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Title | Creator | History |
126 |
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It's Not Just a FAD (EHR Fatigue Syndrome) | Jacqueline A. Leavitt; John J. Chen; Diva R. Salomao | A 29 year-old female nurse, nine months postpartum, presented with an inability to see her computer well for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. There were no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head... |
127 |
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It's Not the Tumor | Courtney E. Francis | A 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... |
128 |
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Joe & Jerry Flew the Coop | Lulu L.C.D. Bursztyn; Dane A Breker; Andrew W. Stacey; Ashok Srinivasan; Mark W. Johnson; Jonathan D. Trobe | A previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed one day later by lethargy and vision loss. Past medical history was significant only for acne, for which she had been treated with doxycycline 40 mg/day intermittently starting 2 months prior to symp... |
129 |
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Just Another Sixth Nerve Palsy in a Teenager (Presentation Video) | Julio A. Rodriguez, MD; Thomas R. Hedges III, MD; Mitchell Strominger, MD; Nora Laver, MD | A 17-year old female with a sudden onset of diplopia, left peri-orbital pain. Previous history significant for bronchial asthma and sinusitis. |
130 |
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Just the Two of Us | Dan Milea; Pratik Chougule; Ming Lee | A 63-year-old female patient of Chinese ethnicity was referred for unexplained visual loss in her right eye, discovered incidentally 1 month before presentation. Her past medical history revealed quiescent asthma and a benign cyst in the left lung, excised 27 years earlier. The patient had no vascul... |
131 |
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Keep Your Eye On the Ball (video) | Danielle Rudich; Eugenia Vining; Kenneth Allen; Joel Geffin; Mena Mansour; Robert Lesser | In March 2014, an 82-year-old male developed left sided facial pain and numbness over his left temple and periorbital region. He was treated for a presumed dental infection with no response. MRI brain in July 2014; showed only microvascular white matter changes. |
132 |
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Klinging to My Failing Corneas (Presentation Video) | Viviek Patel, MD; Peter Quiros, MD; Alfredo Sadun, MD, PhD | A 46-year old female with a 10-year history of bilateral scleritis and peripheral ulcerative keratitis secondary to presumed rheumatoid arthritis. |
133 |
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Leopard Can't Change Its Spots - Video | Terry S. Kang; Veeral S. Shah | An 8 year-old Caucasian female presented with bilateral conjunctivitis, photophobia, and blurred vision. Visual acuity was 20/50 OD and 20/60 OS. She had 2-3+ anterior chamber cell and flare OU, 1+ vitreous cells OU, 2+ optic disc edema OU, and macular edema OU. She was diagnosed with anterior uveit... |
134 |
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Light at the End of the Tunnel - Video | Noel Chan; Tak Lap Poon; Joyce Chow; Wai Lun Poon; Sherman Lo; Wing Hung Lau; Ka Hong Au; Carmen Chan | A 24-year-old Chinese man presented with 1-year history of progressive blurring of vision of the right eye. He had no significant past ocular nor medical history except moderate myopia and migraine. On ophthalmologic examination, his corrected visual acuity at distance was 20/100 OD and 20/30 OS. Is... |
135 |
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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... |
136 |
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Look in the Back (Video) | 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... |
137 |
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Looking for a Drop of Porcelain - Video | Shannon J. Beres; Grant T. Liu | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
138 |
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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... |
139 |
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M.I.A. (video) | Julie DeBacker; Janet Rucker; Josef Gutman; Heather Lau; Laura Balcer; Steven Galetta | A 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling. |
140 |
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MacKenzie's Legacy (Radiology CT 2) | Elena R. Drudy, MD; Steven A. Newman, MD; Edward Laws, MD; M Beatriz Lopes, MD | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bifrontal headache. |
141 |
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MacKenzie's Legacy (Radiology CT) | Elena R. Drudy, MD; Steven A. Newman, MD; Edward Laws, MD; M Beatriz Lopes, MD | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bifrontal headache. |
142 |
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Mackenzie's Legacy (Presentation Video) | Elena R. Drudy, MD; Steven A. Newman, MD; Edward Laws, MD; M Beatriz Lopes, MD | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bi-frontal headache. |
143 |
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Man with a Rush (Presentation Video) | Nicola G. Ghazi, MD; Steven A. Newman, MD; John Jane Sr, MD, PhD; M. Beatriz Lopes, MD | A 42-year old male with headache, tinnitus and persistent color retention. Previous history significant for sciatica. |
144 |
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Many Small Lesions, One Big Problem - Video | Harsh V. Gupta; Tuhin Virmani; Rohan Samant; Murat Gokden; Joseph G. Chacko; Sarkis M. Nazarian | A 73-year old hypertensive and hyperlipidemic man presented with 18 months of horizontal diplopia, worse at distance and gaze right, oscillopsia on left head turn, and unsteady gait. Six months prior to consult, he developed dysphagia, worse with liquids, and recurrent falls forced him to use a walk... |
145 |
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Masquerade - Video | Amanda D. Henderson; Jacques J. Morcos; Oliver G. Fischer; Joshua Pasol | A 68 year-old man from Nicaragua, with a past medical history of diabetes and hypertension, presented with a one-year history of right-sided headaches, diplopia, and a four-month history of sudden vision loss in his right eye. In Nicaragua, a head CT and an angiogram had revealed a sphenoid wing and... |
146 |
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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 ... |
147 |
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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. |
148 |
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Multiple Cranial Neuropathies Over Multiple Months (Presentation Video) | Kara Fairbanks Warden , MD; Wayne T. Cornblath MD; Mila Blaivis MD, PhD; Larry R. Junck, MD; Stephen S. Gebarski, MD | A 50-year old female with a 2-day history of diplopia, and 4 months of left facial numbness. Previous history significant for rheumatoid arthritis. |
149 |
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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... |
150 |
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My Orbits Are Melting (Presentation Video) | Thomas Hwang; Soraya Rofagha; William Hoyt; Timothy McCulley | A 40-year old female with progressive bilateral enophthalmos. Previous history significant for ruptured left basilar artery aneurysm 15 years prior to presentation associated with intracranial hemorrhage and increased intracranial pressure. |