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Title | Creator | History |
126 |
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Nobody's Perfect | Alexander Ksendzovsky, Steven A. Newman, MD, University of Virginia School of Medicine | In June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1 ½ she had developed headaches and was found to have a posterior fossa tumor. In El Salvador she was treated with shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwent a shun... |
127 |
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Non-Functional Sinus Disease (Presentation Video) | Julie Shelton | A 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches. |
128 |
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Not a Benign Tumor (Presentation Video) | Hong Jiang | 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. |
129 |
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Not a Meatball - Video | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |
130 |
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Obvious Case of Giant Cell Arteritis (Presentation Video) | Kevin M. Barrett | 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... |
131 |
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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. |
132 |
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Oh Great, I Get to Follow the Post-Op Homonymous Hemianopsia (Presentation Video) | Robert F. Saul, MD, Virginia Tech Carilion | A 32-year old female with a right homonymous hemianopsia and 1-month history of severe headache. |
133 |
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Oh My GAD!! Something Else? | Olwen Murphy, Kemar Green, John Probasco, Daniel Gold | A 43 -year-old man presented with oscillopsia, dizziness, binocular vertical diplopia, and gait difficulties. He reported a six-month history of abdominal pain, anorexia and 50-pound weight loss, and a 3-month history of mood and cognitive changes. Torsional nystagmus, a left 4th nerve palsy (NP), u... |
134 |
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Once Upon an MRI Dreary (Presentation Video) | Richard L. Levy | A 59-year old African-American female with hypercholesterolemia, benign colonic polyps and stress-related headaches. |
135 |
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Orbiting a Diagnosis | Daniel Liebman, Daniel Lefebvre, Emily Tam, Marie Lithgow, Bart Chwalisz, Eric Gaier, Joseph Kane | A 75 -year-old male with a history of chronic/small lymphocytic leukemia (CLL/SLL) presented for one day of left retro-orbital headache, painful eye movements, eyelid swelling, and diplopia. One week prior, his WBC count was 39.9 K/uL with 86% lymphocytes. Three days prior to presentation, the patie... |
136 |
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Painful Red Eye in a 69-Year Old Female With Sensorineural Hearing Loss (Presentation Video) | Engelbert, Micahel | A 63-year old female with a 6-year history of ulcerative colitis and erythema nodosum. Previous history significant for bilateral hearing loss, diffuse headache preceded by intermittent vertigo and tinnitus. |
137 |
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Parkinsonitis (Presentation Video) | Alice Kim | An 83-year old male with a 2-year history of motor, left gaze palsy and cognitive slowing. Previous history significant for hypertension, hypercholesterolemia, Gilbert syndrome, and atrial fibrillation. |
138 |
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Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (Presentation Video) | Jeffrey Gelfand | A 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis. |
139 |
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Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video) | Marc J. Dinkin, MD, Weill Cornell Medicine | A 27-year old male with visual disturbances and worsening headache. |
140 |
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Pseudo-Pseudo Orbital Tumor (Presentation Video) | Nicholas T. Monsul | A 53-year old male with orbital fullness, pain associated with red eyes and diplopia. |
141 |
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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. |
142 |
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Rectifying the Apposite Diagnosis (Presentation Video) | Beau Bruce, MD, PhD, Emory University | 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. |
143 |
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Renal Red Herring | John J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. Thurtell | Wegener's Granulomatosis |
144 |
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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 ... |
145 |
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Sacramentum Gladiatorium | Michael S. Vaphiades, MD, University of Alabama, Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
146 |
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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... |
147 |
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Small Surprises Along the Journey (Presentation Video) | Janet C. Rucker | 29-year old female with a 2-year history oscillopsia. Previous history significant for Dx ovarian cancer three years before Tx surgery and chemotherapy. |
148 |
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Snowballs and Curveballs (Presentation Video) | Nicholas J. Volpe, MD, Northwestern University | A 34-year old male with complaints of pain, photophobia, redness, and decreased vision OD. Previous history significant for tuberculosis. |
149 |
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Some Hairy Gossyp (Presentation Video) | Ivey Thornton | A 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. |
150 |
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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... |