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  1. 1161
    “…POI is challenging in diagnosis and needs a very high index of suspicion, mainly due to its rarity and atypical presentation. …”
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    Postoperative intestinal intussusception in children, an easily missed culprit of postoperative intestinal obstruction: Case series and literature review
  2. 1162
    “…However, polymerase chain reaction (PCR) testing of aqueous fluid was negative for cytomegalovirus (CMV), herpes simplex virus, herpes zoster virus and toxoplasma, and her condition continued to worsen, so suspicion was raised for a masquerading recurrent malignancy. …”
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    Vitreoretinal lymphoma, secondary to non-CNS systemic lymphoma, masquerading as an infectious retinitis
  3. 1163
    “…BACKGROUND: Clinicians must maintain an index of suspicion to diagnose an anorectal foreign body (FB). …”
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    Rectal foreign body causing perforation: Case report and literature review
  4. 1164
    “…He was hypotensive with blood pressure 74/56 mmHg at admission, which raised suspicion for sepsis, adrenal insufficiency but the workup (renal panel, full blood count and synacthen tests) were normal. …”
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    Case Report: An Unusual Presentation of Bilateral Subclavian Stenosis in a Patient with Asymptomatic Hypotension
  5. 1165
    “…It is easily misdiagnosed leading to reconstructive morbidities and mortality in neonates. High clinical suspicion is important for early diagnosis. Our knowledge, this is the first case reported in the literature in this unique initial presentation. …”
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    Necrotizing soft tissue infection of both ear lobules occurring concomitantly in a set of twins following non-aseptic ear piercing: a case report
  6. 1166
    “…CONCLUSIONS: Mounier-Kuhn syndrome is rare but does occur, and physicians need to have a high index of suspicion to diagnose it. Its management must be done by a multidisciplinary team, and respiratory therapy should be constantly available at bedside.…”
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    Recurrent Pneumonias in a Previously Healthy and Immunocompetent Young Adult: A Case Report Mounier-Kuhn Syndrome
  7. 1167
    “…CONCLUSION: Cognitive targeted prostate biopsy based on mpMRI presents a valuable addition to systematic biopsy in patients with repeated negative systematic biopsies but persistent clinical suspicion of prostate cancer.…”
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    Targeted prostate biopsy using a cognitive fusion of multiparametric magnetic resonance imaging and transrectal ultrasound in patients with previously negative systematic biopsies and non-suspicious digital rectal exam
  8. 1168
    “…PCR viral panel performed on nasopharyngeal specimens among infants with clinical suspicion for RVI. Sequence analysis was performed to determine viral subtypes. …”
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    Incidence of respiratory viral infection in infants with respiratory symptoms evaluated for late-onset sepsis
  9. 1169
    “…Having a high degree of clinical suspicion and obtaining a detailed medical and social history is important for making a diagnosis. …”
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    A Curious Case of Blastomyces Osteomyelitis
  10. 1170
    “…CONCLUSIONS: Sarcoidosis associated with HLH is an extremely rare phenomenon with only 10 cases reported in the literature. Early clinical suspicion can be challenging as this condition is a sepsis-mimicker. …”
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    A Rare and Fatal Case of Hemophagocytic Lymphohistiocytosis Associated with Sarcoidosis
  11. 1171
    “…MATERIAL AND METHODS: The study included 89 patients aged 0–18 years (mean: 12.62) who underwent an emergency or elective laparoscopic procedure due to the suspicion of adnexa pathology in the imaging tests or in which intraoperative pathology of the adnexa was found without previous suspicion of these changes in the imaging tests. …”
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    Evaluation of the usefulness of laparoscopy in the diagnosis and treatment of adnexal pathologies in the pediatric population
  12. 1172
    “…This pathology can manifest devastating complications if overlooked, however, a high index of suspicion coupled with a thorough history and physical allows easy diagnosis. …”
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    True brachial artery aneurysm: A case report and review of literature
  13. 1173
    “…We present the audit of findings on carotid ultrasound examination among patients with clinical suspicion and risks for cerebrovascular disease and possible correlates in Northern Nigeria. …”
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    Audit of Carotid Doppler Sonography: Spectrum of Findings at a Tertiary Hospital in Northwestern Nigeria
  14. 1174
    “…LEARNING POINTS: Diagnosing IVCT can be challenging and a high index of suspicion is needed in presence of abnormalities of the inferior vena cava. …”
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    Inferior Vena Cava Syndrome: A Rare Complication
  15. 1175
    “…DISCUSSION: The rarity of cardiac metastasis of carcinoid tumour makes its diagnosis challenging and warrants a high level of clinical suspicion. Cardiovascular magnetic resonance imaging proves to be an indispensable tool in the tissue characterization of such tumours.…”
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    A concealed carcinoid cardiac metastasis uncovered by comprehensive cardiovascular magnetic resonance-based tissue characterization: a case report
  16. 1176
    “…Secondly, high clinical suspicion in admitting clinicians is imperative in ensuring timely diagnosis and early intervention to minimise fatal consequences. …”
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    Fatal epidural abscess from diabetic foot disease
  17. 1177
    “…This case highlights the clinical challenges physicians face towards diagnosing and treating EAF-IgG4RD, emphasizing the need for high clinical suspicion and the possible role of targeted therapies for this rare disease.…”
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    Challenges in Medicine: The Odyssey of a Patient with Isolated IgG4-Related Eosinophilic Angiocentric Fibrosis Presenting as a Locally Destructive Sinonasal Mass
  18. 1178
    “…To prevent morbidity and mortality, a high degree of clinical suspicion is warranted when diagnosing patients in whom a gallstone ileus is seen on imaging.…”
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    A Rare Case of Cholecystoduodenal Fistula with Rapid Distal Gallstone Migration
  19. 1179
    “…His coronary angiogram showed no significant coronary artery stenosis, but suspicion of LV apical pseudoaneurysm was expressed. …”
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    Dual-energy Computed Tomography Delayed Myocardial Enhancement in the Diagnostic Dilemma of True versus False Left Ventricular Aneurysm – A Case Report
  20. 1180
    “…OBJECTIVE: The main study objective is to test the effectiveness of a rapid ACS rule-out pathway using hs-cTnI in safely discharging patients from the ED for whom clinical suspicion for ACS exists. DESIGN: This prospective, implementation trial (n = 11,070) will utilize a stepped wedge cluster randomized trial design. …”
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    RACE-IT – Rapid Acute Coronary Syndrome Exclusion using the Beckman Coulter Access high-sensitivity cardiac troponin I: A stepped-wedge cluster randomized trial
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