Case in Point Archive

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AllCases (as Unknown ) (2076 items)
	37-year-old asymptomatic female
	2-day-old premature neonate with hemodynamic instability
	36-year-old female status post motor vehicle accident.
	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.
	20-year-old male with a history of asthma presents to the Emergency Department with wheezing and dyspnea
	63-year-old male smoker with laryngeal squamous cell carcinoma treated one year ago with surgery and radiation. New solitary left lung nodule, hypermetabolic on PET. Percutaneous biopsy requested to determine if metastasis vs. new primary lung cancer. Figure 1 is the initial CT biopsy image status post 19-gauge introducer needle placement in the prone position, with the tip near the lesion. Figure 2 and Figure 3 were obtained after the needle was slightly repositioned once, upon which the patient complained of anterior chest pain, developed ventricular tachycardia and became unresponsive.
	69-year-old presents for follow up of known celiac artery aneurysm secondary to median arcuate ligament syndrome. Previous work up has been done at an outside institution.
	20-year-old female presenting with pleuritic chest pain
	73-year-old male presented with congestive heart failure
	A 52-year-old man presents with chest pain.
	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.
	59-year-old man presented to the E.R. after a motor vehicle accident. His symptoms included left hip pain neck pain
	38-year-old female with history of recurrent strokes
	40-year-old male, history withheld
	77-year-old male patient with history of prostate cancer presented with pleural effusions seen on chest x ray.
	45-year-old female who presents with increasing shortness of breath on exertion.
	33-year-old female for routine 20 week fetal US imaging
	60-year-old patient with portal hypertension
	A 69-year-old man without contributory medical history presented with episodes of fainting, backache, and hypotension.
	13-year-old female with no significant past medical history complains of hemoptysis
	67-year-old patient in intensive care unit (ICU) with shortness of breath
	21-year-old male with no past medical history presents with progressive shortness of breath and productive cough after recovering from a recent mild upper respiratory tract infection
	24-year-old female presents to the ER 24 hours after MVA complaining of lower back pain radiating into the left leg
	38-year-old male with history of HIV and altered mental status, assess for embolic versus infectious etiology of stroke.
	5-year-old male with a history of fever of unknown origin and diarrhea with abnormal liver function tests and anemia
	28-year-old male with dysphagia and dysphonia
	28-year-old asymptomatic male
	7-year-old girl with precocious puberty
	A 63-year-old female presents to the emergency department for persistent chest pain and dyspnea on exertion for the past 2 weeks.
	A 44-year-old man with history of HIV and CD4 count of 68 on dapsone for PCP prophylaxis presented with chest pain and dyspnea, but no fever
	65-year-old man presents with mental status changes
	30-year-old female presenting with acute abdominal pain
	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.
	50-year-old gentleman with hoarseness
	51-year-old male presents with thoracic and low back pain
	18-year-old female presents with left leg swelling and pain after a long car ride
	40-year-old man presented with insidious onset headache
	46-year-old male presented to the emergency room after a first seizure. He has no significant or contributory past medical history.
	5-month-old presents with infantile scoliosis
	78-year-old gentleman with progressive right sided sensorineural hearing loss
	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.
	9-month-old male presenting with symptoms of diencephalic syndrome
	41-year-old female with progressive thoracic pain, sensory disturbance and gait impairment
	Worsening neurologic exam in two young children who are being treated for abdominal masses.
	67-year-old diabetic male presents to the ER with diffuse abdominal pain. An abdominal CTA was performed to evaluate for aortic dissection and/or other intra-abdominal pathology.
	34-year-old previously healthy female presents with left upper extremity swelling. Only pertinent history is recent strenuous activities.
	68-year-old female with complaints of lower back pain, 1 month after a fall
	38-year-female with abnormality seen on routine 20 week prenatal ultrasound
	One-year-old child presenting with deviation of head and signs of intracranial hypertension
	42-year-old female with palpable orbital masses
	63-year-old old female, with a history of breast cancer, came complaining of back pain for a few days progressing to paresthesia and paraperesis with bowel / bladder incontinence.
