heart murmurs/glavobol

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Headache as the initial manifestation of acute aortic dissection type A.

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Prijava / prijava

The most common initial symptom of aortic dissection is chest pain. Other initial symptoms include pain in the neck, throat, abdomen and lower back, syncope, paresis, and dyspnoea. Headache as the initial symptom of aortic dissection has not been described previously. A 61-year-old woman with a

Headache as a manifestation of a life-threatening vascular disorder.

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Prijava / prijava

Headache is a common complaint among patients seeking medical assistance. The differentiation between a primary headache disorder versus headache as a symptom of a serious underlying disease is of crucial importance. Dissections of the carotid or vertebral arteries frequently present with headache

[A report of two children with fever, headache, and purpura].

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Prijava / prijava

In this study, two school-aged children had an acute onset in spring and had the manifestations of fever, headache, vomiting, disturbance of consciousness, purpura and ecchymosis, and positive meningeal irritation sign. There were increases in peripheral white blood cells and neutrophils, but

An aberrant subclavian artery exhibiting the partial steal phenomenon in a patient with VACTERL association.

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Prijava / prijava

We herein report the case of a 22-year-old Caucasian man with known vertebral defects, anal atresia, tracheoesophageal fistula with esophageal atresia, cardiac defects, renal and limb anomalies (VACTERL) association who presented with a headache and vertigo following the sudden and temporary loss of

Potential recruits in medical outpatients--an audit.

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Prijava / prijava

A retrospective study was made of 309 randomly selected potential service recruits seen over five years by different consultant physicians in an Army hospital. Only nine of 133 referred with a history of asthma were turned down because of an abnormality in their exercise lung function test. Only

[Hypertension due to aortic coarctation--a missed clinical diagnosis].

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METHODS A 30-year-old woman presented to our emergency department with severe headaches, dizziness and uncontrolled hypertension. She had arterial hypertension and a known heart murmur since adolescence. Previous medical work up did not reveal any cause for secondary hypertension. Recently her blood

Cases from the osler medical service at Johns Hopkins University.

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PRESENTING FEATURES: A 29-year-old woman with a history of rheumatic heart disease and one episode of endocarditis as an adolescent was admitted to the hospital after 1 week of headache, fever, and myalgia. Her past medical history was otherwise unremarkable and did not include illicit drug use. On

[Clinical reasoning and decision making in practice. A 23 year old woman with malaise, anorexia, fever and behavior changes].

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Prijava / prijava

A 23-year-old woman presented with a history of some months of malaise, anorexia, fever and behavioural changes. She had been examined by a general physician on repeated occasions before coming to the hospital. After physical examination and laboratory investigations, she was sent home. She returned

Changes in the proportion and volume of care provided to children by generalists and subspecialists.

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Prijava / prijava

OBJECTIVE To assess whether primary care physicians, via referrals or other mechanisms, are now providing proportionally less care for children with specific common diagnoses, thus driving greater demand for specialist services. METHODS Secondary data analysis (1993-2001) from one of the largest

[Brain abscess: successful treatment of 4 cases including one with ventricular perforation].

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Prijava / prijava

The authors experienced with four cases of brain abscess, one of which ruptured into the lateral ventricle. Two cases were treated conservatively and the remaining two were treated surgically. All cases recovered satisfactorily. Case 1: A 30-year-old man with congenital cyanotic heart disease was

Posterior dural arteriovenous malformations in infancy.

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Prijava / prijava

A 23-month-old infant with an extensive dural arteriovenous malformation (AVM) developed a heart murmur and cardiomegaly. The AVM involved the occipital and suboccipital dura mater and the tentorium, bilaterally. We embolized the AVM with Gelfoam and polyvinyl alcohol particulates, subtotally

[Valve replacement in infective endocarditis with mycotic aneurysm].

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Prijava / prijava

We successfully performed craniotomy and mitral valve replacement on a patient with bacterial endocarditis and ruptured intracranial aneurysm. A 15-year-old woman with fever and heart murmur was admitted to another hospital. Infective endocarditis and mitral valve regurgitation was diagnosed and

Epidemiological, diagnostic, clinical, and therapeutic aspects of Brucella bacteremia in children in southern Israel: a 7-year retrospective study (2005-2011).

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Prijava / prijava

BACKGROUND Data on the various aspects of brucellosis in children living in southern Israel are missing. OBJECTIVE Our aim was to study the epidemiological, microbiological, diagnostic, clinical, therapeutic and outcome features of brucellosis in children <19 years of age in southern Israel during

Aretaeus of Cappadocia and his treatises on diseases.

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Prijava / prijava

Aretaeus of Cappadocia is considered as one of the greatest medical scholars of Greco-Roman antiquity after Hippocrates. He presumably was a native or at least a citizen of Cappadocia, a Roman province in Asia Minor (Turkey), and most likely lived around the middle of the second century (A.D.) His

Paraganglioma presenting with marked proteinuria: a case report.

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Prijava / prijava

Paragangliomas are rare neuroendocrine tumors that arise from sympathetic and parasympathetic paraganglia. In children, most of them are functional tumors. Presenting symptoms such as sustained or paroxysmal elevations in blood pressure, headache, sweating, and palpitations are related to

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