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Chronic Kidney Disease II: Clinical Manifestations01:24

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Updated: Jan 7, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

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临床表现 临床表现

Swathi T1, Thamil Pavai Swathi2

  • 1Kauvery hospital, Chennai, Tamil nadu, India.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
概括

这一案例突出显示了渐进的多焦点白血脑病 (PML) 呈现为痴呆症,在非霍奇金淋巴瘤 (NHL) 治疗后三年被诊断出来. 肯德基病毒DNA证实了PML,这是化学疗法的罕见晚期并发症.

科学领域:

  • 神经科学是一个神经科学.
  • 在瘤学瘤学.
  • 传染性疾病 传染性疾病

背景情况:

  • 渐进性多焦点白血脑病 (PML) 是免疫功能低下患者的已知并发症,包括患有恶性瘤或接受化疗的患者.
  • 这项研究重点关注PML的罕见病例,该病例是在治疗非霍奇金淋巴瘤 (NHL) 几年后出现的.

研究的目的:

  • 在NHL治疗后三年报告一个罕见的PML病例呈现为痴呆症.
  • 要突出诊断挑战和晚期呈现的化疗诱导的PML.

主要方法:

  • 一名33岁的男性接受了脊柱NHL的放射和R-CHOP化疗治疗,并评估了神经症状.
  • 诊断工作包括MRI脑和脑脊液 (CSF) 分析JC病毒DNA.

主要成果:

  • 患者呈现出,记忆障碍和行为变化.
  • 核磁共振扫描显示白质超强度,脑脊液测试对JC病毒DNA呈阳性,证实PML.
  • 差异性诊断包括中枢神经系统淋巴瘤,瘤综合征和病.

结论:

  • 这个病例代表了PML罕见的实例,发生在NHL化疗后三年.
  • 痴呆症可以是PML的露脸表现,即使在治疗完成数年后.

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  • 这些发现强调了在免疫功能低下,神经衰退的患者中考虑晚发性PML的重要性.