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Vascular & Interventional (as Unknown )
(106 items)
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45-year-old male with factor V Leiden and protein C deficiency requiring cessation of warfarin anticoagulation in preparation for cervical laminectomy. The patient presents for inferior vena cava filter placement prior to surgery.
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51-year-old male status post right hepatectomy for cholangiocarcinoma with upper GI bleeding and history of peptic ulcer disease. The patient underwent upper endoscopy, revealing a 1 cm ulcer in the duodenum with a pulsatile vessel at the ulcer base.
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59-year-old man presented to the E.R. after a motor vehicle accident. His symptoms included left hip pain neck pain
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60-year-old patient with portal hypertension
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A 69-year-old man without contributory medical history presented with episodes of fainting, backache, and hypotension.
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24-year-old female presents to the ER 24 hours after MVA complaining of lower back pain radiating into the left leg
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30-year-old female presenting with acute abdominal pain
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A 46-year-old adult presented with sudden onset, sharp, burning, nonradiating epigastric pain that lasted 1.5 hours and subsequent diarrhea, nausea, vomiting, and chills.
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50-year-old gentleman with hoarseness
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18-year-old female presents with left leg swelling and pain after a long car ride
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44-year-old man presents to the emergency room with a one day history of pain, swelling and discoloration of the right hand. The patient has no prior history of coagulopathy. The thenar eminence of the right hand is cyanotic.
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34-year-old previously healthy female presents with left upper extremity swelling. Only pertinent history is recent strenuous activities.
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65-year-old male referred to our facility for a second opinion
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75-year-old woman involved in a motor vehicle collision presents to the emergency department.
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78-year-old patient with a history of thoracoabdominal aneurysm status post aortic arch repair
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40-year-old female with history of systemic lupus erythematosus presents with mid abdominal pain for two weeks.
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55-year-old male with hypertension and smoking developed progressive bilateral buttock, thigh and leg claudication over the course of several weeks. Femoral pulses were absent on exam.
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71-year-old male undergoing routine follow up of a stent graft placed in 2002 for an abdominal aortic aneurysm repair.
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50-year-old woman presents to her physician with periumbilical pain. Her physician orders a CT scan of the abdomen and pelvis.
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36-year-old female with history of hypertension and Type II diabetes. Past medical history remarkable for laparoscopic cholecystectomy, laparoscopic ovarian cystectomy, and ureteric calculi removal. Patient presented now with right-sided back pain and symptoms of recurrent urinary tract infection.
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57-year-old male with lung cancer presents for staging evaluation
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48-year-old female with recurrent abdominal pain and nausea recently underwent laparascopic cholecystectomy.
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71-year-old male with history of end stage liver disease
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51-year-old male with history of metastatic cancer of unknown primary presents with black stool and decreasing hematocrit
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55-year-old male with a history of whole-liver transplant, now presenting with severe right upper quadrant pain
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46-year-old woman status post minor trauma presents with intense RUQ pain. PMH includes hepatitis A and hypertension.
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67-year-old female presented with right lower extremity claudication. Initial evaluation demonstrated diminished superficial femoral pulses but intact distal pulses. Subsequently, the following CT angiography was performed.
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51-year-old female with history of breast cancer underwent Medi-port placement in the right subclavian vein. While in her oncologist's office, the nurse administering chemotherapy noted difficulty injecting into and aspirating from the port.
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87-year-old female with a history of atrial fibrillation, who presents with acute right-sided weakness. She was not on Coumadin or antiplatelet therapy due to prior history of cerebral hemorrhage
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Adult male with history of cadaveric kidney transplant three months ago presents with unexplained fevers
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48-year-old woman with a history of a 'pancreatic mass' and alcohol use.
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Facial swelling
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17-year-old female with polycystic ovarian syndrome medically treated with oral contraceptives develops swelling in her left lower extremity over multiple days, followed by calf pain with ambulation.
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57-year-old male with no significant medical history who is 1 hour post-op for total knee arthroplasty
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15-year-old status post severe motor vehicle accident. Hypotensive on arrival.
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62-year-old female with hypertension and 80-pack year history of smoking was admitted to the hospital with complaint of right arm numbness, hemiparesis and expressive aphasia.
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70-year-old male presents with knee pain
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20-year-old male initially presented with right hemiparesis. Over the course of one year he presented with several other neurologic complaints including dysarthria and inablility to walk.
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Young female 28 weeks pregnant presents with painless bilateral groin masses, worse with standing
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49-year-old male with long history of smoking and ischemia of the finger tips
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64-year-old, healthy male with mild painless swelling in right popliteal fossa
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A 79-year-woman with a history significant for peripheral vascular disease and remote TIA presented to her primary care physician with a 2 week history of left upper arm pain and weakness. The pain was described as mainly constant and located at the elbow with occasional radiation downward.
