A 35-year-old man with a history of severe scoliosis requiring Harrington rod placement and prior abdominal surgery presented to the ED with a complaint of 10/10 midscapular back pain radiating to the left lower chest wall. He also reported intermittent diaphoresis, lightheadedness, and nausea, but denied shortness of breath, abdominal pain, or fevers. He noted a recent history of heavy lifting...

conclusions the patient underwent surgery several days later with complete resection of the tumor and coronary stent retrieval but his left ventricular ejection fraction remained poor after several months and he was referred for cardiac transplantation. introduction cardiac inflammatory myofibroblastic tumor is a rare tumor that can cause potentially fatal outcomes. case presentation we describ...

CASE REPORT. A 46year old man presented with a three month history of hiccup, occurring almost daily but associated only with the swallowing of solid food. It usually settled with a glass of water, the longest attack lasting almost thirty minutes. Indeed, it was this attack which precipitated his referral. On careful questioning at the time and retrospectively, he denied any dysphagia whatsoeve...

A 22-year-old healthy male university student presented to the emergency department (ED) complaining of syncope. He had five episodes of loss of consciousness from 10 to 40 seconds in length, with loss of postural tone and full recovery without intervention in the last month. Witnesses to these events denied tonic-clonic activity, and he had no sphincter tone loss. On the index ED visit the pat...

CASE Eric (12 years old, 6th grade) saw a new pediatrician with concern about fatigue and intermittent abdominal pain for the past 2 to 3 months. His mother observed that he appeared more tired and that the “whites of his eyes are more cloudy” than usual. He continued to be active, however, and reported that he played basketball and football without any problems. He slept 8 hours each night wit...

knowing of formation of a legal rule is an efficient way to recognizing and assessing of that rule. anticipatory breach doctrine became apparent in common law when the court in hochster versus de la tour case (1980), hold that a party could breach an executor contract prior to the performance date and injured party entitle to sue at once. before it, courts had made a negative answer to this mat...

A 73-year-old man presented to the emergency department with a productive cough, shortness of breath, and an enlarging chest wall mass 2 months after the completion of antituberculous therapy. He had a cough productive of brown sputum. He denied fever, chills, weight loss, hemoptysis, and night sweats. His medical history was notable for hypertension and also for Mycobacterium tuberculosis (MTB...

it has not been too long since we realized that joseph murray (1919-2012) has passed away while we heard this sad news 2 weeks ago. we never forget his memories and trip for the first time on 14th november 1974to iran. he returned to our country one more time later to share his experiences with the country specialists. it is a great sorrow that he did not see our progress in plastic and reconst...