	3-month-old female with maxillofacial abnormalities
	65-year-old male referred to our facility for a second opinion
	15-year-old with headaches and acutely worsening altered mental status
	14-year-old child with history of Acute Lymphoblastic Leukemia (ALL), on induction chemotherapy complaining of left sided weakness and facial asymmetry of acute onset
	16-year-old male presents with left cranial nerve VI palsy and left-sided headache
	18-year-old male with 3 months of personality change, gradual decrease in responsiveness, rigidity and abnormal EEG findings
	45-year-old female with clinical hyperthyroidism
	75-year-old woman involved in a motor vehicle collision presents to the emergency department.
	80-year-old male with several months of epiphora (excessive tearing) of the right eye, swelling and symptoms of dacrocystitis. There is also a recent history of right ear tinnitus and an MRI demonstrating a schwannoma of the seventh nerve. The patient was seen by his ophthalmologist, who felt an orbital mass of the right eye and a contrast enhanced CT was performed.
	44-year-old female with no significant past history presented with painful jaw swelling of 3 month duration
	16-year-old male with painless neck mass
	68-year-old female with a history of a "swelling" behind her left eye, which she has had for the past 37 years or so. She describes that every 2-3 years, she has an episode of left eye swelling and proptosis. She says that the last time she had this, the swelling did not completely resolve. The swelling started increasing again several days ago.
	43-year-old male with progressive dysphagia and cervical adenopathy
	9-year-old male presents with a history of pain and swelling in the right lower leg
	57-year-old African American woman initially presenting with gastrointestinal bleeding incidentally found to have a jaw deformity.
	48-year-old woman with an orbital mass. No significant medical history. CT scan of the orbits was performed for evaluation.
	70-year-old male complaining of sinus congestion and increasing eye pressure for one month
	A previously healthy 40-year-old male presents with acute onset of bilateral third nerve palsy.
	48-year-old female presents to the emergency room after a fall, complaining of a headache. She denies other symptoms or any significant past medical history.
	72-year-old woman with progressive dementia. No endocrine, metabolic, or toxic abnormalities were identified.
	Multiple falls with head trauma
	60-year-old male presents with a long history of pain and swelling in the left lower knee
	49-year-old male with 2 week history of worsening severe headaches, photophobia, hyperacusis, balance and memory deficits
	62-year-old female with neck pain
	28-year-old female with neck painLabs: TSH = 0.01 microUnits/L, T3 = 316 ng/dL , T4 = 18.6 micrograms/dL
	30-year-old female with prenatal ultrasound and MRI images below
	A 49-year-old man presents with left foot pain.
	78-year-old patient with a history of thoracoabdominal aneurysm status post aortic arch repair
	40-year-old female with history of systemic lupus erythematosus presents with mid abdominal pain for two weeks.
	A 65-year-old woman presents with withheld history.
	69-year-old male found to have a superior mediastinal mass
	A 46-year-old man presents with oral swelling, ulceration, and pain 3 years after completion of combined external irradiation and brachytherapy for right-sided tongue cancer.
	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.
	Abdominal pain
	2-year-old girl presents with right orbital proptosis and right eye pain
	A 60-year-old man presents with chronic knee pain.
	A newborn boy presents with left parasacral soft tissue mass.
	63-year old female, status post gastric bypass for peptic ulcer disease, presents with elevated lipase and severe epigastric pain
	35-year-old male with right-sided testicular pain for several days, worsening last night which woke him up from sleep
	71-year-old male undergoing routine follow up of a stent graft placed in 2002 for an abdominal aortic aneurysm repair.
	Newborn infant with skeletal abnormality demonstrated on prenatal ultrasound and respiratory insufficiency (Figure 1). Different patient after treatment (Figure 2).
	18-year-old female with 19 weeks of gestation and elevated maternal serum alfa-feto protein undergoing an obstetric ultrasound
	71-year-old with bilateral flank pain and hematuria. The patient is taking Coumadin for history of pulmonary embolism.
	A 42-year-old man is seen after being electrocuted while changing a light bulb.
	Testicular pain
	49-year-old male with a painless, slow-growing mass on his foot
	55-year-old man presented with right leg swelling and sudden "foot drop" following a "popping" sensation in the right knee.
