A 31-year-old woman presents to your family practice with concerns about light-headedness during exercise and cravings for ice. Her history does not suggest cardiac or respiratory illness. She does not describe heavy menses and is not pregnant. She denies any other bleeding or surgery. She has no gastrointestinal symptoms and takes no prescribed or over-the-counter medications. She eats meat re...

Distal radius bone fracture termed a volar Barton takes place when the ventral portion of is displaced. This happens obliquely within joint itself. case report 52-year-old female, who met with road traffic accident and injured her left wrist. After necessary investigation, she was diagnosed wrist without any neurological deficits. this, managed open reduction internal fixation plate osteosynthe...

doi:10.3949/ccjm.83a.15048 A 25-year-old woman presents to the emergency department with a 7-day history of fatigue and nausea. On presentation she denies having abdominal pain, headache, fever, chills, night sweats, vomiting, diarrhea, melena, hematochezia, or weight loss. She recalls changes in the colors of her eyes and darkening urine over the last few days. Her medical history before this ...

A 78 year old woman struggles to read the label on her prescription bottle. She knows she needs to take her blood pressure medication, but cannot read the label on the bottle to determine which one is her blood pressure medicine, nor how many she should take, so she picks one. She remembers the doctor told her to take the medicine twice a day so she takes two pills at one time. In an exam room,...

Abstract This study establishes that women slave-owners were specifically inscribed into South Carolina’s laws on slave management from the first decades of English colonization. Mistresses explicitly named alongside masters or incorporated gender-neutral rubric owner in a common understanding absolute ownership and authority over enslaved people was as much rooted female mastery male. Remarkab...

c ase vignet tes The first patient, a 46-year-old sexually active man who has sex with men, presents for routine primary care. He lives in New York City and reports that he is in a long-term, stable, open relationship with a male partner and that he has had multiple recent sexual encounters with acquaintances. A recent HIV test was negative. He has seasonal allergies, for which he occasionally ...

History of present illness A 45-year-old gravida 6, para 6 woman presents to the emergency department with a complaint of 2 days of heavy vaginal bleeding and passing clots. She is light-headed and short of breath. Previously she had regular but heavy periods. A few days prior to this bleeding episode she noted increasing pelvic pressure and a malodorous vaginal discharge. Her past medical hist...

A woman who regularly takes part in group therapy sessions explains how she came to them and what they mean to her.

A 48-year-old woman who worked as a cleaner in a Kashan University of Medical Sciences dormitory received a spider bite while collecting garbage on a summer afternoon. She feltimmediate irritation on her arm. She noticed a spider, which she removed and killed. The irritation, itching, and redness on her arm continued. Her hand became edematous and painful after four days and she suffered from i...

Maryam Mashhadinezhad was born in Rasht, Guilan, I. R. Iran. She received her B. Sc in chemistry in 2009 from the University of Guilan and her M.Sc. in organic chemistry in 2011 from the same University. She is studying under the supervision of Dr. Farhad Shirini for her Ph. D. Her research interests include the use of heterogeneous catalysts in organic reactions.