The patient denied any headaches, vertigo, weakness, confusion, bowel or bladder dysfunction and the unsteadiness was independent of position. Bowel movements were normal and he reported no other symptoms of abdominal pathology. The patient drank on average 10 units of alcohol a week and reported no recent increase in consumption. He was a life-long non-smoker, and denied any recent symptoms of...

Trust is the attitude of expectation that another will behave according to the constraints of morality... There can be no trust where there is no possibility of error. More specifically, man cannot know that he is trusted unless he has the right to act without constant surveillance so that he knows he can betray the trust. Privacy confers that essential right... Without privacy and the possibil...

Presentation A 67-year-old male resident of Florida initially presented to another institution with an 8-week history of fatigue, loss of appetite, abdominal pain, and diarrhea that led to muscle wasting and a more-than-20% weight loss. The patient complained of poor appetite, early satiety, and intermittent right upper quadrant abdominal pain associated with nausea and vomiting, but no hematem...

A 58-year-old man reported sudden-onset binocular double vision that appeared 3 days earlier. He denied history of headache/cervical pain or trauma. He had a medical history of well-controlled diabetes, hypertension and dyslipidaemia. Neurological examination revealed a left-sided ptosis and binocular horizontal diplopia in dextroversion without apparent extraocular-muscle paresis or pupillary ...

A 70-year-old man with a history of hypertension, porcine aortic valve replacement, and chronic obstructive pulmonary disease began having dizziness and confusion. He had strange 1-word responses to his son, who took him to a hospital. A computed tomography scan was performed, showing a subarachnoid hemorrhage. There was no neurosurgeon at that hospital; therefore, the patient was transferred t...

A 35-year-old man presented to the accident and emergency department with history of productive cough, breathlessness and some weight loss over several weeks. He had a past medical history of asthma and eczema. He mentioned that, at times, he had been expectorating sputum with some haemoptysis over the past few months. He was of Bangladeshi origin, but had been resident in the UK since 1986 and...

Karim Saei was born in 1910, in Mashhad, north eastern Iran, where he got his diploma. He left behind his homeland for Karaj city to study at the Faculty of Agriculture of Tehran University. He passed his course very successfully and received his B.Sc. degree in 1931 followed by a scholarship to study for 2 years at Agronomic Institute in Montpellier, France. He graduated M.Sc. with excellent g...

Dear Editor, A 35-year-old man presented with severe headache and left sided hemiparesis since one day prior to admission. He reported frequent bouts of oral and genital aphthous ulcers, an attack of deep venous thrombosis of left lower extremity, one episode of right knee arthritis, and several attacks of headache, neck rigidity, and fever. He had been a victim of mustard-gas poisoning at the ...