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Title | Creator | History |
476 |
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Behind the Curtain | Marc H. Levin; Pallavi Gopal; Steven L. Galetta | There was no significant past medical history, no smoking history, nor any systemic symptoms. |
477 |
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Ain't No Sunshine When You Are Gone! | Veeral S. Shah; Linda Sternau; Michelle Felicella; Sanders Dubovy; Chris Alabiad; Norman J. Schatz; Byron L. Lam | An 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy... |
478 |
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Golden Grapes | Heather E. Moss; Sean Zivin; Amy Lin; Vinay Aakalu; Senad Osmanovic; Omar Al Heeti; Stockton Mayer; Mahesh Patel | A 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto... |
479 |
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Diabetes Does Not Explain It All | Philip M. Skidd; Joseph F. Rizzo; Florian S. Eichler; Dean Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
480 |
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Deaf and Dizzy. Have We Been Susacked? | Jorge C. Kattah; John H. Pula; Paayal K. Patel; Meena Gujrati; David E. Newman-Toker | Acute vestibular syndrome (AVS) with unsteadiness, nausea, vomiting and decreased hearing. He is diabetic, has arterial hypertension, and was taking losartan, metformin, clopidogrel, and atorvastatin but was not on ototoxic or vasodilators medications. Examination at presentation showed left axial l... |
481 |
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Some Orbital Confusion | Steven A. Newman; David T. Bourne | In September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D). |
482 |
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Clues Hidden in the Skin | Janet C. Rucker; Catherine Cho; James Weisfeld-Adams; Scott Brodie | She underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ... |
483 |
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It's All in Your Head | William L. Hills; Marjorie R. Grafe; Jane Weissman; Julie Falardeau; Michele K. Mass; William T. Shults | Migraine headache with visual aura since age 27 and upper airway resistance syndrome. |
484 |
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Raise Your Grade Point Average | Hilary M. Grabe; Jeffrey L. Myers; Douglas J. Quint; Victor M. Elner; Jonathan D. Trobe | Two years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing. |
485 |
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No Rhabdo? | Mark R. Melson | A 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an... |
486 |
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Sacramentum Gladiatorium | Michael Vaphiades; Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
487 |
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Double Vision? - Give Your Head a Shake | Vivek Patel; Danah Albreiki | 3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his... |
488 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni; Linda Sternau; Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
489 |
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A Wolf in Bear's Clothing | Peter W. MacIntosh; Agatha Bogard; Pete Setabutr; Heather E. Moss | An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh... |
490 |
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A Difficult Bug to Swallow | Kenneth Lao; Blake A. Isernhagen; R. Michael Siatkowski | Non-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus. |
491 |
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No Skin Off My Back | J. Alexander Fraser; Keith F. Kwan; John M. Rogers | A 41-year old male with a sudden onset loss of vision OS with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker. |
492 |
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TROUBLE READING | Caroline Tilikete; Virginie Desestret; Nathalie Streichenberger; Muriel Panouilleres; Denis Pelisson; Alain Vighetto | A 73-year old female with a 1-year history of progressive visual difficulties and impairing reading. |
493 |
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Turning a Blind Eye that Karma Wouldn't | Timothy Winter; Linda Sternau; Sander Dubovy; Norman Schatz; Byron Lam | A 56-year old male with facial pain (worsening after two teeth were extracted) and decreased hearing AD. Previous history significant for poorly controlled insulin-dependent diabetes and hypertension. |
494 |
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The Case of a Dog Groomer | Madhura Tamhankar; Ryan Walsh; Collin McClelland; Nicholas Volpe; Roberta Gausas | A 64-year old female with a 2-month history of binocular vertical diplopia. Previous history significant for hypertension, colon cancer treated with bowel resection, restless leg syndrome and hypothyroidism. Previous ocular history significant for amblyopia OD and narrow angles Tx laser iridotomy. |
495 |
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Downbeat Nystagmus, Esotropia, and Lymphadenopathy in a 10-Month Old Girl with Chronic Fevers | Frank Siringo; Jeffrey Odel; Bryan Lanzman; Tatyana Gindin | A 10-month old dizygotic twin female with diarrhea and high fever. Clinical course marked by abdominal distention, poor oral intake, hepatosplenomegaly, diffuse lymphadenopathy. Subsequent decline in tone, loss of motor milestones, e. coli UTI, p. aeruginosa sepsis, anemia, thrombocytopenia, and ult... |
496 |
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Go to the Primary Source | Ryan Walsh; Reza Vagefi; Michelle Alonso-Basanta; Madhura Tamhankar | A 53-year old female with a 6-month history of progressive loss of vision OS. |
497 |
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Ischemic Optic Neuritis | Marc Dinkin; Jacqueline Winterkorn | A 68-year old female with a 5-hour painless loss of vision OS followed by unremitting loss of vision 9 days after initial episode. Previous history significant for hypertension and diabetes mellitus. |
498 |
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Arborizing Orbit | Valerie Elmalem; Sang Hong | A 36-year old female with left eyelid edema; Progressive loss of vision OS. Previous history significant for anemia, vitamin B-12 deficiency. Smoker. |
499 |
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Thickened and Swollen | Simon Hickman; Irene Pepper; Ruth Batty; Ptolemaios Sarrigiannis; Stephen Wharton; Christopher McDermott | A 46-year old female with ocular irritation and dry eyes. Previous history significant for sensory peripheral neuropathy. |
500 |
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The Costs of Containment | Jeffrey Gelfand; Charles Thirkill; John Keltner; Ari Green | A 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking. |