OU - Tulsa Schusterman Center: Recent submissions
Now showing items 21-40 of 109
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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 ... -
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 ... -
Abdominal Pain of Unknown Origin
(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
(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
(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
(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?
(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
(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
(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 ... -
Are There Gender Disparities in Child Maltreatment Related Criminal Court Outcomes?
(2020-04)BACKGROUND: Oklahoma’s failure to protect law, which holds non-offending caregivers who fail to report maltreatment to the same standard as perpetrators, has received increased scrutiny at the national level. This is in ... -
A Case of Congenital Syphilis Complicated by Severe Hepatocellular Dysfunction, Thrombocytopenia, and Atypical Skin Lesions
(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?
(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
(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
(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. ... -
Oral Memoirs of James and Carol Whiteneck
(2018-05-31)An oral history interview with James Whiteneck, MD, and Carol Whiteneck. Dr. Whiteneck attended the Tulsa Medical College for his third and fourth years of medical school. He later returned to the Tulsa area to practice ... -
Birth Trauma Masquerading as Child Physical Abuse
(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
(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 ... -
High Crime Neighborhoods as a Driver for Toxic Stress Leading to Asthma
(2020-04)BACKGROUND: Social determinants of health and allostatic load theory suggest social environment can drive asthma diagnoses via the mechanism of toxic stress, the prolonged activation of stress response systems. While ... -
Improving Primary Care Follow-Up After Pediatric Hospitalization
(2020-04)BACKGROUND: Transitioning patient care to primary care physicians after pediatric hospitalization plays a critical role in children’s health. Follow-up appointments are an ideal time to provide education, address concerns, ...