Journal of Clinical and Medical Images (ISSN 2640-9615)
(ISSN 2640-9615)
1. Clinical Image A 28-year-old male patient presented to our maxillofacial outpatient clinic with a slow growing swelling on the sublingual and submental region. The patient complaints were discomfort with swallowing and speech. A physical examination revealed a well-demarcated swelling at the floor of the mouth and the subman- dibular region (Figure A-B).
A Giant Sublingual/Submental Dermoid Cyst Read More »
1. Clinical Image A 62-year-old lady with history of left renal stones, hypertension and impaired fasting glycemia was emergently admitted because of acute onset of abdominal pain. Physical examinations found left-sided abdominal tenderness and ballotable left kidney. Laboratory investigations found impaired renal func- tion and leukocytosis
Renocolonic Fistula, A Rare Complication of Emphysematous Pyelonephritis Read More »
An 83-year-old woman with primary hypothyroidism and multinodular goiter had maintained euthyroid status for many years under Eltroxin supplementation. Patient was asymptomatic, however during routine follow-up, ultrasonography of the thyroid revealed numerous hyperechoic ‘jelly-like’ pseudo-calcifications at the right thyroid (Figure 1A). Fine needle aspiration cytology to rule-out cancer reported only a fewmacrophage cells. Further survey
Hyperechoic Presentation of Air in Thyroid – Esophagus Fistula Read More »
Retinitis pigmentosa and choroidal coloboma are known to usually exist as two separate entities. The fundus photo shows features of Retinitis pigmentosa, with an isolated coloboma inferior to disc, in a 30 years old lady, who, presented with decreased peripheral vision and nyctalopia. On evaluation she was found to have 6/6 vision bilaterally. Anterior segment
A 68-year-old recently widowed woman with a negative past medical history, was brought to the clinic reluctantly by her daughter for a medical check-up. The patient comes from a middle-class socioeco- nomic status, has a high school degree, and has worked as a practical nurse for many years up until her retirement. She had consistently
Late Presentation of Advanced Breast Cancer Read More »
A 70-year-old male had cough for one month, followed by acute respiratory failure. He is a non-smok- er, previously healthy, has no history associated with immunodeficiencies. Two months ago, his right ankle was wounded when he worked on the farm with bare feet. His lower calf became swelled, painful, and erythematous. Treatment with 2-weeks of
Septic Pulmonary Emboli Caused by Nocardia in an Immunocompetent Patient Read More »
A 76 years-old male patient was referred in January 2020 to our institution for an acute heart failure. The patient suffered from ischaemic cardiomyopathy after an anterior myocardial infarction, and persistent atrial fibrillation treated by ablation twice in 2017 (CHA2DS2-VASc score = 5)
Bilateral Intracardiac Thrombus Read More »
A 71-year-old woman presented to the Emergency Department, complaining of fever and shortness of breath. Two days before, she noted a transient non-pruritic blanching rash. The patient was healthy with no co-morbidities, medications or previous adverse drug reactions. Physical examination found bilateral diminished breath sound and a non-pruritic purpuric rash on legs (Figure 1) and
Cutaneous Eruption as First Manifestation of COVID-19 Read More »
We examined a patient with 68Ga-DOTATOC PET/CT, during follow-up of lung neuroendocrine tumor; patient anamnesis was also positive for post-traumatic splenectomy. Intense uptake was ob- served in splenosis of the splenic loggia and in a mediastinal node: this last finding was suspicious for metastasis of neuroendocrine tumor.
The patient is a 71-year-old male with multiple co-morbidities including past medical history of acute pancreatitis and metastatic renal cell carcinoma presented with epigastric abdominal pain for 3 days. Physical exam demonstrated mild diffuse abdominal tenderness with more tenderness elicited in right upper quadrant and epigastric region without rebound tenderness or guarding.
The Eyes Cannot See What the Mind Does Not Know: An Unusual Cause of Epigastric Pain Read More »