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Title | Creator | History |
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Is the Treatment Working? Yes, the Patient Is Getting Worse! | Walid Bouthour, Heimo Steffen | A 46-year-old woman from Gambia with no prior medical history presented to the ophthalmology clinic for progressive; blurred vision, headache, and weight loss over the past two months. Her best corrected visual acuity was finger count in the; right eye and 20/20 in the left eye. There was an asymmet... |
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Is the Treatment Working? Yes, the Patient Is Getting Worse! | Anne R. Kao, MD | A 46-year-old woman from Gambia with no prior medical history presented to the ophthalmology clinic for progressive; blurred vision, headache, and weight loss over the past two months. Her best corrected visual acuity was finger count in the; right eye and 20/20 in the left eye. There was an asymmet... |
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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... |
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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... |
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Bad Food for Thought | Roger Husted | A 55-year old female with a slow onset of right-sided orbital aching of a 2-week duration. The pain increased to a throbbing, gnawing ache over the right upper face. |
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Dental Diplopia | Rochelle Zak | A 39-year old male with ocular pain OD. |
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Visual Loss; Is the Cure as Bad as the Disease? | Thomas R. Mizen | A 43-year old female with 10-day history of blurred vision and headache. |
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Cavernous Sinus Thrombosis Caused by Pharyngomaxillary Space Abscess | Jonathan Daniel Trobe, MD, Michigan University | A 29-year old male with right and left toothache, left facial pain |
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Peripheral Facial Palsy with Preservation of Taste Appreciation and Tearing resulting from an Intrapontine Lesion | Robert H. Spector, MD (retired) | Two patients, each with an intrapontine lesion in the floor of the fourth ventricle with similar clinical findings. |