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78-year-old man with a past medical history of diabetes, hypertension, and a 70-pack year smoking history presents with an acute onset of lower extremity pain and decreased pulses in both lower extremities.
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56-year-old female with a past medical history of end stage renal disease on hemodialysis and status post AV graft placement reports that she has had persistent throbbing pain over her graft for the past few weeks.
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A 60-year-old-man presents with a palpable left thyroid nodule with normal thyroid function tests
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A 40-year-old male presents with abdominal pain. He has a history of coagulopathy including multiple episodes of deep venous thrombosis and past portal vein thrombosis with variceal bleeding by age 12. He has had a splenectomy and a mesocaval shunt procedure previously.
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A 30-year-old male 4 months post gunshot wound presents to the ED with SOB, bilateral lower extremity swelling, hematuria, and abdominal pain.
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41-year-old previously healthy female who originally presented to a different hospital 2 days prior (to this presentation) with an occipital headache and was discharged home following a normal noncontrast head CT scan. The patient currently presents with first-time seizure and decorticate posturing.
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56-year-old male presents with jaundice and increasing lower back pain for 7 months
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47-year-old female 1 week post transvaginal hysterectomy with worsening left-sided abdominal pain and low grade fevers.
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A 50-year-old male smoker with right hand and wrist pain and a history of Raynaud symptoms
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Hemoptysis
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49-year-old female with abdominal pain
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84-year-old woman, history withheld
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41-year-old male with history of lower abdominal pain
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Pancreatic cancer status post distal pancreatectomy
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A 40-year-old HIV positive male presents to the Emergency Department with fever and abdominal pain. He has a recent history of leaving the hospital against medical advice. He initially left the hospital with a right femoral central line in place. Upon return to the hospital, the line was removed and a CT scan was performed.
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46-year-old female presents to the ED with right hemiparesis, slurred speech, and altered mental status.
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77-year-old patient presents with dyspnea, chest pain and hoarseness
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A 57-year-old female with past surgical history of aortic repair presents with chest pain radiating to the back.
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21-year-old male presents with pain, palmar weakness, and congenitally enlarged digits.
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51-year-old female with recent onset of hypertension.
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A 72-year-old male with a history of CHF admitted to the medical ICU following code alert on the floor for respiratory depression secondary to pneumonia. The patient was intubated and central venous access was acquired through the right femoral vein during the code alert.
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A 40-year-old female presents for follow-up of known condition and evaluation for pulmonary embolism.
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A 22-year-old male lacrosse player with longstanding history of hypertension presented to the emergency department with abdominal pain.
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A 68-year-old woman
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A 3-month-old child presents with a large mass deforming the right upper extremity. Physical examination revealed no skin discoloration, bruit over the lesion on auscultation, and no thrill on palpation. The patient was afebrile, and the lesion was not tender to touch.
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A 57-year-old male presents with painless left upper neck mass.
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A 49-year-old male presents with worsening unilateral claudication.
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A follow-up CT angiography for evaluation of prior endovascular stent-graft placement for treatment of an abdominal aortic aneurysm in a 65-year-old male was conducted.
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A 75-year-old female presented for dialysis catheter placement. The patient has end-stage renal disease with a history of several previous catheters. The right internal jugular was chosen for access after confirming patency with ultrasound. Immediately following the procedure, the patient developed facial and neck swelling.
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A 62-year-old ICU patient with dropping hemoglobin. Esophagogastroduodenoscopy (EGD) revealed extensive pooling of fresh blood and clot within the pylorus and duodenum.
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A 78-year-old woman with history of right hemicolectomy, found to have melena.
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A 66-year-old man with a history of radical prostatectomy followed by radiation therapy for prostate cancer (Gleason stage 3 + 4) presented with a rising PSA of 3.2 from a nadir of 0.3.
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A 62-year-old woman with chronic abdominal pain and weight loss
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A 25-year-old man with claudication
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A 51-year-old woman with dizziness and headache
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A 47-year-old woman with no past medical history is referred for MRA of the renal arteries for further investigation of newly diagnosed hypertension. Patient denies hematuria.
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A 77-year-old man collapsed while eating breakfast. He is unresponsive and mechanically ventilated by the time neurology requests angiography. Five hours have elapsed since the witnessed event until his angiogram is obtained.
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A 47-year-old male reported a short episode of left upper extremity weakness and speech noncomprehension despite current treatment with daily aspirin and Plavix (clopidogrel) for pre-existing peripheral vascular disease. Echocardiogram and carotid duplex scans were normal. You are shown selected images (Figures 1-3) from the MR brain exam.
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Patient is a 15-year-old male with history of hypertension. Renal angiogram is requested to evaluate for renal artery stenosis.
