A Hindu Brahmin, pet. GO, by profession a cook, lias been suffering from Inguinal hernia for the last 10 or 12 years. All along the hernia was reducible, and the man did not require any surgical interference whatever, save and except he was advised to use the truss constantly. But he did not act up to it strictly, as it caused some inconvenience. On the afternoon of the 28th ultimo the man went...

Patient A.M., male, 76 years old, sought medical attention complaining of chest tightness, without irradiation, associated with nausea and sweating, usually starting with minor stresses. The patient also presented dyspnea on minimal exertion, orthopnea, paroxysmal nocturnal dyspnea and edema of lower limbs. The patient denied fever. Patient reported episodes of lower gastrointestinal bleeding (...

A 69-year-old man with hypertension, mild (stage II) chronic kidney disease and uncomplicated type B aortic dissection presented to the emergency service with a 2week history of colicky upper abdominal pain and nausea. His symptoms had progressively worsened with shortness of breath that was exacerbated with activity. At presentation, he denied fever, vomiting or weight loss. The patient appear...

The patient was a single, 36year-old white man. He was admitted to our institution due to agitated behavior and psychosis, with a diagnosis of bipolar I disorder from his most recent episode, which was mixed and severe with moodincongruent psychotic features. He presented with depressed mood of 3 weeks’ duration, associated with early and intermittent insomnia, decreased energy, racing thoughts...

(CHEST 2005; 127:1045–1050) A 70-year-old white man was referred for evaluation of pulmonary infiltrates and bronchiectases associated with cough and constitutional symptoms. He was in his usual state of health until he acquired B-cell non-Hodgkin lymphoma (NHL) in 1990. The lymphoma was localized to his stomach, and he was treated with surgical resection; chemotherapy with cyclophosphamide, vi...

A 50-year-old man was referred for consultation because of disrupted sleep. He complained of a 10-year history of nonrestorative sleep, loud snoring, and a history of “restless leg syndrome.” Ten years previously he developed symptoms of depression. His physician prescribed fluoxetine, a selective serotonin reuptake inhibitor (SSRI) agent. His symptoms of depression improved, however he subsequ...

A 40-year-old Hispanic American male, who weighed 165 lb and was 5’11” tall, consented to participate in a 3-day sleep protocol and was admitted to the UCLA General Clinical Research Center. The patient complained of fatigue during the day and difficulty initiating sleep, along with 3 to 4 awakenings per night. He denied snoring and having any difficulty breathing during sleep. A 2-week sleep d...

Leprosy is nowadays a disappearing but not yet defeated disease in Suriname. In colonial times it was a burden for colonial government and people, the majority of patients (in preabolition times) being slaves. In the 18 century a control system was established, with detection and isolation, anchored in legislation, as major methods. Dutch physicians working in Suriname in the 18 and first half ...