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TitleCreatorHistory
101 A Case of Net Visual Loss and Gain (Presentation Video)Thomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John KeltnerA 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.
102 Non-Functional Sinus Disease (Presentation Video)Julie Shelton; Judith Warner; Brian Hall; Holly Zhou; Kathleen Digre; Richard BoyerA 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches.
103 Trouble Reading (Presentation Video)Rebecca Stacy; Simmons LessellA 60-year old female with a 4-week history of progressive difficulty reading and word comprehension. Previous history significant for a 20-year history of recurrent granulomatous iritis in OU and chronic variable immune deficiency (CVID), diagnosed 23 years previous with associated hepatitis and der...
104 A Bright Spot Causing Darkness (Presentation Video)Thomas HwangA 20-year old male with a 2-week history of headache and blurred vision.
105 To Biopsy Or Not To Biopsy? That Is the Question (Presentation Video)Michael Yoon; Timothy McCulleyA 16-year old female with an 8-week history of intense vertigo, headache, poor naming, blurred vision and gait instability.
106 Egg in Your Face (Presentation Video)Padmaja Sudhakar; Jonathan Trobe; Hemant Parmar; Mila Blaivas; Hugh Garton; Cormac Maher; Patricia Robertson; Hilary GrabeAn 8-year old female with a 2-day history of confusion, headache and vomiting.
107 Some Hairy Gossyp (Presentation Video)Ivey Thornton; Dean Cestari; Simmons Lessell, Joseph RizzoA 13-year old female with a perceived whiteness affecting her right field of vision. Previous history significant for seizure-like spikes affecting sleep and ventricular and atrial septal defects, the latter of which, surgically repaired.
108 A Case of Recurrent Encephalopathy, Seizures, and Retinopathy (Presentation Video)Ryan Walsh; Michael Stewart; Paul BrazisA 45-year old male with right hemisphere encephalitis and a Dx of macular degeneration at age 43. Previous history significant for a learning disability and a complex partial seizure disorder diagnosed 20 years earlier subsequently managed with an anti-epileptic.
109 Not a Benign Tumor (Presentation Video)Hong Jiang; Linda Sternau; Norman Schartz; Byron Lam; Lawrence M. WongA 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.
110 Double Vision? - Give Your Head a ShakeVivek Patel; Danah Albreiki3 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...
111 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian; Kelli Y. Shaon; Kenneth R. Habetz; Ayman Al-Salaimeh; John D. Schwankhaus; Joseph G. ChackoAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
112 A Wolf in Bear's ClothingPeter W. MacIntosh; Agatha Bogard; Pete Setabutr; Heather E. MossAn 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...
113 Golden GrapesHeather E. Moss; Sean Zivin; Amy Lin; Vinay Aakalu; Senad Osmanovic; Omar Al Heeti; Stockton Mayer; Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
114 Diabetes Does Not Explain It AllPhilip M. Skidd; Joseph F. Rizzo; Florian S. Eichler; Dean CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
115 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
116 Sacramentum GladiatoriumMichael Vaphiades; Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
117 Raise Your Grade Point AverageHilary M. Grabe; Jeffrey L. Myers; Douglas J. Quint; Victor M. Elner; Jonathan D. TrobeTwo 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.
118 Ain't No Sunshine When You Are Gone!Veeral S. Shah; Linda Sternau; Michelle Felicella; Sanders Dubovy; Chris Alabiad; Norman J. Schatz; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
119 Some Orbital ConfusionSteven A. Newman; David T. BourneIn September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D).
120 Clues Hidden in the SkinJanet C. Rucker; Catherine Cho; James Weisfeld-Adams; Scott BrodieShe 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 ...
121 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni; Linda Sternau; Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
122 Ataxia at the Masquerade BallKrista 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. DigreA 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,...
123 It's Not the TumorCourtney E. FrancisA 58 year old woman with a history of metastatic parotid adenocarcinoma presented with bilateral vision loss over 2 months. She had undergone surgical resection of the tumor followed by fractionated external beam radiation with a total of 66.6 Gy 18 months prior to presentation. She was recently fou...
124 Blame it on the PillSachin Kedar; Padmaja Sudhakar; Stuart Tobin; William O. Connor; Fernando DecastroThree 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.
125 Muscle Bound or Unbound?Dane A. Breker; Jonathan D. Trobe; Ann A. Little; Sandra I. Camelo-PiraguaA 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...
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