Clinical Image

Floating Thrombi in The Right Ventricular Outflow Tract

1. Clinical Image A 51-year-old woman was admitted to the hospital for an intermittent syncope. No abnormal findings on physical examination. Laboratory results showed B-type brain natriuretic peptide of 1044.0 pg/ml (reference range, < 100), D-Dimer of 5.69 mg/L (reference range, < 0.5), FDP of 19.0 ug/ml (reference range, < 5), and blood NT-proBNP of …

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Janeway Lesions as The Primary Sign of an Infected Radial Artery Aneurysm After Cannulation

1. Case Report A 52-year-old man with subarachnoid hemorrhage (Fisher 2, World Federation of Neurosurgical Societies Grading Scale 1) underwent endovascular coiling and was admitted to the intensive care unit for standard of care treatment. For invasive blood pressure monitoring, an arterial line was established in the right radial artery. Three days after removal of …

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Multiple-Scale Computational Studies of Redox-Controlled Supramolecular Co-Assembly Nanoplat form: Toward Immunochemotherapy-Driven Antitumor Augment

1. Abstract Programmed cell death protein 1 (PD1)/programmed death ligand 1 (PD-L1) blockades provide an effective and safe therapeutic option in the field of refractory cancer therapy. However, not more than 30% response rate of most cancers seriously impedes their therapeutic efficacy. Previous investigations have proved the effectiveness of combining chemotherapy with immunotherapy for unsatisfactory …

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A Protruded Leision with Hemorrhage of Unexpected Histological Findings

1. Clinical Image An 83-year-old man complained of repeated hematochezia for 3 months. No other medical history was reported except for the percutaneous needle aspiration of left renal cyst 10 years ago. Colonoscopy revealed a 25-mm protruded lesion with central ulcer formation at the descending colon (Figure 1A). Massive bleeding occurred during forceps biopsy (Figure …

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Genital Hear Tourniquet Syndrome in A 5-Year Old Girl

1. Abstract A swollen and painful clitoris was noticed by the parents of a 5 year-old-girl. A hair tourniquet was found at the base of the clitoris and mechanically removed in the hospital. Genital hair thread tourniquet syndrome is a rare entity, which can be misdiagnosed and can lead to genital complications if the treatment …

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Toxin Positive Corynebacterium Diphtheriae Skin Ulcers in a Vaccinated Traveller

A 20 year old German volunteer presented in good general condition without fever to our outpatient department with cutaneous ulcers (Figure 1) on the lower limbs and swelling of the right lower leg. The patient had just returned from a one year stay in the Ivory Coast and mentioned several insect bites a week ago …

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