatic. …”
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  8. 4088
    “…We aim to illustrate the need for a high clinical suspicion for the diagnosis of botulism and to report an atypical case of botulism with the production of toxins B and F, the latter being of rare occurrence.…”
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  9. 4089
    “…We concluded that a high index of suspicion is required to diagnose a double gallbladder, and special attention should be paid to preoperative radiological imaging when treating patients with choledochal cysts because these patients present a higher incidence of biliary anomalies.…”
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  10. 4090
    por Raval, Pradyumna
    Publicado 2019
    “…CONCLUSION: Chronic finger-tip infections can be quite challenging to treat and one should have a high index of suspicion in treating such infections, especially with respect to the virulence of commensal micro-organisms.…”
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  11. 4091
    “…This scenario was managed by immediate imaging of the chest after sudden deterioration raised suspicion of an adverse event during wire navigation. …”
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  12. 4092
    “…The diagnosis of myeloid sarcoma is challenging and requires a high index of suspicion. Tissue sampling followed by the use of auxiliary studies is essential for diagnosis. …”
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  13. 4093
    “…LEARNING POINTS: Acute disseminated encephalomyelitis (ADEM) associated with measles infection is not uncommon. Clinical suspicion must be based on the presence of measles infection or recent vaccination. …”
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  14. 4094
  15. 4095
    “…So there is a need for a very high index of suspicion for early diagnosis and to avoid misdiagnosis to prevent the devastating sequelae like organ damage. …”
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  16. 4096
    “…The patient was managed with anti-thyroid medications with resolution of both thyrotoxicosis and cerebellar symptoms proving the hypothesis that patient’s encephalopathy was autoimmune and related to his thyroid disease. High index of suspicion should be maintained for EAATD in patients presenting with neurological deficits with associated clinical and biochemical evidence of autoimmune thyroid disease.…”
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  17. 4097
    “…Empiric anti-tuberculous therapy should not be delayed in patients with a strong clinical suspicion for TB. Because confirmatory TB testing may be difficult to obtain, early and empiric treatment, when there is concern for central nervous system TB, may result in improved outcomes for patients. …”
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  18. 4098
    “…Even though rare, clinicians should have a high suspicion of SLS in patients with a long-term history of SLE and worsening dyspnea. …”
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  19. 4099
    “…Additionally, we review previously reported cases of HLH secondary to measles and highlight the diagnostic and therapeutic challenges associated with its early recognition and treatment. High suspicion, early recognition, and appropriate treatment are essential for a favorable outcome of measles-associated HLH.…”
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  20. 4100
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