	34-year-old female with an abnormal finding on second trimester ultrasound
	45-year-old man post elective laparoscopic cholecystectomy presents with persistent post-operative right upper quadrant pain
	13-year-old male high school football player presented with a three-week history of painful and firm swelling of the right thigh
	18-year-old left-handed collegiate baseball pitcher presents with complaints of left shoulder pain following throwing
	50-year-old woman presents to her physician with periumbilical pain. Her physician orders a CT scan of the abdomen and pelvis.
	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.
	70-year-old male with renal insufficiency and uncontrollable hypertension. A sonogram of the kidneys with Doppler was obtained for further evaluation.
	71-year-old male with mild dysphagia
	37-day-old male born at 27 weeks gestation with increasing abdominal girth, bilious gastric residuals, and emesis. The patient has been in the neonatal intensive care unit since birth.
	A 17-year-old woman presents with withheld history.
	81-year-old female with a painful right hip mass for 10 days with a history of total right hip replacement many years ago
	38-year-old male with increasing pain and deformity of nail since 2006. Patient denies history of prior trauma.
	Full-term neonate with feeding intolerance
	38-year-old male status post cadaveric simultaneous renal and pancreas transplantation presents to the hospital with acute renal failure. Referred for renal scintigraphy to evaluate renal transplant function
	17-year-old male with left upper extremity pain and swelling
	52-year-old female presents with chest pain and a history of brain cancer
	28-year-old male with fall on outstretched hand
	History withheld
	52-year-old male presents with a one week history of nausea and right upper quadrant pain
	A 70-year-old man with a history of low abdominopelvic resection and ileostomy for colon cancer presents with abdominal pain. The patient has a history of known local tumor recurrence in the pelvis.

	A one-month old female with a complicated vaginal delivery presents with left elbow deformity and tenderness.
	10-month-old with progressive abdominal distention
	77-year-old male presents to the ER with right flank pain and gross hematuria
	53-year-old woman with prior history of breast cysts presents with a rapidly enlarging palpable mass in the left breast that is now tender
	89-year-old female patient presented with abdominal pain
	51-year-old female history withheld
	A 77-year-old woman presents as an outpatient for a small bowel series after a recent hospitalization for acute abdominal pain. She has no history of prior bowel surgery.
	History withheld
	33-year-old man with Type 1 diabetes mellitus (DM) post-operative day 10 from a pancreas transplant after kidney transplant with increasing abdominal distention
	Newborn with respiratory failure and hypoxia, post-intubation exam
	History withheld
	52-year-old male patient with milky urine
	70-year-old man who had a recent myocardial infarction was found to have an elevated creatinine (2.0)
	One-month-old infant born at 27 weeks gestation
	37-year-old female patient with a 6 month history of abdominal pain and distention
	50-year-old woman with history withheld
	70-year-old man with urine per rectum and history of prostate cancer
	A 44-year-old woman with a family history of breast cancer and positive breast cancer (BRCA), recently had a breast MRI performed.
	An 80-year-old man has a 4-week history of intractable abdominal pain located in the umbilical and suprapubic regions.
	24-year-old African American woman who presents with a palpable breast mass
	62-year-old women came for routine screening mammography. A technologist note indicated difficulty in positioning due to the patient's chronic arthritis.
	A 54-year-old woman with a prior history of breast cancer presents with headache and mental status changes.
	26-year-old female with a strong family history of breast and ovarian cancer. Mother and maternal grandmother diagnosed with breast cancer in their early 40s. Maternal aunt diagnosed with ovarian cancer in her late 40s. Genetic screening found the patient to be BRCA 1 and BRCA 2 negative.
	Diabetic 74-year-old female with nausea and vomiting for the past 4 days and decreased urine output. She reports fever and gross pyuria.
	23-year-old woman presents with pain and progressive increase in size of the left breast
	9-year-old female, who presented to her PMD with sudden onset fever, urinary tract infection, hematuria and past medical history of nocturnal enuresis
	36-year-old female presents to the emergency department complaining of pelvic pain for approximately 4 days
	49-year-old diabetic male with one week of abdominal pain, dysuria, hematuria