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  1. 18421
    “…These findings should trigger suspicion for functional parathyroid lesions. Cystic components should be evaluated for PTH levels and if significantly elevated should be treated as a parathyroid adenoma.…”
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    Rare Case of Severe Hypercalcemia Secondary to Atypical Sestamibi Negative Parathyroid Cystic Adenoma
  2. 18422
    “…Conclusion: PHPT is uncommon in children and adolescents and is typically associated with a single parathyroid adenoma. High index of suspicion is key for early diagnosis of PHPT despite a negative Tc-Sestamibi initially.…”
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    A Challenging Diagnosis of Primary Hyperparathyroidism in an Adolescent Female
  3. 18423
    “…Our case illustrates that although most newborns do well with SARS-CoV-2 infection, a high index of suspicion for HH should be maintained in such newborns, particularly in those with at least one other risk factor for HH such as SGA. …”
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    A Novel Case of Hyperinsulinemic Hypoglycemia in a Neonate With SARS-CoV-2 Infection
  4. 18424
    por Shayto, Rani
    Publicado 2021
    “…Lab findings and improvement of abdominal pain after receiving high dose prednisone for CT contrast-allergy prophylaxis raised our suspicion for SIADH and undertreated secondary AI. …”
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    Multifactorial Hyponatremia in a Lung Transplant Recipient: A Case Report of Pseudohyponatremia, SIADH and Secondary Adrenal Insufficiency
  5. 18425
    por Popli, Rakesh, Endo, Mayumi
    Publicado 2021
    “…Patients with this condition may present with atypical symptoms, thus requiring clinicians to have a high index of suspicion for this rare tumor. References: (1) Beck-Peccoz, P., Lania, A., Beckers, A. et al. 2013 European thyroid association guidelines for the diagnosis and treatment of thyrotropin-secreting pituitary tumors. …”
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    An Atypical Case of TSH-Secreting Pituitary Adenoma in a Patient Presenting With Low Libido and Insomnia
  6. 18426
    “…Patients were COVID-19 positive (or had a high index of clinical suspicion) and underwent invasive coronary angiography for suspected ACS. …”
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    International Prospective Registry of Acute Coronary Syndromes in Patients With COVID-19
  7. 18427
    “…Avascular necrosis is a rare presenting feature of endogenous hypercortisolism, and, if left untreated, complete collapse of the femoral head may ensue, rendering the need for hip replacement in up to 70% of patients. Suspicion and recognition of atypical features is therefore important in avoiding complications and delay in treatment of CS.…”
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    Avascular femoral necrosis as part of Cushing syndrome presentation: a case report
  8. 18428
    “…Pathological screening ultrasound was confirmed by formal ultrasound whereas patients with negative screening underwent formal ultrasound on clinical suspicion. Clinical data, laboratory findings and follow-up were extracted from medical records. …”
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    Point of care ultrasound screening for deep vein thrombosis in critically ill COVID-19 patients, an observational study
  9. 18429
    “…METHODS: This retrospective study included 175 consecutive biopsy-naïve patients (40–74 years) referred with a suspicion of PCa, but with subsequent negative investigations. …”
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    MRI features of the normal prostatic peripheral zone: the relationship between age and signal heterogeneity on T2WI, DWI, and DCE sequences
  10. 18430
    “…Work still needs to be done to further explore the molecular etiology of this rare syndrome however due to wide phenotypical presentation of this syndrome it is imperative to evaluate for PSIS at an early age if there is suspicion of any isolated or combined hormonal deficiency in addition to abnormal morphology to identify individuals with PSIS as they need close monitoring for progression of syndrome and lifelong hormonal replacement eventually. …”
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    PSIS With Phenotypic Features of Prader Willi and Fragile X Syndrome
  11. 18431
    “…We aim to demonstrate the need for a high level of clinical suspicion and the need for further investigation into underlying pathophysiology in this vulnerable population.…”
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    Atypical idiopathic intracranial hypertension presenting as cyclic vomiting syndrome: a case report
  12. 18432
    “…Most HCPs from all countries would be motivated to report an ADR if there was a strong suspicion of causality (89%), if it concerned a severe/serious ADR (86%), and if it concerned an ADR for a new, recently marketed drug (77%). …”
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    Motives to Report Adverse Drug Reactions to the National Agency: A Survey Study among Healthcare Professionals and Patients in Croatia, The Netherlands, and the UK
  13. 18433
    “…RESULTS: Women with language barriers described difficulties accessing maternity services, a lack of choice of interpreter, suspicion around the level of confidentiality interpreter services provide, and questioned how well professional interpreters were able to interpret what they were trying to relay to the healthcare professional during appointments. …”
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    Project20: interpreter services for pregnant women with social risk factors in England: what works, for whom, in what circumstances, and how?
  14. 18434
    “…BACKGROUND: The Brazilian Football Confederation (CBF) protocol to control the spread of COVID-19 among professional soccer players is based on four cornerstone measures: (1) Tracing all symptomatic and asymptomatic COVID-19 cases by clinical monitoring and nasal swab SARS-CoV-2 RT-PCR testing up to 3 days before the soccer games; (2) Respiratory isolation of all SARS-CoV-2 positive players for at least 10 days, regardless symptoms; (3) All player with clinical suspicion of COVID-19 were immediately quarantined; (4) If a player became SARS-CoV-2 positive after the game, the other players were allowed to play the next game, if they remained asymptomatic and SARS-CoV-2 RT-PCR negative. …”
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    453. Neutralizing Antibody Responses to SARS-CoV-2 in Professional Soccer Players
  15. 18435
    “…It is important that providers maintain a high index of suspicion for COVID-19 even in patients with clinical evidence of AOM, particularly to ensure families are appropriately advised on isolation and quarantine requirements. …”
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    347. SARS-CoV-2 and Acute Otitis Media in Children: A Case Series
  16. 18436
    “…Likewise, presenting with fistulae and pain ensured a high suspicion of PJI. S. epidermidis, E. faecalis, and S. aureus were the most frequent infecting microorganisms. …”
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    236. Insight of Polymicrobial Prosthetic Joint Infections at a Referral Hospital
  17. 18437
    “…MÉTHODES: Il s’agit d’une étude rétrospective de 78 patients hospitalisés pour COVID-19 confirmés, par un test antigénique et/ou une PCR, et ayant bénéficié d’un angioscanner thoracique pour une suspicion d’embolie pulmonaire, admis entre avril 2020 et out 2021. …”
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    Embolie pulmonaire aiguë chez les patients atteints de COVID-19, une étude rétrospective
  18. 18438
    “…Ces constatations nous pousseraient à adapter notre démarche diagnostique, depuis la suspicion clinique (scores de probabilité clinique) jusqu’à la confirmation diagnostique.…”
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    Embolie pulmonaire au cours de l’infection à SARS-COV2 : particularités cliniques et paracliniques
  19. 18439
    “…METHODS: From March 2016 to June 2017, we recruited 924 paediatric and adult patients presenting with fever, hypothermia or suspicion of severe infection to the Centre Medical avec Antenne Chirurgicale Saint Camille de Nanoro, Burkina Faso. …”
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    Nasopharyngeal colonisation dynamics of bacterial pathogens in patients with fever in rural Burkina Faso: an observational study
  20. 18440
    “…CONCLUSIONS: GTSQ labels are a valid measure of sepsis in the ICU. They reveal suspicion of infection as an unclear clinical concept and refute an illness severity hierarchy in the SIRS-sepsis-severe sepsis spectrum. …”
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    Ground truth labels challenge the validity of sepsis consensus definitions in critical illness
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