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  1. 1321
    “…Regarding etiology, due to high suspicion index, Leptospira serology was performed, coming back positive and meropenem was maintained. …”
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    Leptospirosis-associated catastrophic respiratory failure supported by extracorporeal membrane oxygenation
  2. 1322
    “…CONCLUSIONS: This case highlights how a routine-perceived procedure such as FNAC could present a challenge to the performing physicians, pathologist, and radiologist, raising the suspicion of a severe complication that needs to be addressed with a readily available emergency service that may be accessible only within a central hospital-level organization. …”
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    Thyroid Fine-Needle Aspiration Cytology: Focusing on Adherence to Guidelines and Hospital Organization
  3. 1323
    “…CONCLUSION: Most of the time acute SN responds well to conservative treatment; however rapid deterioration of symptoms or persistent severe pain should give suspicion of underlying secondary pathology.…”
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    Infected Schmorl’s node: a case report
  4. 1324
    “…Conclusion: Although IBD is uncommon in Nigeria, a high index of suspicion is vital to enable early diagnosis and appropriate treatment. …”
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    Inflammatory Bowel Disease in Children: Experience and Constraints in a Resource-limited Setting
  5. 1325
    “…Although most commonly seen in the southern United States, it is essential to keep this clinical suspicion in mind regardless of geography, as presenting symptoms can be very similar to classic bacterial meningitis. …”
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    A Fatal Case of Primary Amoebic Meningoencephalitis from Recreational Waters
  6. 1326
    “…However, it is much less available than other toxins; thus, clinical suspicion and correlation play pivotal roles in diagnosis. …”
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    Methanol, Paracetamol Toxicities and Acute Blindness
  7. 1327
    “…A high degree of clinical suspicion during the intraoperative period is helpful for diagnosis to avoid unnecessary oophorectomy and infertility.…”
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    Bilateral ovarian edema with unilateral ovarian leiomyoma and double inferior vena cava: a case report
  8. 1328
    por Thirumal, P., Sumathi, B., Nirmala, D.
    Publicado 2020
    “…The diagnosis of this condition was often delayed due to lack of clinical suspicion. Only case series were available and no definitive treatment was postulated. …”
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    A Clinical Entity Often Missed—Solitary Rectal Ulcer Syndrome in Children
  9. 1329
    por Delirrad, Mohammad, Sedokani, Amin
    Publicado 2020
    “…However, with a clinical suspicion of opioid poisoning, naloxone therapy started, and the patient was moderately improved. …”
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    Heroin Intoxication Through Damaged Skin in a 7-Year-Old Girl
  10. 1330
    “…A combination of high index of suspicion, appropriate imaging, and complete ablation of the lesion is necessary to achieve good outcomes. …”
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    Patellar Osteoid Osteoma as a Cause of Intractable Anterior Knee Pain - A Case Report and Systematic Review of Literature
  11. 1331
    “…Otherwise, the diagnosis of COVID-19 in such patients must be cautiously made according to the clinical context and laboratory results, considering a very high clinical index of suspicion on imaging.…”
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    Coronavirus disease 2019 (COVID-19) in patients with systemic autoimmune diseases or vasculitis: radiologic presentation
  12. 1332
    “…RESULTS: Ninety children with clinical suspicion were enrolled in this study (44 with TB and 46 without TB). …”
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    Rapid detection of Mycobacterium tuberculosis in children using blood and urine specimens
  13. 1333
    “…BACKGROUND: Pica is a poorly understood psychiatric disorder that presents with the ingestion of non-nutritious substances for unclear reasons. A high index of suspicion for unusual toxin exposure aids in the diagnosis of pica patients presenting with unexplained neurodegenerative features. …”
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    Mothball ingestion as a manifestation of pica, leading to paradichlorobenzene CNS toxicity
  14. 1334
    “…Physicians must maintain a high index of clinical suspicion through risk stratification to identify PE in these settings, as the frequency of such an occurrence is extremely low. …”
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    Pulmonary Embolism Presenting as ST-Elevation Myocardial Infarction: A Diagnostic Trap
  15. 1335
    “…BACKGROUND: Rapid identification of patients with high suspicion of COVID-19 will become a challenge with the co-circulation of multiple respiratory viruses (RVs). …”
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    Characteristics associated with COVID-19 or other respiratory viruses’ infections at a single-center emergency department
  16. 1336
    “…Background: The clinical suspicion of Congenital Hypothyroidism (CH) is identified by abnormal results in the first test of Thyroid Stimulating Hormone (TSH) (5-9.9 mIU/L), and normal results in re-test (TSH<4 mIU/L). …”
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    Assessment of intelligence quotient score in children at the age of six with suspected congenital hypothyroidism: A retrospective cohort study
  17. 1337
    “…An early diagnosis, to initiate oncologic treatment, require a high level of clinical suspicion and a histological proof from pericardial or myocardial biopsy.…”
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    A rare diagnostic challenge in a female patient with a rapid recurrent pleural effusion: Autopsy revealed cardiac angiosarcoma with bilateral pleural and pulmonary metastases. A case report
  18. 1338
    “…CONCLUSION: High index of suspicion for ASS is mandated in patients with unexplained ILD. …”
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    Anti-synthetase syndrome: a rare and challenging diagnosis for bilateral ground-glass opacities—a case report with literature review
  19. 1339
    “…EUS should be considered in patients with intermediate risk of choledocholithiasis with a negative MRCP if the clinical suspicion is still present, and especially if the total bilirubin is above 3 mg/dL.…”
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    EUS assessment for intermediate risk of choledocholithiasis after a negative magnetic resonance cholangiopancreatography
  20. 1340
    “…We recruited 20 men with a clinical suspicion of prostate cancer. Immediately before an MRI guided biopsy procedure, we conducted fMRI in the same scanner to assess resting-state brain connectivity. …”
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    Measuring inter-individual differences in stress sensitivity during MR-guided prostate biopsy
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