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Title | Creator | History |
101 |
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Under Pressure | Nathan H. Kung, Collin M. McClelland, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches and papilledema discovered 2 months earlier. She complained of recently blurred vision but no positional headache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used no medicat... |
102 |
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Who Deserves a Second Chance? | Lina Nagia, Jennifer I. Doyle, Lanning B. 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... |
103 |
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A Weak Presentation | Reuben M. Valenzuela, Bradley J. Katz, Alison V. Crum, Kathleen B. Digre, Nick Mamalis, Hans C. Davidson, Judith E. A. Warner, MD, Moran Eye Center, University of Utah | An 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision and right facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had an abduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed with myasth... |
104 |
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Three Weeks in Florida | Andrew R. Carey, J. Antonio Bermudez-Magner, Sander R. Dubovy, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Linda L. Sternau, Byron L. Lam | A 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreased vision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In 2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with a nega... |
105 |
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Requiem for a Cabinet Maker | Jennifer I. Doyle, Michael S. Vaphiades, MD, University of Alabama, James R. Hackney, Lanning B. Kline, Lina Nagia | A 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of left sided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30 years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color ... |
106 |
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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. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and... |
107 |
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The Man with No Face (About Face) | Michael S. Vaphiades, MD, University of Alabama; Jennifer I. Doyle, MD, Little Rock Eye Clinic; Lina Nagia, MD, Michigan State University; Kevin J. Bray, MD, Providence Health; Lanning B. Kline, MD, University of Alabama; Glenn H. Roberson, MD, University of Alabama; Adam E. Quinn, MD, Baptist Healt... | A 61-year-old man presented with one week history of decreased vision OS. Past medical history includes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes no medications. He is retired but worked for 21 years in social science research. The remarkable thing upon meeti... |
108 |
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A Shot in the Dark | Joshua Pasol, Ricardo J. Komotar, Faisal 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... |
109 |
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Some Like it Hot | Ahmara G. Ross, Islam M. Zaydan, Gabrielle R. Bonhomme, Ellen B. Mitchell, Tarek A. Shazly, Deborah C. Parish | 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... |
110 |
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Speakeasy | Joseph G. Chacko, MD, University of Arkansas, Marcus W. Moody, Harry H. Brown, Sarkis M. Nazarian | A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touched the inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had started one month ago. He also complained of foreign body sensation and discomfort in the right eye... |
111 |
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Shady Double Crosser | Francine B. 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... |
112 |
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It's Not the Tumor | Courtney E. Francis | |
113 |
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Blame it on the Pill | Sachin S. 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. |
114 |
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Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
115 |
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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... |
116 |
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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, MD, University of Arkansas | Additional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash. |
117 |
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Diabetes Does Not Explain It All | Philip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
118 |
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A TAAD Bit Unusual | Nisreen K. Mesiwala, Susan T. Stefko | |
119 |
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Raise Your Grade Point Average | Hilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan University | Two years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing. |
120 |
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Wear and Tear Vision | Konrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich | |
121 |
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Clues Hidden in the Skin | Janet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. Brodie | She underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ... |
122 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni, Linda L. Sternau, Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
123 |
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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, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic | |
124 |
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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. |
125 |
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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... |