Case conference. Welcome Dr. Lawrence Tierney
|
|
- Cody Hamilton
- 5 years ago
- Views:
Transcription
1 Case conference Welcome Dr. Lawrence Tierney
2 Case: 18 year-old male CC) hamatomesis, Fever and cough
3 HPI) 1 st admission One month ago, he admitted to our hospital because of hematemesis. He had weight loss (-4kg) for a few months, appetite loss 2weeks ago, and tarry stool the day before 1 st admission. He had no abdominal pain. He didn t take NSAIDS. Emergency endoscope was done at the emergency department. We diagnosed as bleeding from gastric ulcer. Endoscopic treatment for bleeding ulcer was done. His anemia was so severe that he was transfused 4 units of PRBC. Also, PPI was started since that time. H.pylori was negative. The temperature raised to 38 intermittently during his admission. His general condition was a little fatigue but his fever resolved spontaneously, and he discharged 1 week later. He was followed up by the GI doctor in OPD.
4 HPI) 2 nd admission He had dry cough and 38 fever with chillness three days before the 2 nd admission. The fever raised up to 39.8 at the day of this admission. He came to our emergency department again. He had no chest pain, abdominal pain, diarrhea. He denied arthritis nor rash. He never had pets. He denies traveling abroad. All his families were in good health.
5 PMH) Pneumonia in three years ago and admitted. In that time, his blood test showed thrombocytopenia (70,000/μL). Social Hx) no EtOH, no smoke There are none of the usually recognized risk factors for HIV infection. Medication) PPI started from the 1st admission ROS) *Since several years before, temperatures as high as 38 have occurred in once every two months, but resolved spontaneously. *He has some experience of hives after having insect bites.
6 Physical findings vital signs BP 100/60mmHg, HR 98/min, RR20/min, SpO2 96 (room air),bt 39.8 general sick, malaise eye icteria - /anemia - throat redish - /tonsils swelling - oral hygene is good neck no lymphadenopathy HS regular, no murmur, S1 S2 S3(-)S4(-) RS wheeze - /crackle - Abd soft &flat, BS is normal hepatomegaly -,splenomegaly + A left axillary lymphnode is palpable, 2cm in diameter, which is firm,elastic and tender.
7 Labo 1 WBC 3300/µL Seg 35.o% Lym 62.0% Mono 3.0% Hb 12.2g/dL Ht 37.0% MCV 83 Plt /µL Na 137 meq/l K 3.7 meq/l Cl 103 meq/l Ca 8.1 mg/dl BUN 8mg/dL Cr 0.8mg/dL GOT 46IU/L GPT 28IU/L LDH 600IU/L T Bil 0.6mg/dL BS 92mg/dL CRP 1.39
8 Chest radiograph Chest radiograph shows bilateral multiple nodules.
9 Endoscopy (1 st Admission) a large ulcer on the upper body of the stomach
10 ECG * Tachycardia NSR * Mild right axis deviation
11 Problem list
12 Problem list fever dry cough appetite loss malaise weight loss hemorrhagic gastric ulcer (adolescent) left axilla lymphadenopathy splenomegaly pancytopenia GOT LDH bilateral multiple nodules of CXR
13 Discussion What s kind of diagnostic plan and therapeutic plan? Labolatory, imaging, etc
14 Occam s razors, Hickam s dictum Occam s razor shall apply to a young under 50years old
15 VINDICATE Vascular less likely Infection IE, Tb, HIV Neoplasm malignant lymphoma Degenerative less likely Intoxication less likely Congenital less likely Auto-immune granulomatous disease vasculitis Trauma less likely Endocrinopathy less likely Iatrogenic Idiopathic Inheritance less likely Psychogenic less likely
16 Plan We checked Blood culture Chest & abdominal CT Biopsy A left axillary lymph node BAL gastric tissue
17 Labo2 HTLV-1 - HIV1/2 - IL-2R 2550 U/mL Ferritin 151 ng/ml ANA <40 MPO-ANCA - PR3-ANCA - C3 94 mg/dl C4 30 mg/dl IgG 1099 mg/dl IgA 404 mg/dl IgM 96 mg/dl
18 Chest CT CT of the chest shows multiple nodular lesion and consolidation. These lesion are along bronchus, and spread to pulmonary parenchyma without destroying lung components. There are many small mediastinal lymph nodes. lymph nodes
19 Abdominal CT Gastric wall thickness in the lesser curvature Splenomegaly, mass in the spleen Lymphadenopathies around the SMA and abdominal aorta.
