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(as Unknown )
(5 items)
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This is a 5-year-old female born at term who had a 2-month history of headaches and nausea and vomiting. The headaches lasted for approximately 2 weeks, which were frontal in location and mainly on the right side. The headaches were not relieved by over-the-counter Tylenol and had no aggravating factors. After 2 weeks, the headaches resolved on their own. The patient had increased nausea and vomiting. Over the last 2 to 3 weeks, the patient has progressed with left-sided weakness and gait disturbances, falling to her right. Mother also notes the patient's neck tilted to the right. Over the last week, the patient has had slurred speech with drooling of saliva as well as double vision. These findings were also noticed by the patient's first grade teacher. The patient's mother sought medical attention 2 to 3 weeks ago, and a CT scan of the brain was recommended. A CT scan that was performed in the emergency room which revealed a mass with compression of the fourth ventricle. The patient was started on steroids and her headaches, as well as dysarthria has improved. However, she continues to have weakness on the left side and continues to fall.
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This is a 64-year-old male from Costa Rica who in good health until 2 months ago when his family noticed increased lethargy and fatigue. The patient also complained of headaches and feeling of heaviness in his lower extremities, and difficulty walking. The patient continued to work despite these issues until 2 weeks ago when his pain/pressure sensation had increased. The patient denies any nausea, vomiting, or seizures. The patient presented to a local physician where a CT scan revealed a large right brain mass.
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Chief complaint: Bright red blood per rectum. This is a 56-year-old male healthy male presents after 3 months of rectal bleeding initially on wiping after bowel movement, now with blood in the toilet bowl. He complains of being constipated for the last 6 months as he has been taking pain medication after his knee replacement. He denied rectal pain or urgency. He was seen by his PCP who palpated a mass on digital rectal exam 6 cm from the anal verge. This mass was mobile on his exam. He was worked up with a colonoscopy which revealed a tumor 7 11 cm from the anal verge which 2/3 circumferential and non obstructive. Endoscopic Ultrasound revealed mass to the peri-rectal fat and peri-rectal lymph nodes. Biopsy confirmed adenocarcinoma of the rectum grade 3/3. The abdominal CT scan showed a rectal tumor with perirectal enlarged lymph nodes. No liver metastasis.
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A 16-year-old female with no significant past medical history presented to an outside physician with complaints of 18 months of left hip pain that was intermittent, primarily located in the upper left leg. She described the pain as sharp and worse with movement. The pain was initially intermittent and it plagued her approximately every 1-2 months. However, about two weeks prior to presentation the pain significantly worsened and became more constant, prompting her to seek medical evaluation. Following evaluation by the outside physician that included imaging that found a concerning lesion in the pelvis, the patient was referred to a Children's Hospital for further workup and evaluation. An MRI of the pelvis was obtained upon arrival at Texas Children's Hospital and found a left ischiopubic tumor with large associated extraosseous soft tissue mass involving the pubic crest, the superior and inferior pubic rami, the ischiotuberosity and the acetabulum on the left. A CT scan of the chest was then obtained that revealed multiple bilateral lung masses, felt to be consistent with metastases. Biopsy obtained of the suspicious mass in the left hemipelvis was positive for Ewing's sarcoma.
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This is a 39-year-old female G1P2A1 who presents after 4 months of post-coital bleeding. She started her periods at the age of 11 and currently still has regular medium flow periods. She denies history of STDs or HIV. She also denies weight loss, low back pain, increased urinary frequency, or lower extremity edema. He occasionally suprapubic pain which is intermittent. Otherwise she is healthy without any other medical problems. She was seen by her GYN who examed her and noted a 5 cm enlarged cervical mass which was barrel shaped. The mass was biopsied and positive for Squamous Cell Carcinoma. CT of abdomen and pelvis were performed which revealed a enlarged cervical mass without pelvic or para-aortic lymphadenopathy. Cyto/Procto exams were performed which revealed no bladder or rectal involvment.
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