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Title | Creator | History |
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Not a Benign Tumor (Presentation Video) | Hong Jiang; Linda Sternau; Norman Schartz; Byron Lam; Lawrence M. Wong | A 43-year old female with blurred vision OU. Previous history signicant for a 10-year history of recurrent colon cancer Tx antineoplastic agents, pituitary mass, hypopituitarism and diabetes insipidus. |
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Tics and Fleas (Presentation Video) | Nancy Newman; Valerie Biousse; Daniel Brat | A 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. |
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Small Surprises Along the Journey (Presentation Video) | Janet Rucker, MD | 29-year old female with a 2-year history oscillopsia. Previous history significant for Dx ovarian cancer three years before Tx surgery and chemotherapy. |
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A Case of Net Visual Loss and Gain (Presentation Video) | Thomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John Keltner | A 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms. |
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Shady Double Crosser | Francine Wein | History & Exam A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and a two week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors. Her past medical history was significant for a cholecystectomy and Crohn's disease... |
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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... |
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Rectifying the Apposite Diagnosis (Presentation Video) | Beau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MD | A 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT. |
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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... |
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Lumps and Bumps - Video | Wayne Tie; Martha Schatz | A 37 year-old man with no PMH presented with bilateral painful red eyes and progressive proptosis for several months. He noted the increasing protrusion of both eyes, but only complained of recent onset of pain in both eyes over the last four days. He also developed worsening blurry vision in both e... |
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Tissue Is the Issue (Video) | Christine Greer; Jasmine Francis; Eli Diamond; Charles Eberhart; Marc Dinkin | The pathologic specimen demonstrated atypical histiocytic proliferation and infiltration with abundant cytoplasm, CD68+, S100+, consistent with Rosai Dorfman (RDD). The patient had been treated with steroids with a partial response and disease stabilization with radiation therapy with subsequent pro... |
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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... |
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Obvious Case of Giant Cell Arteritis (Presentation Video) | Kevin M. Barrett, MD; Paul W. Brazin, MD; Andy Abril, MD; David Kostick, MD; David Menke, MD | A 64-year-old male with a 6-month history of fatigue, weight loss, shoulder/hip girdle discomfort, jaw pain when chewing and episodic monocular loss of vision. Previous history significant for hypertension, prostate cancer (s/p prostatectomy), adenomatous hyperplasia (s/p thyroidectomy) and kidney c... |
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Oh, You Have Metastatic Cancer' (Presentation Video) | Elena Sokolova; John Carter; Damon Herbert | A 59-year old male noted when driving the cars approaching disappear and reappears further to the side in his peripheral vision. |
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A Giant (Cell) Mistake - Video | Behzad Mansouri; Paul Wawryko; Frank Bovell | 71-year-old, left-handed woman, who was referred with ptosis, loss of vision in the right eye and headache. In July 2015 she presented to ER with severe right temporal headache and watery right eye. Her exam and head CT was normal. Her ESR/CRP were elevated. She was allegedly diagnosed with GCA and ... |
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Invasion of the Nerve Snatchers, Part III (MRI) | Donna L. Hill, MD; M Tariq Bhatti, MD | A 45-year old male with a 3-day history of worsening headache and double vision. |
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Invasion of the Nerve Snatchers, Part III (Presentation Video) | Donna L. Hill, MD; M Tariq Bhatti, MD | A 45-year old male with a 3-day history of worsening headache and double vision. |
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Occam Rings True (video) | 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. |
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A Bad Place To Be (Presentation Video) | Judy I. Ou, MD; Joyce Liao, MD, Ph.D; Timothy J. Mc Culley, MD | A 6-year old female with a 1-week history of headache, right-sided ptosis and painful ophthalmoplegia with diplopia. |
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A Man with Horner's Syndrome and Optic Neuropathy (Presentation Video) | Hideki Chuman, MD; Jonathan D. Trobe, MD | A 48-year old male with sudden onset of painless blurred vision OD. Previous history significant for diabetes and hypertension. |
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A Shot in the Dark | Joshua Pasol; Ricardo Komotar; Feisal Yamani | A 74 year-old man with a chief complaint of difficulty with night time driving for several years as well as difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism, GERD, glottic squamous cell cancer without recurrence, and a prior history of alcoholism. POH... |
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Uncertainty with a Twist of Lyme (video) | 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... |
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A Tough Nut to Crack! - Video | Lauren Maloley; Sachin Kedar; Deepta Ghate; Dominick DiMaio; Jason Helvey; Sachin Kedar | A 47-year-old previously healthy female was transferred to our facility when she developed left abducens nerve palsy during treatment of intractable sinusitis. Two weeks prior to presentation, she developed headache and sinus congestion. She was treated with amoxicillin-clavulanic acid and prednison... |
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A 28 Year-Old Man with Visual Loss and Pain on Eye Movement (Presentation video) | Mark Moster, MD | A 28-year old male with loss of vision OS associated with soreness on eye movement over an 8-day period. |
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Combing the Globe for Terrorism (Presentation Video) | Norah Sydney Lincoff; Lucia L. Balos, Charles J. Chung | An 83-year old male; hypertension; atrial fibrillation; type II diabetes mellitus; squamous cell carcinoma of the face; prostate cancer (treated). |
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Cold Fever - Video | Shannon Beres | A 34-year old rock-climbing-mountain man woke with bilateral painless blurry vision along with alternating conjunctival erythema and eyelid edema. A headache began without associated migrainous features. Prior history revealed an untreated mysterious ‘new form of TB' followed by the CDC at age 2 d... |