منابع مشابه
A 71-year-old woman with recurrent falls and confusion
Case presentation A 71-year-old African-American woman presented to the authors’ hospital with recurrent falls and confusion. She reported fatigue, loss of appetite and weight loss that had been progressing over several months. In the two days before her presentation, she felt dizzy and the family noticed intermittent confusion. She denied fever, respiratory or urinary symptoms. She reported ch...
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Fascioliasis is an infectious disease caused by fasciola or liver fluke. Humans are accidental hosts to these flatworms. The World Health Organisation considers fascioliasis an important human parasitic disease. In Europe, Australia and Northern America, the disease is rare, but should have a high index of suspicion in patients who have lived in or travelled to endemic areas. Although it can be...
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~ O I L . I Z , Rhode Island 02852 failure. The carotid pulses were brisk, but collapsed in midsystole. The cardiac apical impulse was hyperkinetic with a diffuse precordial systolic thrill. A third heart sound was present. There was a grade 4 of 6 harsh holosystolic murmur maximal at the left sternal border in the third interspace, but audible across the entire precordium. A grade 1 of 6 decre...
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A 52-year-old woman sought medical attention because of several annular erythematous lesions with central clearing on her body since seven months ago. No pruritus or burning sensations were noted. Her medical and family history was unremarkable. Her Fitzpatrick skin photo-type was II. On dermatological physical examination, there were several annular erythematous plaques with raised borders and...
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ژورنال
عنوان ژورنال: Mayo Clinic Proceedings
سال: 2013
ISSN: 0025-6196
DOI: 10.1016/j.mayocp.2012.07.026