Clinical Vignette Symposium 2020: Recent submissions

Now showing items 1-20 of 23

    • Duodenal Ulcer After Roux-en-Y Gastric Bypass Surgery: The Value of Laparoscopic Transgastric Endoscopy 

      Hart, Thomas; Sahawneh, James; Chow, Geoffrey (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 ...

    • An Interesting Case Highlighting Management of Pelvic Congestion Syndrome 

      Hart, Thomas; Pandit, Viraj; Horst, Vernon; Kempe, Kelly; Kim, Hyein; Nelson, Peter (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 ...

    • Thoracic Endovascular Repair of Descending Thoracic Aortic Thrombus 

      Chitwood, Joshua; Horst, Vernon; Pandit, Viraj; Nelson, Peter; Kempe, Kelly; Kim, Hyein (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 ...

    • Abdominal Pain of Unknown Origin 

      Thompson, Gregory; Elvir, Roberto (2020-05)
      INTRODUCTION: Abdominal pain is a common presenting problem in both primary care settings and Emergency Departments. The underlying cause is not determined in about 1 in 3 patients. The following is a perplexing case of ...

    • Pseudohyponatremia Due to Severe Hypertriglyceridemia 

      Harmon, Starr; Whitt, Janelle (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 ...

    • Enterobacter Bacteremia Secondary to Pyelonephritis 

      Brigance, James; Kern, Thomas (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. ...

    • Choking on Sand: Diffuse Calcification of the Lungs from Pulmonary Alveolar Microlithiasis 

      Lepley, Summer; Eslam, Mohamed; Phillips, Kaitlin; Kiehl, Robin; Lesselroth, Blake (2020-05)
      INTRODUCTION: Widespread pulmonary calcification is a relatively uncommon finding in patients presenting with dyspnea; differential diagnosis is limited, particularly when accompanied by a diffuse “sandstorm” appearance ...

    • Renal Artery Stenosis and Obstructive Uropathy: To Resect or to Stent? 

      Kaiser, Daniel; Horst, Vernon; Pandit, Viraj; Kim, Hyein; Kempe, Kelly; Nelson, Peter (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 ...

    • Fusobacterium Nucleatum Brain Abscesses in an Immunocompetent Adolescent with Dental Braces 

      Toor, Gavely; Martin, Kimberly (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 ...

    • Right Supraclavicular Lymphadaenitis Caused by Kikuchi-Fujimoto Disease 

      Toor, Gavely; Mather, Keith; Karikari, Ama; Kirkpatrick, Gregory (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 

      Kaiser, Barrie; Couch, Taylor; Bielefeld, Kyle (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 ...

    • A Case of Congenital Syphilis Complicated by Severe Hepatocellular Dysfunction, Thrombocytopenia, and Atypical Skin Lesions 

      Ifikhar, Jazeb; Robertson, Christopher; Watson, Kimberly (2020-05)
      INTRODUCTION: Congenital Syphilis (CS) is an infection caused by the spirochete Treponema Pallidum. It’s transmitted predominantly via the placenta, and only severe cases are clinically apparent at birth. Its incidence has ...

    • Penile Injury in Infant Male: Accident or Abuse? 

      Jones, Garrett; Conway, Lauren (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 ...

    • Disseminated Histoplasmosis in an Immunocompromised Pediatric Patient 

      Ramirez-Cueva, Fatima Angelica; Jarshaw, Jane; Kuchmiy, Ella; Martin, Kimberly (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 ...

    • Shocking Results: A Case of Malignant Catatonia 

      Kovelamudi, Asha; NcNaughton, Matt; McClanahan, Sarah; Manning, Tessa (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. ...

    • Birth Trauma Masquerading as Child Physical Abuse 

      Beeson, Christine; Conway, Lauren (2020-05)
      INTRODUCTION: Birth trauma is a common cause of injury to newborn infants. In a minority of infants, birth trauma is mistaken for abusive injury. Suspected abuse requires additional diagnostic workup and involvement of ...

    • Enteric Duplication Cyst in a Patient with Suspected Milk-Protein Allergic Proctocolitis 

      Larsen, Adam; Baab, Kelsey; McGhee, Jessica; Woslager, Megan (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 ...

    • Multi-Drug Resistant Mycobacterium Abscessus Osteomyelitis Following an ATV Accident 

      Guzman, Janitzio; Bolender, Emily; Sabet, Samie; Martin, Kimberly (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 ...

    • Management of Endoleak After Abdominal Aortic Aneurysm Repair 

      Pham, William; Horst, Vernon; Pandit, Viraj; Kempe, Kelly; Nelson, Peter; Kim, Hyein (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 ...

    • Hereditary Hemorrhagic Telangiectasia: Consequences of Delayed Diagnosis 

      Kiehl, Robin Rainey Whitt, Janelle (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 ...