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Title | Creator | History |
226 |
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A Weak Presentation | Reuben M. Valenzuela; Bradley Katz; Alison Crum; Kathleen B. Digre; Nick Mamalis; Hans C. Davidson; Judith Warner | An 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision andright facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had anabduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed withmyastheni... |
227 |
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Star Spangled Banner | Dara M. Bier; Jeffrey P. Greenfield; Marc K. Rosenblum; Joseph Comunale; Cristiano Oliveira; Marc J. Dinkin | A 12-year-old girl with a history of bilateral optic nerve enlargement, enterovirus meningitis, seizures,and bilateral hygromas, presented with acute onset chronic vision loss in her left eye. Two years prior,she presented to an outside hospital with headaches, intermittent speech arrest and right-s... |
228 |
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Nobody's Perfect | Alexander Ksendzovsky; Steven A. Newman | In June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1she haddeveloped headaches and was found to have a posterior fossa tumor. In El Salvador she was treatedwith shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwenta shunt revis... |
229 |
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I Can't See Straight | Steven A. Newman; T. Ben Ableman | In May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopiaand dizziness. The patient relates that she had been told that she had tired eyes as a child. Two and ahalf years ago she began to have intermittent exodeviation. She was seen locally and diagnosed a... |
230 |
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Lights Out | John J. Brinkley; John J. Chen; Patricia A. Kirby; Reid A. Longmuir; Matthew J. Thurtell | A 78 year-old man presented with a one-month history of progressive painless binocular vision loss. Hehad sustained head trauma without loss of consciousness three days prior to the onset of vision loss. Onthe morning of his presentation to us, he had awoken with complete binocular vision loss and h... |
231 |
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It's Not Just a FAD, (EHR Fatigue Syndrome) | Jacqueline A. Leavitt; John J. Chen; Diva R. Salomao | A 29 year-old female nurse, nine months postpartum, presented with an inability to see her computerwell for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. Therewere no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head f... |
232 |
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Now you see it. Now you don't. | Prem S. Subramanian | A 70 yo RH African American female presented to our institution with sequential, severe vision loss inthe preceding 4 months. Her past medical history included well-controlled hypertension andhyperlipidemia, CAD s/p coronary stent placement x 2 after MI, and stroke. She had no prior history ofvisual... |
233 |
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Some Like it Hot | Ahmara G. Ross; Islam Zaydan; Gabrielle Bonhomme; Ellen Mitchell; Tarek Shazly; Deborah Parrish | A 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM,ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminalhemorrhage presented with new right sided ptosis and lower extremity weakness. Brain MRI obtainedon... |
234 |
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Speakeasy | Joseph G. Chacko; Marcus Moody; Harry H. Brown; Sarkis Nazarian | A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touchedthe inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had startedone month ago. He also complained of foreign body sensation and discomfort in the right eye f... |
235 |
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Joe & Jerry Flew the Coop | Lulu L.C.D. Bursztyn; Dane A Breker; Andrew W. Stacey; Ashok Srinivasan; Mark W. Johnson; Jonathan D. Trobe | A previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed oneday later by lethargy and vision loss. Past medical history was significant only for acne, for which shehad been treated with doxycycline 40 mg/day intermittently starting 2 months prior to sympto... |
236 |
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The Relationship Between PDE-5 Inhibitors and NAION | Howard D. Pomeranz, MD | Sildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app... |
237 |
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Hiding and Out of Sight | Michael L. Morgan; Sumayya J. Almarzouqi; Patricia Chevez-Barrios; Amina I. Malik; Andrew G. Lee | A 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA) presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days. GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outside physicia... |
238 |
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Who Deserves a Second Chance? | Lina Nagia; Jennifer Doyle; Lanning Kline | An 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in the past 5 days. She reports pain with left gaze, left sided forehead tenderness and some weight loss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basal cell c... |
239 |
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Some Like it Hot | Ahmara G. Ross; Islam Zaydan; Gabrielle Bonhomme; Ellen Mitchell; Tarek Shazly; Deborah Parrish | A 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM, ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminal hemorrhage presented with new right sided ptosis and lower extremity weakness. Brain MRI obtained... |
240 |
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Is it Naughty or Nice? | Daniel Gold; Madhura Tamhankar; Laura Balcer; Thomas Coyne; Clyde Markowitz; Steven Galetta | Subjective fever and cold symptoms were noted 3 weeks prior, and she had experienced transient visual obscurations for 2 weeks. |
241 |
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Is it Naughty or Nice? | Daniel Gold; Madhura Tamhankar; Laura Balcer; Thomas Coyne; Clyde Markowitz; Steven Galetta | Subjective fever and cold symptoms were noted 3 weeks prior, and she had experienced transient visual obscurations for 2 weeks. |
242 |
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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... |
243 |
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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... |
244 |
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Spots, Spots Everywhere, And Not A Spot To See | Sarkis M. Nazarian; Kelli Y. Shaon; Kenneth R. Habetz; Ayman Al-Salaimeh; John D. Schwankhaus; Joseph G. Chacko | Additional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash. |
245 |
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Spots, Spots Everywhere, And Not A Spot To See | Sarkis M. Nazarian; Kelli Y. Shaon; Kenneth R. Habetz; Ayman Al-Salaimeh; John D. Schwankhaus; Joseph G. Chacko | Additional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash. |
246 |
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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... |
247 |
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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... |
248 |
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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... |
249 |
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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... |
250 |
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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. |