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Title | Creator | History |
201 |
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Uncertainty with a Twist of Lyme (abstract) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch... |
202 |
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A Prolonged Path To The Final Diagnosis (abstract) | Cindy Lam; Edward Marglin | Previously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness. |
203 |
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Papilledema Gone Wrong (abstract) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
204 |
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Occam Rings True (slideshow) | Reid Longmuir; Michael Bradshaw; Taylor Davis; Woon Chow; Laura Craig-Owens; Kim Ely; Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with 'greying' of the central vision in his right eye that progressed to blindness over a week. |
205 |
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Papilledema Gone Wrong (slideshow) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
206 |
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Pseudo-Pseudotumor Cerebri (slideshow) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps. |
207 |
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A 'Frosty' Altered Level of Consciousness (slideshow) | Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits | 15-year-old previously healthy male, transferred because of 9-day history of headache, difficulty walking, diplopia, blurry vision and new onset altered level of consciousness. Neurologic examination was remarkable for delirium; with semi-coherent speech, VA of CF 2ft and 20/400, no APD, and bilater... |
208 |
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Uncertainty with a Twist of Lyme (slideshow) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch... |
209 |
|
A Prolonged Path To The Final Diagnosis (slideshow) | Cindy Lam; Edward Marglin | Previously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness. |
210 |
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Lions and Tigers and Bears, Oh My! (abstract) | Larissa Ghadiali; Danlin Mao; Gul Moonis; Adam Sonabend; Catherine Shu; Terri Kreisl; Esther Coronel; Jeffrey Odel | A 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam. |
211 |
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A Wrong Turn at the Angle (abstract) | Erica Archer; Jonathan Trobe; Hemant Parmar; Mohannad Ibrahim; Paul McKeever; Thomas Giordano | A 54-year-old woman developed numbness of the right jaw and right side of the tongue. She attributed her symptomatology to recent dental work, but when dental examination, including dental x-rays, failed to reveal an answer, she underwent brain MRI. |
212 |
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A Diagnostic Potpourri (abstract) | Padmaja Sudhakar; Robert Lightfoot; Douglas Lukins; Dianne Wilson | A 63 yr. old incarcerated man with history of diabetes, hypertension, rheumatoid arthritis (RA) (on hydroxychloroquine, sulfasalazine and prednisone 7 mg), cutaneous lupus and Hepatitis C presented with sudden painless vision loss of the left eye without headache or symptoms of temporal arteritis. V... |
213 |
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Island Fever (abstract) | Laura Hanson; Judith Warner; Alison Crum; Bradley Katz; Kathleen Digre | A 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness. |
214 |
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Not Surprised Surprise (abstract) | Yu Zhao; Joshua Pasol; Sander Dubovy; Byron Lam | A 68-year-old Hispanic woman presented to our emergency department with significant vision loss OS for 1 week. A month ago, she was evaluated locally for mild blurry vision OS, and corrected acuity was 20/30 OD, 20/40 OS. She was diagnosed with cataracts and epiretinal membrane OD. Medical history i... |
215 |
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Strike a Chord (abstract) | Anastasia Neufeld; Kathleen Digre; Cheryl Palmer; H. Christian Davidson; Alison Crum; Bradley Katz; Judith Warner | A 26 year old woman presented in August 2016 with migraine over the last 4 years, getting worse over the last 2 weeks. She reported occasional 'glittering' in her vision in both eyes. She had no constitutional symptoms. Her past medical history included migraine, idiopathic leukocytosis, and nephrol... |
216 |
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Island Fever (slideshow) | Laura Hanson; Judith Warner; Alison Crum; Bradley Katz; Kathleen Digre | A 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness. |
217 |
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Not Surprised Surprise (slideshow) | Yu Zhao; Joshua Pasol; Sander Dubovy; Byron Lam | A 68-year-old Hispanic woman presented to our emergency department with significant vision loss OS for 1 week. A month ago, she was evaluated locally for mild blurry vision OS, and corrected acuity was 20/30 OD, 20/40 OS. She was diagnosed with cataracts and epiretinal membrane OD. Medical history i... |
218 |
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Strike a Chord (slideshow) | Anastasia Neufeld; Kathleen Digre; Cheryl Palmer; H. Christian Davidson; Alison Crum; Bradley Katz; Judith Warner | A 26 year old woman presented in August 2016 with migraine over the last 4 years, getting worse over the last 2 weeks. She reported occasional 'glittering' in her vision in both eyes. She had no constitutional symptoms. Her past medical history included migraine, idiopathic leukocytosis, and nephrol... |
219 |
|
A Wrong Turn at the Angle (slideshow) | Erica Archer; Jonathan Trobe; Hemant Parmar; Mohannad Ibrahim; Paul McKeever; Thomas Giordano | A 54-year-old woman developed numbness of the right jaw and right side of the tongue. She attributed her symptomatology to recent dental work, but when dental examination, including dental x-rays, failed to reveal an answer, she underwent brain MRI. |
220 |
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A Diagnostic Potpourri (slideshow) | Padmaja Sudhakar; Robert Lightfoot; Douglas Lukins; Dianne Wilson | A 63 yr. old incarcerated man with history of diabetes, hypertension, rheumatoid arthritis (RA) (on hydroxychloroquine, sulfasalazine and prednisone 7 mg), cutaneous lupus and Hepatitis C presented with sudden painless vision loss of the left eye without headache or symptoms of temporal arteritis. V... |
221 |
|
Lions and Tigers and Bears, Oh My! (slideshow) | Larissa Ghadiali; Danlin Mao; Gul Moonis; Adam Sonabend; Catherine Shu; Terri Kreisl; Esther Coronel; Jeffrey Odel | A 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam. |
222 |
|
Nonchalant Midterm-taker Develops Altered Mental Status (abstract) | Shira Simon; Bruno Policeni; Matthew Thurtell | A 19 year-old female presented in April 2016 with two weeks of worsening headaches, malaise, left-hand weakness, and confusion. Symptoms started during a trip to Cancun and one week after visiting a friend with mumps. Although she was becoming increasingly lethargic, she refused to seek medical atte... |
223 |
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Alcohol is Never the Answer, but it Does Make You Forget the Question (abstract) | Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge Kattah | A 63-year old male with a history of alcohol abuse presented with two weeks of confusion and imbalance. On exam, he had left beating nystagmus on left gaze, and right beating and torsional nystagmus on right gaze. Head impulse test was abnormal in all canals bilaterally with video head impulse test ... |
224 |
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Keep Your Eye On the Ball (abstract) | Danielle Rudich; Eugenia Vining; Kenneth Allen; Joel Geffin; Mena Mansour; Robert Lesser | In March 2014, an 82-year-old male developed left sided facial pain and numbness over his left temple and periorbital region. He was treated for a presumed dental infection with no response. MRI brain in July 2014; showed only microvascular white matter changes. |
225 |
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M.I.A. (abstract) | Julie DeBacker; Janet Rucker; Josef Gutman; Heather Lau; Laura Balcer; Steven Galetta | A 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling. |