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Title | Creator | History |
276 |
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Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani; Edward Margolin; Tran Le; Wayne Cornblath; Rasmus Kiehl | A 30 year old previously healthy man from Sudan presented to a community hospital with a seizure. MRI revealed a 'right frontal lobe tumor'. Brain biopsy was performed but the pathology findings were inconclusive. Initial interpretation was "brain tissue with increased cellularity consistent with gl... |
277 |
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Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani; Edward Margolin; Tran Le; Wayne Cornblath; Rasmus Kiehl | A 30 year old previously healthy man from Sudan presented to a community hospital with a seizure. MRI revealed a 'right frontal lobe tumor'. Brain biopsy was performed but the pathology findings were inconclusive. Initial interpretation was "brain tissue with increased cellularity consistent with gl... |
278 |
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I Can't Stand the Double Vision | Iris Ben Bassat Mizrachi; Ruth Huna-Baron; Rivka Inzelberg; Yonathan Sharabi | A 37 year-old woman was referred to our clinic due to bilateral ptosis and vertical binocular diplopia. She denied diurnal variations, muscle weakness or bulbar symptoms. In the past year she had been suffering from bouts of abdominal pain, diarrhea, and severe weight loss (>40 pounds), and she pres... |
279 |
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A Candid Look at a Missed Diagnosis | Edward Margolin; Jasmine Gopwani; Robert Willinsky | She was diagnosed with migraine, stress, and 'drug seeking' presumed from a history of past (intravenous?) heroin use. |
280 |
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Almost Catastrophic | Danielle S. Rudich; Samuel Yun; Anne Liebling; Jonathan E. Silbert; Robert L. Lesser | A 36 year-old Caucasian male presented to his ophthalmologist with one month of headache, blurry vision, and intermittent diplopia. The patient denied transient visual obscurations, tinnitus, prior medical problems or use of steroids/Vitamin A/antibiotics. He was 235 pounds and 5'9". Because examina... |
281 |
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A TAAD Bit Unusual | Nisreen K. Mesiwala; Susan T. Stefko | A 12 year-old previously healthy boy presented to the emergency room with a five-day history of progressive frontal headaches and acute onset of horizontal, binocular diplopia on left gaze. He had no significant medical history and his only significant ocular history was mild myopia and X-linked col... |
282 |
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A TAAD Bit Unusual | Nisreen K. Mesiwala; Susan T. Stefko | A 12 year-old previously healthy boy presented to the emergency room with a five-day history of progressive frontal headaches and acute onset of horizontal, binocular diplopia on left gaze. He had no significant medical history and his only significant ocular history was mild myopia and X-linked col... |
283 |
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Innocent until Proven Guilty | Heather E. Moss; Tiffany Stroup; Amy Lin; Oliver Graf; Jeffrey Borgeson; Aaron Halfpenny; Howard Lipton; Tibor Valyi-Nagy | A 31 year-old male experienced right eye blurring and pain. He was diagnosed with optic neuritis and treated with IV steroids. Nine days later he developed headache, worsening vision, speech trouble and right-sided weakness. Two days later he developed low-grade fever and trouble walking. He had NLP... |
284 |
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More Than a Cu-bit of Vision Loss | Philip M. Skidd; Rebecca C. Stacy; Waqar Waheed; Mohamed-Ali Babi | A 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ... |
285 |
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Much-Ado About Acute Vision Loss | Mahsa A. Sohrab; Andrea Birnbaum; Michael Sidiropoulos; Lois Polatnick; Nicholas J. Volpe | Progressive fatigue and right face, arm, and leg pain. |
286 |
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Which One is The Real Zebra | Madhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina Cole | A 15-year-old male complained of headaches and nausea, two months after appendectomy. |
287 |
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Which One is The Real Zebra | Madhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina Cole | A 15-year-old male complained of headaches and nausea, two months after appendectomy. |
