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Zarghouni, Mehrzad - - 2012
Nocardia intracranial abscesses occur almost exclusively in patients who are immunocompromised due to diabetes, transplantation, or HIV/AIDS. Patients usually present with seizures, headaches, fevers, and meningismus. Laboratory evaluation is nonspecific but may reveal an elevated erythrocyte sedimentation rate and white blood cell count. An important task in the workup of ...
Zarghouni, Mehrzad - - 2012
Granular cell tumors (GCTs) are generally benign neoplastic tumors of neural origin that have little malignant potential. These tumors may occur in any location, including the tracheobronchial tree. Although an endobronchial location is believed to represent a small percentage of cases, GCTs should be included in the differential considerations of ...
Benjamin, Mina - - 2012
Left ventricular noncompaction (LVNC) is a rare disorder in which the left ventricular endocardial surface is not appropriately flattened and is heavily trabeculated. Patients with this condition can be affected by stroke from emboli that originate from these recesses. We present a patient with LVNC who was originally misdiagnosed as ...
Sacks, Justin - - 2012
We present a case of a fatal toxic leukoencephalopathy following ingestion of a new psychoactive designer drug known as 2C-E or "Europa." Recreational drugs, particularly hallucinogenic substances, appear to be growing in popularity, with increasing amounts of information available via the Internet to entice potential users. In addition, some newer ...
Ray, M. - - 2012
Transjugular intrahepatic portosystemic shunt (TIPS) extension far into the inferior vena cava (IVC) or the right atrium may complicate or preclude orthotopic liver transplantation depending on the space available for placement of a hemostatic clamp in the suprahepatic IVC. Until 2004, most TIPS were performed with bare metal stents, which ...
Peters, Matthew - - 2012
Glycoprotein (GP) IIb/IIIa receptor antagonists are powerful antiplatelet agents that are typically used in percutaneous coronary intervention. All three GP IIb/IIIa agents currently approved for use in the United States cause thrombocytopenia as a rare side effect. Abciximab is unique to the class in that it is a modified monoclonal ...
Peters, Matthew - - 2012
Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an infrequently diagnosed condition with a high incidence of sudden cardiac death. While the only option for cure is orthotopic cardiac transplantation, the use of an implantable cardiac defibrillator can be life saving. Accordingly, the prompt recognition of ARVC is crucial. Fortunately, a definitive ...
Levine, Harold - - 2012
This case study highlights the extracranial and intracranial manifestations of severe otomastoiditis. A 35-year-old man presented with numerous symptoms, including ear and neck pain, headache, temporary vision loss, fever, malaise, and nausea and vomiting. Imaging studies led to the diagnosis of coalescent mastoiditis with septic dural sinus thrombosis, venous hemorrhagic ...
Khvilivitzky, Katherine - - 2012
We report interruption of left ventricular assist device (VAD) support by way of outflow graft ligation and driveline excision while leaving the pump in situ. In this case, the indication for mechanical assist device separation was myocardial recovery, which occurred following 9 months of support. This case report demonstrates the ...
Jett, G. - - 2012
A da Vinci Robotic Surgical System was purchased for The Heart Hospital Baylor Plano in fall 2011 and a program for robotic-assisted thoracic surgery commenced at the facility. Successive thoracic patients were offered and accepted a robotic-assisted operation. No patient was excluded because of age, height, weight, or comorbidities. The ...
Henderson, James - - 2012
We describe two patients who presented with dementia as the primary neurological manifestation of their dural arteriovenous fistula (dAVF). Although dementia is not the most common presentation for a dAVF, these cases show that obliterating the fistula can eliminate this dreadful manifestation. This awareness may facilitate the diagnosis of dementia ...
Vrcek, Ivan - - 2012
Unilateral eye swelling, redness, and pain may represent a diagnostic challenge to many clinicians. The differential diagnosis is broad and includes both nonemergent and emergent diagnoses. While the emergent diagnoses must be made and treatment initiated immediately, the nonemergent differential also includes life- and vision-threatening entities. The diagnosis of idiopathic ...
Golden, Richard - - 2012
In June 1926, Dr. Henry M. Thomas Jr. ("Hal") received as a gift from Grace Osler in Oxford an Einhorn Duodenal Bucket Set that had belonged to Sir William Osler. The Thomases were a distinguished multigenerational physician family of Baltimore with high educational standards and major accomplishments in medicine and ...
Roberts, William - - 2012
Barry, Shannon - - 2012
Male breast cancer is an uncommon disease of uncertain etiology. We describe a 66-year-old man who presented with a palpable mass in the left breast with associated nipple inversion. Mammographic images demonstrated a spiculated mass within the subareolar left breast at the palpable area of concern. Sonographic evaluation demonstrated a ...
Culp, Brittney - - 2012
Laparoscopic cholecystectomy has traditionally been performed using multiple small sites. Single-incision laparoscopic surgery has emerged as an alternative technique to improve cosmesis and minimize complications associated with multiple incisions. A retrospective study was performed of all patients who underwent laparoscopic cholecystectomy by a single surgeon (DTA) from April 2008 to ...
Zarghouni, Mehrzad - - 2012
Weisse, Allen - - 2012
Van Vrancken, Michael - - 2012
Complications arising from internal jugular venous catheterization are uncommon. Injury to the carotid artery is reported as one of the more common injuries. Vertebral artery injuries are rare and include pseudoaneurysm formation, arteriovenous fistulas, lacerations, and dissection with thrombus formation. Occasionally, such injuries initially go unnoticed and have the potential ...
VanderVeer, Joseph B., - - 2012
Abdalla, Adil - - 2012
This study applied a geographic information system (GIS) to identify clusters of injury-related deaths (IRDs) within a large urban county (26 cities; population, 2.4 million). All deaths due to injuries in Dallas County (Texas) in 2005 (N = 670) were studied, including the geographic location of the injury event. Out ...
Roberts, Charles - - 2012
Peters, Matthew - - 2012
May-Thurner syndrome is a rarely diagnosed condition in which patients develop iliofemoral deep venous thrombosis (DVT) due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. This variant has been shown to be present in over ...
Perloff, Joseph - - 2012
Patel, Purvak - - 2012
Closed traumatic flexor injuries of the hand involving the pulley mechanism are a relatively common injury seen in rock climbers but are very rare in nonclimbers, including bowlers. The injury was first described in 1990. Since then, several studies have shed more light on the diagnostic and therapeutic considerations. Early ...
Matthews, Carolyn - - 2012
Mann, Shannon - - 2012
Although endometriosis of the pelvic organs is common, endometriosis of the urinary bladder is extremely rare. Malignant transformation of atypical endometriotic foci is an uncommon but well-documented sequela, occurring in approximately 1% of cases. This article reports the fourth case in the English literature of clear cell carcinoma arising from ...
Larkin, Kelly - - 2012
Acute allergic angioedema is an abrupt-onset, unpredictable inflammatory reaction of the skin and mucous membranes. Without treatment, the condition may resolve within hours; however, when swallowing or breathing is affected, emergent medical attention is required. We report an atypical presentation of this condition, with a unique dietary cause. A 50-year-old ...
Glancy, D. - - 2012
Roberts, William - - 2012
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