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Floating thrombi in the right ventricular outflow tract

A 51-year-old woman was admitted to the hospital for an intermit tent syncope. No abnormal findings on physical examination. Lab oratory 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 2580.0 pg/ml (reference range, < 125). Electrocar diogram demonstrated sinus rhythm, left axis deviation, and ab normal T-wave.

Multiple-scale Computational Studies of Redox-controlled Supramolecular Co-assembly Nanoplatform: Toward Immunochemotherapy-driven Antitumor Augment

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 response to anti-PD1

A protruded leision with hemorrhage of unexpected histological findings

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).

A “3-level block” in AVNRT

A 29-year-old woman underwent electrophysiological study for paroxysmal wide-QRS tachycardia with a left bundle branch block (LBBB) aspect (Image A).

Genital Hear Tourniquet Syndrome in A 5-Year Old Girl

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 is delayed.

Thoracic Spinal Epidural Hematoma

An 8 year old male presented to the emergency department with back pain. The pain was non-radiating, located in the midthoracic region, progressively increasing and made worse with walking.

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 while still abroad.

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