Browsing Clinical Vignette Symposium 2020 by Title
Now showing items 6-23 of 23
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Disseminated Histoplasmosis in an Immunocompromised Pediatric Patient
(2020-05)INTRODUCTION: Histoplasma capsulatum is a thermally dimorphic fungi that is highly endemic in the central and eastern United States. The fungus lives in soil contaminated by bird or bat droppings and is aerosolized and ... -
Duodenal Ulcer After Roux-en-Y Gastric Bypass Surgery: The Value of Laparoscopic Transgastric Endoscopy
(2020-05)INTRODUCTION: While peptic ulcers can occur after Roux-en-Y gastric bypass surgeries, they are most commonly found as marginal ulcers at the gastrojejunal anastomosis and amenable to standard endoscopy. Peptic ulcers ... -
Enteric Duplication Cyst in a Patient with Suspected Milk-Protein Allergic Proctocolitis
(2020-05)INTRODUCTION: Gastrointestinal duplication cysts are rare congenital malformations that are typically discovered by routine prenatal ultrasound. These cysts can arise anywhere along the gastrointestinal tract but are most ... -
Enterobacter Bacteremia Secondary to Pyelonephritis
(2020-05)INTRODUCTION: Pyelonephritis, an infection of the kidney, occurs in 16/10,000 women in the U.S. The rate in pregnancy is 2% versus 1% in the general population. Escherichia coli is the most common cause of pyelonephritis. ... -
Fusobacterium Nucleatum Brain Abscesses in an Immunocompetent Adolescent with Dental Braces
(2020-05)INTRODUCTION: Fusobacterium nucleatum is an anaerobic, non-spore forming, gram-negative bacilli that is commonly found in soil, respiratory tracts of animals, and can be isolated from oropharyngeal specimens of healthy ... -
Hereditary Hemorrhagic Telangiectasia: Consequences of Delayed Diagnosis
(2020-05)INTRODUCTION: Hereditary Hemorrhagic Telangiectasia (HHT), a rare autosomal dominant disorder also known as Osler-Weber-Rendu Disease, is often underdiagnosed. The initial symptom tends to be spontaneous and recurrent nose ... -
An Interesting Case Highlighting Management of Pelvic Congestion Syndrome
(2020-05)INTRODUCTION: The development of valvular incompetence and/or obstruction in the pelvic and gonadal veins causing disabling symptoms comprises Pelvic Congestion Syndrome (PCS). It is a less known pathologic condition ... -
Management of Endoleak After Abdominal Aortic Aneurysm Repair
(2020-05)INTRODUCTION: Abdominal aortic aneurysm (AAA) represents a potentially life-threatening condition that requires proper surveillance and treatment. While AAA was historically treated by open surgical repair, technologic ... -
Multi-Drug Resistant Mycobacterium Abscessus Osteomyelitis Following an ATV Accident
(2020-05)INTRODUCTION: Mycobacterium abscessus (MA) is a rapidly-growing nontuberculous mycobacterium (NTM) found in water and soil that causes pulmonary, skin/soft tissue, and bone infections. Treatment of MA infections is difficult ... -
Penile Injury in Infant Male: Accident or Abuse?
(2020-05)INTRODUCTION: Traumatic injury to the penis may occur from a wide variety of mechanisms in the context of accidental injury, or child physical or sexual abuse. Accidental penile injuries may include injuries occurring ... -
Pseudohyponatremia Due to Severe Hypertriglyceridemia
(2020-05)INTRODUCTION: Hyponatremia is defined as low sodium within the blood that can lead to headache, balance and gait issues, confusion, seizures, or even death in severe cases. However, in some instances a low sodium value on ... -
Renal Artery Stenosis and Obstructive Uropathy: To Resect or to Stent?
(2020-05)INTRODUCTION: Atherosclerotic renal artery stenosis causes hypertension that is resistant to medical management and may eventually lead to loss of kidney function. The treatment options for uncontrolled hypertension include ... -
Right Supraclavicular Lymphadaenitis Caused by Kikuchi-Fujimoto Disease
(2020-05)INTRODUCTION: Kikuchi-Fujimoto disease is a rare and self-limiting condition with unknown etiology that is most commonly seen in young Asian women. It usually presents with low grade fever that varies from one week to one ... -
Severe Coarctation of the Aorta: A Delayed Diagnosis
(2020-05)INTRODUCTION: Coarctation of the aorta (CoA) is a congenital heart disease characterized by narrowing of the aorta near the aortic isthmus. The incidence of CoA is 4 out of every 10,000 births, accounting for 6–8% of all ... -
Shocking Results: A Case of Malignant Catatonia
(2020-05)INTRODUCTION: Malignant catatonia is a life threatening disease and can be difficult to distinguish from other disorders including delirium, neuroleptic malignant syndrome, or exacerbation of mood and psychotic disorders. ... -
A Ten-Year-Old with Rash and Fever: Atypical Presentation of Kawasaki Disease
(2020-05)INTRODUCTION: Kawasaki Disease is the leading cause of acquired heart disease in young children in the US. The exact cause of Kawasaki Disease remains unknown; however, a combination of clinical symptoms, including fever, ... -
Thoracic Endovascular Repair of Descending Thoracic Aortic Thrombus
(2020-05)INTRODUCTION: Penetrating atherosclerotic ulcers (PAU) develop in the internal elastic lamina and indicate severe aortic atherosclerosis. PAU can have an associated intraluminal aortic thrombus, with associated risk of ... -
Utilizing 'Project Echo' to Access Hepatitis C Treatment for the Uninsured Patient
(2020-05)INTRODUCTION: In 2016 the World Health Organization proclaimed a hepatitis C virus (HCV) elimination goal of a 90% decrease in new infections by 2030. Some providers are facing this prevalent disease through an organization ...