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A 60-year-old male with a history of an abdominal aortic aneurysm repair 4 years ago. He now presents with back pain, fever, and leukocytosis.
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This is a 65-year-old woman who presents with a complaint of back pain over the last 3 months. She is 1 year status post renal transplant for diabetic nephropathy. Six months after that diagnosis she developed gastrointestinal nocardiosis, which was treated. Three months later she developed lumbar vertebral osteomyelitis, which was also treated.
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An asymptomatic 23-year-old female presented for a CT angiogram prior to renal donation. Multiple images at the celiac axis are shown.
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A 72-year-old man has a history of repair of an abdominal aortic aneurysm and bilateral femoral-popliteal bypass grafts. He presented with a painful expansile mass behind his left knee. He has no history of trauma or infection.
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A 62-year-old woman is being evaluated for multivisceral transplant for short-gut syndrome secondary to Crohns disease. She is normotensive and has no symptoms of urinary tract disease. An abdominal arteriogram (not shown) is performed to facilitate surgical planning. Selective arteriography of the bilateral renal arteries is then performed.
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A 52-year-old man who installs telephone line posts has had, for several weeks, discoloration and constant pain in the digits of his right hand. Radial and ulnar pulses are palpable. An arteriogram of the thoracic aorta and right arm was performed (not shown), with digital subtraction images of the hand and wrist. (Images 1-3)
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60-year-old male presents to the emergency department with chest pain and shortness of breath
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75-year-old female presents to the ED with left abdominal pain and a recent history of watery, but occasionally bloody, diarrhea
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10-year-old male with history of hypertension
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A 45-year-old male admitted to the general surgery service underwent laparoscopic repair of a ventral hernia, sequelae from an open splenectomy two years prior. No other surgical history. Medical history included COPD (on Advair), sarcoidosis (on Prednisolone), and insulin-dependent diabetes (well-controlled on Glucophage). Family history included mother with "bleeding problems". On post-op day 1, the patient reported difficulty ambulating with numbness, tingling, and pain in his right toes and forefoot. The patient's right foot was cool to touch but had a palpable dorsalis pedis pulse; he was given Morphine and anxiolytics, and underwent a venous Doppler ultrasound of the lower extremities which was normal. Over the next two days, the patient complained of worsening symptoms at rest. Focused re-exam demonstrated diminished dorsalis pedis pulse, sluggish capillary refill, and decreased right foot motor function; accordingly, vascular surgery and interventional radiology were emergently consulted. The patient's entire right foot was now cold, dusky blue, and mottled. There were palpable femoral and popliteal pulses but no palpable pulse or signal below the right ankle, except for a faint signal heard far posteromedial to the usual location of the posterior tibial artery. A "water-hammer" pulse was palpable above the right ankle in the region of the anterior tibial artery. The patient subsequently underwent emergent aortography and right lower extremity angiography in the interventional radiology suite.
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A patient presents with facial pain following a motor vehicle collision.
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A 69-year-old man presents with a history of hypertension presents with anemia (Hgb;7.3) and a dull aching pain in his left thigh. Physical exam revealed evolving ecchymoses over his left leg and his left hand. The patient had been taking diclofenac for approximately one month prior to this presentation for pain in his left leg. At the time of admission, the patient had an isolated elevated activated partial thromboblastin time (aPTT;55). He denies any history or family history of coagulopathy. Endoscopy during this admission failed to a show source of bleeding.
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A 40-year-old woman presents with a left infusion port for chemotherapy.
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A 29-year-old woman presents to the ER with right upper quadrant and epigastric abdominal pain for 4 days. Past medical history is significant for cholecystectomy.
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A 45-year-old woman presents with acute left flank pain and right lower quadrant pain.
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A 55-year-old woman presents with withheld history.
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A 48-year-old man presents with abdominal pain.
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A 57-year-old woman with a history of alcoholism presents to the hospital after fainting. She has had several episodes of hematemesis for the past 3 days.
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A 26-year-old woman presents with intermittent claudication.
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A 51-year-old man with acquired immune deficiency syndrome, neurosyphilis, and cryptococcal meningitis receives an abdominal and pelvic CT for follow-up of a hypodense liver lesion seen earlier on a chest CT. The inferior right lobe lesion was subsequently selected for biopsy with ultrasound guidance, employing an 18-gauge needle and standard technique.
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A 30-year-old man with sickle cell disease presents with a painless partially erect penis for 11 days.
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A female bicyclist presents after being struck by a motor vehicle.
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A 29-year-old woman presents with complaints of a 2-month history of cough and 10-pound weight loss.
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A 63-year-old man presents with worsening painless jaundice over the past 8 weeks, which he has not experienced before.
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A 44-year-old woman presents with a history of long-term tobacco use. She is referred by her primary care physician for evaluation of recurrent hemoptysis.
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