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Title | Creator | History |
51 |
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A Small Leak Will Sink a Great Ship | Konstantinos Douglas, Vivian Paraskevi Douglas, Cameron Sadegh, David Chow, Sigurros Davidsdottir, Ganesh Shankar, Bradley Buchbinder, Bart Chwalisz | A 68 -year-old right -handed man presented for evaluation of progressive and fluctuating polyopia, gait instability and cognitive changes of about 14 months. Prior medical history was notable for Crohn's disease in remission, atrial fibrillation, a single episode of aseptic meningitis 12 years prior... |
52 |
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A 4-Year Wait | Dmitry Balian, Sachin Kedar, Michaelyn Everhart, Aleh Bobr, Liudmila Muinov | A 64 year old male with past history of hypertension, arthritis and chronic headache developed transient tingling and numbness of his left face in February 2016 and was diagnosed to have "trigeminal neuralgia". Two months later, he presented to the ED with sudden onset of binocular tilted diplopia. ... |
53 |
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Are We "Tilting At Windmills"? (Slides) | Michael Vaphiades, DO | A 52-year-old African American woman presented to her primary care physician with a 4 week history of headaches, nausea, vomiting, fever and ataxia. Her medical history includes rheumatoid arthritis, hypertension and a recent diagnosis of pulmonary; sarcoidosis for which she was taking 20 mg of pred... |
54 |
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Undiscovered Islands - So Close, Yet So Far (Slides) | Magdalena Wirth, Farahna Sabiq, Mehdi Agoumi | A 30-year old female, visiting Canada from India, presented to ophthalmology with a 2-day history of right periorbital swelling, painful proptosis, fevers and chills. Initial examination suggested a clinical diagnosis of post-septal cellulitis with mild motility restriction, without optic nerve comp... |
55 |
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Smoke Gets in Your Eyes (Slides) | Tatiana Bakaeva, John Gittinger, Jr. | A 61-year-old woman, active smoker with history of COPD, presented with bilateral progressive vision loss and ataxia. Four months prior to her presentation she developed "black spot" in her right eye (OD) and was found to have "OD disc edema and right hypertropia" by an outside ophthalmologist. She ... |
56 |
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From Brainstem to Stern (Slides) | Neena Cherayil, Angela Viane, Grant Liu, Ali Hamedani | A previously healthy 32-year-old man complained of diplopia and one month of worsening positional headaches. He then acutely developed confusion and chills, prompting ER referral. Further history was limited by altered mental status. On presentation, he was afebrile and encephalopathic. Serum WBC wa... |
57 |
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You're Too Young for That! (Slides) | Sravanthi Vegunta, Kathleen Digre, Bradley Katz, Meagan Seay, Alison Crum, Edward Quigley, Sean Kennedy, Nick Mamalis, Judith Warner | An 11-year old boy presented with right orbital pain for two months with recent double vision. He had no recent viral illnesses or sick contacts. He had no past medical history. His brother had Kawasaki disease; his paternal grandmother had rheumatoid arthritis; and his father died of a myocardial i... |
58 |
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Objects Jumping, Body Bumping, Hearing Slumping…Quick, He is Crumping (Slides) | Jorge Kattah, Scott Eggers, Sarah Bach | A 45 y/o man developed insidious unsteadiness and bilateral hearing impairment. A neurosurgeon diagnosed possible myelopathy, and despite an anterior cervical discectomy, he noted progressive gait difficulty, poor handwriting, and inability to play the guitar. Additionally, dysarthria, oscillopsia a... |
59 |
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Close Encounters of the Third Kind (Slides) | Trishal Jeeval-Patel, Danny Mandell | A 65-year old woman started experiencing headaches which increased in severity over two weeks. She eventually sought care in the emergency department. Neurological examination was reported as normal. Unenhanced CT of the brain was performed and reported as normal. Headaches continued and she was pre... |
60 |
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Look in the Back (Slides) | Tatiana Deveney, Aristides Capizzano, Jonathan Trobe | A 59-year old man with Graves disease developed increasing proptosis and diplopia. Attributing these abnormalities to worsening of the Graves disease, an ophthalmologist treated him with high-dose oral and intravenous corticosteroids. When improvement did not occur, he underwent orbital x-irradiatio... |
61 |
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Tumefictive MS (PDF) | Anthony J. Brune III, Hemant Parmar, Sandra Camelo-Piragua, Lindsey De Lott | |
62 |
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Bones of the Past (PDF) | Bart K. Chwalisz, Konstantinos Douglas, Vivian Douglas, Otto Rapalino | |
63 |
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Not All Men with Thick Skulls Have High Testosterone (PDF) | Yosbelkys Martin Paez, MD | |
64 |
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A Myel-In, a Long Way to Go (PDF) | Aishwarya Pareek, Timothy Lotze, Gail Demmler, Brandon Tran, William Whitehead, Carrie Mohila, Veeral Shah | |
65 |
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Well Here Is Another Uveo-Meningeal Syndrome You Might Muck Up (PDF) | David DeLeon, Mariel Rojas, Francisco Sanchez, Rosa Tang, Julie Patel, Jade Schiffman | |
66 |
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Tissue Is the Issue (PDF) | Christine Greer, Jasmine Francis, Eli Diamond, Charles Eberhart, Marc Dinkin | |
67 |
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A Par 3 Macular Hole? (PDF) | Archana Srinivasan, Jerald Gong, Mark Moster | |
68 |
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Oh Oh Oh It's Magic, You Know…Never Believe It's Not So! (PDF) | Zeeshan Haq, Jeremy Tanner, Christine Glastonbury, Cathryn Cadwell, Brooks Crawford, Elan Guterman, Maulik Shah, Megan Richie, Nailyn Rasool | |
69 |
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Not All Men with Thick Skulls Have High Testosterone (Slides) | Yosbelkys Martin Paez, MD | |
70 |
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Oh Oh Oh It's Magic, You Know…Never Believe It's Not So! (Slides) | Zeeshan Haq, Jeremy Tanner, Christine Glastonbury, Cathryn Cadwell, Brooks Crawford, Elan Guterman, Maulik Shah, Megan Richie, Nailyn Rasool | |
71 |
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Well Here Is Another Uveo-Meningeal Syndrome You Might Muck Up (Slides) | David DeLeon, Mariel Rojas, Francisco Sanchez, Rosa Tang, Julie Patel, Jade Schiffman | |
72 |
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Tumefictive MS (Slides) | Anthony J. Brune III, Hemant Parmar, Sandra Camelo-Piragua, Lindsey De Lott | |
73 |
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Bones of the Past (Slides) | Bart K. Chwalisz, Konstantinos Douglas, Vivian Douglas, Otto Rapalino | |
74 |
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A Myel-In, a Long Way to Go (Slides) | Aishwarya Pareek, Timothy Lotze, Gail Demmler, Brandon Tran, William Whitehead, Carrie Mohila, Veeral Shah | |
75 |
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A Par 3 Macular Hole? (Slides) | Archana Srinivasan, Jerald Gong, Mark Moster | |