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TitleCreatorHistory
126 Burned by DiplopiaBonnie M. Keung; Reuben Mari Valenzuela; Meena Gujrati; Jeffrey R. DeSanto; Jorge C. Kattah; John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
127 Which One is The Real ZebraMadhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
128 A Case of Cotton Wool SpotsGolnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley ClaireA 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post...
129 Beware the Trojan HorseDenize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
130 An Ironclad Case of Vision LossMarc J. Dinkin; George Parlitsis; Sarju Patel; Alex Merkler; Audrey Schuetz; Cristiano OliveiraA 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ...
131 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian; Kelli Y. Shaon; Kenneth R. Habetz; Ayman Al-Salaimeh; John D. Schwankhaus; Joseph G. ChackoAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
132 Diabetes Does Not Explain It AllPhilip M. Skidd; Joseph F. Rizzo; Florian S. Eichler; Dean CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
133 No Rhabdo?Mark R. MelsonA 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...
134 Sacramentum GladiatoriumMichael Vaphiades; Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
135 Clues Hidden in the SkinJanet C. Rucker; Catherine Cho; James Weisfeld-Adams; Scott BrodieShe 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 ...
136 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni; Linda Sternau; Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
137 Double Vision? - Give Your Head a ShakeVivek Patel; Danah Albreiki3 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...
138 A Wolf in Bear's ClothingPeter W. MacIntosh; Agatha Bogard; Pete Setabutr; Heather E. MossAn 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...
139 Golden GrapesHeather E. Moss; Sean Zivin; Amy Lin; Vinay Aakalu; Senad Osmanovic; Omar Al Heeti; Stockton Mayer; Mahesh PatelA 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...
140 Raise Your Grade Point AverageHilary M. Grabe; Jeffrey L. Myers; Douglas J. Quint; Victor M. Elner; Jonathan D. TrobeTwo 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.
141 Ain't No Sunshine When You Are Gone!Veeral S. Shah; Linda Sternau; Michelle Felicella; Sanders Dubovy; Chris Alabiad; Norman J. Schatz; Byron L. LamAn 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...
142 Some Orbital ConfusionSteven A. Newman; David T. BourneIn 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).
143 ‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (Presentation Video)Heather Moss; Goo Lee; C. Michael Weldon-Linne41-year old female with a shadow over the left eye.
144 When Life Gives You Lymphocytes, Make Limeade (Presentation Video)Melissa Ko; Monika Kolloori; Barbara Henriquez; Robert Hutchison; Luis MejicoA 62-year old female; hypercholesterolemia.
145 What's In a Name? (Presentation Video)Nicholas Volpe; Allan Wulc; Jodi Sasson; Myron Yanoff76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness.
146 Tics and Fleas (Presentation Video)Nancy Newman; Valerie Biousse; Daniel BratA 61-year old female with tic douloureux and diplopia. Previous history significant for squamous cell skin cancer below right eye, surgically resected. Dx atypical trigeminal neuralgia after neurological consult following administration of local anesthetic for basal cell carcinoma resection.
147 Combing the Globe for Terrorism (Presentation Video)Norah Sydney Lincoff; Lucia L. Balos, Charles J. ChungAn 83-year old male; hypertension; atrial fibrillation; type II diabetes mellitus; squamous cell carcinoma of the face; prostate cancer (treated).
148 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (Presentation Video)Jeffrey Gelfand; Jacque Duncan; Ari GreenA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
149 Bad Eyes, Bad Walking and Bad Judgement (Presentation Video)Clare Fraser; Edward Pringle; Matthew Evans; Elizabeth Graham; Miles Stanford; Philip Luthert; Graham Holder; Gordon PlantA 20-year old male with deteriorating vision OS and a 13-year history of combined variable immunodeficiency. Previous history significant for atypical mycobacterium.
150 Non-Functional Sinus Disease (Presentation Video)Julie Shelton; Judith Warner; Brian Hall; Holly Zhou; Kathleen Digre; Richard BoyerA 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches.
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