| Identifier |
Family_Album_Tomography_1080p |
| Title |
Family Album Tomography |
| Creator |
Andrew G. Lee, MD; Spencer Barrett |
| Affiliation |
(AGL) Chairman, Department of Ophthalmology, The Methodist Hospital, Houston, Texas; Professor of Ophthalmology, Weill Cornell Medicine, New York City, New York; (SB) Class of 2022, Baylor College of Medicine, Houston, Texas |
| Subject |
Imaging; History; Myasthenia; Anisocoria |
| Description |
Dr. Lee lectures medical students on the subject of family album tomography. |
| Transcript |
Today I'm going to talk to you about "FAT scan" before the CAT scan. What this means is "Family Album Tomography". It's kind of a joke, but it's also true. Or in the modern era: "Facebook", "Instagram", or whatever social media platform that we can use to generate the photos. So we need to get the photos, and the reason you need to get the photos is to establish whether someone has something that's new or something that's old. In every case where we are dealing with a problem of uncertain duration, we want to have these old photographs. So if they have anisocoria and it's a Horner's syndrome, we'd like to know if that's new or old. If they have a ptosis or a motility deficit we'd like to know if that's new or old. So anything that can be photographed - we'd like to look at their old photographs. In addition, if it's a new thing but it's transient, we'd like them to take selfies. The most common is myasthenia gravis patients who often complain about the ptosis at the end of the day, but then they first wake up it's normal. So we'd like to see that picture of them when they first wake up,and if it's totally open.Then by the end of the day if it's all the way closed there's hardly anything else other than myasthenia gravis can do that. Then the very next day it's all the way open again. Well, third nerve palsy, levator dehiscence, and all the normal causes cannot reverse that fast. It's the same thing with pupil problems, where it's episodic. The most common is benign episodic pupillary dilation where the patient will say, "My pupil was seven millimeters yesterday, and now it's normal or it's still a little bit bigger." So we'd like to use the photographs for documenting with selfies whether it is old or new, if it's a transient phenomenon or episodic phenomenon, we'd like to see it. They can even make a little movie of it,if it really is bothering them that much. The same thing can be done for eye movements that are transient. Some patients have this twitching of their one eye, superior oblique, but by the time they get to see the doctor there's nothing there. They can literally just take a selfie video, and let us see what that eye is doing. Same thing with intermittent ocular deviations when they claim their eyes crossed in or crossed out. Also in myasthenia gravis, just take a picture of it. Pictures don't lie, and you need to know what it means to get a "FAT scan" before the CAT scan. |
| Date |
2021-06 |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Andrew G. Lee Collection: https://novel.utah.edu/Lee/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6h47r8w |
| Setname |
ehsl_novel_lee |
| ID |
1701564 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6h47r8w |
