Teaching NeuroImages: Drowsiness, visual hallucination, grandiose delusion, and neologism of a 48-year-old man

a 48-year-old man with epigastric pain and melena

a 48-year-old male patient presented to the emergency department with the complaints of epigastric pain and melena for the past 3 days. the pain was started suddenly and has progressed and after a while, he passed melena stool. he also mentioned some episodes of vomiting that was not bloody. the pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to back. he loo...

A Solitary Facial Nodule of a 48-year-old Man

CASE REPORT A 48-year-old man presented with a reddish skin tumor over face for three months. He denied any systemic disease and history of insect bite. The skin examination revealed a reddish dome-shaped elastic fi rm nodule, 1.2 cm in diameter, over left zygomatic area (Fig. 1). Other physical exam did not show any abnormal findings such as lymphadenopathy or hepatosplenomegaly. The nodule wa...

Confusion and lethargy in a 48 year old man.

A 48 year old retired fireman was admitted with a one week history of confusion, lethargy, and generalised weakness. This was associated with a non-productive cough for which he had been prescribed oral amoxycillin. He had a history of hypertension and was on lisinopril 20 mg daily. He was a smoker of 30 pack years and consumed 30 units of alcohol per week. On admission his temperature was 37.7...

A 48-year-old Man with Epigastric Pain and Melena

A 48-year-old male patient was presented to the emergency department with complaint of epigastric pain and melena that had started 3 days ago. The pain had started suddenly and progressed and after a while, he had passed melena stool. He also mentioned some episodes of vomiting that was not bloody. The pain score was about 8/10 (based on verbal quantitative scale) and slightly radiated to his b...

A 48-year-old man with a pleural-based consolidation.