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P Hanson, M Pandit, V Menon, S Roberts, and T M Barber

injections as she developed pain. On examination, presence of a localised tender abdominal subcutaneous nodule was confirmed. There was no guarding and abdominal examination did not reveal any other abnormalities. Investigation During her A&E assessment, a

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Kewan Hamid, Neha Dayalani, Muhammad Jabbar, and Elna Saah

.53 percentile ( Z  = −2.16) and BMI 17.14 kg/m 2 at 74.52 percentile ( Z  = 0.66) ( Figs 3 and 4 ). Right upper quadrant and epigastric tenderness was elicited without guarding and rigidity on abdominal palpation, extremities were cold to touch. Rest of

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A Majid and B J Wheeler

with established T1DM presented with a one-day history of lethargy, vomiting and abdominal pain. She had been discharged from hospital the previous day following resolution of symptoms of possible appendicitis, which had led to removal of a non

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Laila Ennazk, Ghizlane El Mghari, and Nawal El Ansari

heart rate at 128/min. Capillary blood glucose was 4 g/L (22.2 mmol/L) with glucosuria and acetonuria in urine examination. Abdominal examination found an epigastric tenderness. The neck examination revealed a homogeneous small goiter without

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Gordon Sloan, Amjad Ali, and Jonathan Webster

patient was mildly disorientated with no focal neurological finding. Her abdomen was soft with mild right upper quadrant tenderness. Her BMI was 23.0 kg/m 2 . Investigation Haemoglobin, 150 g/L (110–147 g/L), and haematocrit, 0.527 (0

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Junji Kawashima, Hideaki Naoe, Yutaka Sasaki, and Eiichi Araki

disease. At the age of 56 years, he was treated with the TNF inhibitor infliximab (5 mg/kg) on April 26, 2012, and May 9, 2012, to improve diarrhea. He noticed neck swelling with right neck tenderness and fever 4 days after the second injection of

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Roghieh Molaei Langroudi, Fatemeh Ghazanfari Amlashi, and Mohammad Hassan Hedayati Emami

abdominal pain and distension for a few months. On examination, she had classical features of hypothyroidism (3) . The abdomen was distended and non-tender with a large palpable mass in the lower abdomen extending to the upper abdomen. Investigation

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Tina Kienitz, Jörg Schwander, Ulrich Bogner, Michael Schwabe, Thomas Steinmüller, and Marcus Quinkler

tumors have been reported ( 3 , 4 , 5 , 6 , 7 ). Myelolipomas are usually found incidentally, but sometimes symptoms appear, such as abdominal swelling and discomfort ( 6 , 8 ), chronic back pain ( 7 ), or diffuse abdominal pain and vomiting ( 9

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Anthony Logaraj, Venessa H M Tsang, Shahrir Kabir, and Julian C Y Ip

, catecholamine-related increased adrenal blood flow and adrenal vein spasm. Case presentation A 93-year-old female presented with two weeks of left upper quadrant abdominal pain associated with 10 kg unintentional weight loss. Pre-operative computed

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Aditi Sharma, Thilipan Thaventhiran, Suzanne Braggins, Channa N Jayasena, and Vassiliki Bravis

. Early diagnosis of spondylodiscitis is often delayed as it tends to present with nonspecific manifestations. The most common clinical presentation is back pain, often accompanied with tenderness, paravertebral muscle spasm and restricted spinal range