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Title | Creator | History |
476 |
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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... |
477 |
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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... |
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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A Difficult Bug to Swallow | Kenneth Lao; Blake A. Isernhagen; R. Michael Siatkowski | Non-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus. |
480 |
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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. |
481 |
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Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy | Sara Ann Simpson; Alex Merkler; Ehud Lavi; Joseph Safedieh; Alan Segal; Marc Dinkin | A 38 year old healthy female presented with blurred vision. Her ophthalmologist found acuities of 20/200 OD and 20/50 OS, a central scotoma OD and a temporal hemianopia OS. Neurological examination was normal. MRI revealed patchy leptomeningeal enhancement. VEP, SSEP, BAEP were all unrevealing. ANA ... |
482 |
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A Case of Mistaken Identity | Lindsey B. De Lott; Patricia L. Robertson; Suresh K. Mukherji; Andrew P. Lieberman; Jonathan D. Trobe | A healthy 6-month old boy was sent to a pediatric neurologist because his parents had noted "irregular eye movements" for 1 month. The neurologist found horizontal nystagmus with a rare vertical component and ordered a brain MRI that demonstrated a suprasellar mass, prompting hospital admission. We ... |
483 |
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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... |
484 |
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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... |
485 |
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Sacramentum Gladiatorium | Michael Vaphiades; Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
486 |
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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. |
487 |
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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. |
488 |
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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... |
489 |
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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). |
490 |
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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 ... |
491 |
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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. |
492 |
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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. |
493 |
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Arborizing Orbit (PowerPoint) | 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. |
494 |
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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. |
495 |
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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. |
496 |
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A Mystery Case of Proptosis, Optic Neuropathy, and Peripheral Neuropathy | Bonnie Keung; Judith Warner; Kathleen Digre; Bradley Katz; Steven Chin; Lubdha Shah; Danielle Eckart | Age 7 - headaches and vision loss to count fingers in left eye; Age 13 - diagnosed with multiple sclerosis; Age 22 - diplopia thought to be bilateral INO; identical twin with sequential bilateral optic neuritis at 8 years, diagnosis of multiple sclerosis at 12 years, and repeated exacerbations of ga... |
497 |
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Turning a Blind Eye that Karma Wouldn't (PowerPoint) | 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. |
498 |
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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. |
499 |
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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. |
500 |
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The Case of a Dog Groomer (PowerPoint) | 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. |