288 |
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A Case of Cotton Wool Spots | Golnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley Claire | A 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... |
289 |
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It's Deja Vu All Over Again | Aileen A. Antonio-Santos; Yanny L. Phillips; Baha El Khatib; Howard T. Chang; David I. Kaufman; Eric R. Eggenberger | A 51-year-old male with a history of amblyopia OD presented in February 1999 with hyperemia, swelling and periorbital pain of the left eye. Visual acuity (VA) was 20/80 OD and 20/25 OS; color vision was 10/11 Ishihara plates OU, and Goldmann perimetry showed an inferior quadrantanopia OS. There was ... |
290 |
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Beware the Trojan Horse | Denize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew Jacks | Systemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin. |
291 |
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Beware the Trojan Horse | Denize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew Jacks | Systemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin. |
292 |
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Ataxia at the Masquerade Ball | Krista I. Kinard; Alison V. Crum; Judith E. Warner; Bradley J. Katz; Joshua A. Sonnen; Cheryl A. Palmer; Anne G. Osborn; L. Dana DeWitt; Kathleen B. Digre | A 52-year-old right-handed salesman presented in July 2007 with a 5-year history of slowly progressive imbalance. In 2002 he developed difficulty using his eyes together and then imbalance resulting in frequent backward falls. He reported oscillopsia and episodic vertigo. He later developed fatigue,... |
293 |
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Blame it on the Pill | Sachin Kedar; Padmaja Sudhakar; Stuart Tobin; William O. Connor; Fernando Decastro | Three months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate. |
294 |
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Muscle Bound or Unbound? | Dane A. Breker; Jonathan D. Trobe; Ann A. Little; Sandra I. Camelo-Piragua | A 52 year old former Olympic athlete developed myalgias, cramping, and stiffness in the upper arms, chest, thigh, and calves in 2009 after a blood transfusion for hematochezia attributed to antiplatelet treatment following coronary stenting. Symptoms were worst in the morning, when he could not walk... |
295 |
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Renal Red Herring | John J. Chen; John J. Brinkley; Namrata Singh; Amanda C. Maltry; Bruno A. Policeni; Richard C. Allen; Reid A. Longmuir; Matthew J. Thurtell | A 71 year-old Caucasian male with a history of Wegener's granulomatosis presented with vision loss OU and horizontal binocular diplopia. His past medical history was significant for Wegener's granulomatosis, which was diagnosed in 2000 on the basis of a renal biopsy. He was previously treated with v... |
296 |
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A Candid Look at a Missed Diagnosis | Edward Margolin; Jasmine Gopwani; Robert Willinsky | She was diagnosed with migraine, stress, and 'drug seeking' presumed from a history of past (intravenous?) heroin use. |
297 |
|
Almost Catastrophic | Danielle S. Rudich; Samuel Yun; Anne Liebling; Jonathan E. Silbert; Robert L. Lesser | A 36 year-old Caucasian male presented to his ophthalmologist with one month of headache, blurry vision, and intermittent diplopia. The patient denied transient visual obscurations, tinnitus, prior medical problems or use of steroids/Vitamin A/antibiotics. He was 235 pounds and 5'9". Because examina... |
298 |
|
Innocent until Proven Guilty | Heather E. Moss; Tiffany Stroup; Amy Lin; Oliver Graf; Jeffrey Borgeson; Aaron Halfpenny; Howard Lipton; Tibor Valyi-Nagy | A 31 year-old male experienced right eye blurring and pain. He was diagnosed with optic neuritis and treated with IV steroids. Nine days later he developed headache, worsening vision, speech trouble and right-sided weakness. Two days later he developed low-grade fever and trouble walking. He had NLP... |
299 |
|
More Than a Cu-bit of Vision Loss | Philip M. Skidd; Rebecca C. Stacy; Waqar Waheed; Mohamed-Ali Babi | A 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ... |
300 |
|
Much-Ado About Acute Vision Loss | Mahsa A. Sohrab; Andrea Birnbaum; Michael Sidiropoulos; Lois Polatnick; Nicholas J. Volpe | Progressive fatigue and right face, arm, and leg pain. |