20 pathology Lymph node Gastric tissue BAL Many atypical cells can be seen
21 CD 56 CD CD 43
22 Pathological diagnosis highly aggressive NK/T cell lymphoma
23 Pathological diagnosis highly aggressive NK/T cell lymphoma EBV assosiated
24 There are three reasons why we came up to the diagnosis of EBV associated lymphoma. 1. It was the early onset at the age of There were repeated history of high fever. 3. The disease was spread to many organs.
25 Serodiagnosis of Ebstein-Barr virus VCA-IgG (<0.5) VCA-IgM (<0.5) EA-IgG (<0.5) EBNA-IgG (<0.5) Not infected Acute infected + ± + - Post infected + ± ± + Chronic infected ++ ± +++ ± This case ++(10.9) -(0.2) +(1.5) +(1.5)
26 Ebstein-Barr virus infection chronic EBV infection CAEBV *Ebstein-Barr virus associated lymphadenopathy *It is resulted from EBV infected T/NK LPD *Fetal in 5-15 years if treated symptomatically due to lymphoma, organ failure, HPS, bleeding, etc.
27 Final diagnosis experience of hives after having insect bites and thronbocytopenia were signs of CAEBV
28 After chemothrapy, he received cord blood stem cell transplantation.
29 End
CASE A 58-year-old woman, office worker CC : fatigue and weakness
CASE A 58-year-old woman, office worker CC : fatigue and weakness HISTORY OF PRESENT ILLNESS About 7 days before admission, she lost her appetite and had a sensation of thirst. She had difficulties to
More informationBilateral Chest X-Ray Shadowing and Bilateral leg lesions - A case of Pulmonary Kaposi Sarcoma
Article ID: WMC005047 ISSN 2046-1690 Bilateral Chest X-Ray Shadowing and Bilateral leg lesions - A case of Pulmonary Kaposi Sarcoma Peer review status: No Corresponding Author: Dr. Mohammad Fawad Khattak,
More informationFever of unknown origin
Fever of unknown origin Case B History of the present illness 75 years old women presented at our hospital with since months daily fevers between 38 to 39.5 Celsius (100.4-103.1 F) with night sweats. Her
More informationChief complaint. A mass at right chest
Chief complaint A mass at right chest Present illness This 1-year-5-month-old girl had a mass at right side chest since one month ago. flat and not tender at first In the recent 2 days, the mass enlarged
More informationClinical Radiological Pathological Conference
Clinical Radiological Pathological Conference CASE 1: A 59-year-old female Housekeeper Live in Phuket, Thailand Progressive dyspnea for 1 year Present illness 1 year PTA : She developed dyspnea on exertion
More informationCase 5 15-year-old male
Case 5 15-year-old male Present illness: Six months ago, abnormality of ECG was incidentally detected by annual health check. His blood level of γ-gtp, HbA1c and norepinephrine were elevated; however,
More information9/13/2015. Nothing to disclose
Jared Bozeman Kathleen Luskin MD Bipin Thapa MD Medical College of Wisconsin Milwaukee, Wisconsin Nothing to disclose 24 Year old previously healthy woman presenting from OSH Fatigue Weakness Neck swelling
More informationA case of acute liver failure in HIV/HBV co-infection
A case of acute liver failure in HIV/HBV co-infection Lukun zhang Department of Infectious Disease The Third People s Hospital of Shenzhen May 12th,2017 History of present illness Patient basic information
More informationFever in Lupus. 21 st April 2014
Fever in Lupus 21 st April 2014 Fever in lupus Cause of fever N= 487 % SLE fever 206 42 Infection in SLE 265 54.5 Active SLE and infection 8 1.6 Tumor fever 4 0.8 Miscellaneous 4 0.8 Crucial Question Infection
More informationEasy Trick to Spot Leukemia for Pediatricians
Easy Trick to Spot Leukemia for Pediatricians Piya Rujkijyanont, MD Division of Hematology-Oncology Department of Pediatrics Phramongkutklao Hospital Most Common Pediatric Cancers Age 0-14 Leukemia 32%
More informationDepartment of Cardiovascular Medicine Saga University Mitsuhiro Shimomura
Complex Intervention For Hemodialysis Patient Department of Cardiovascular Medicine Saga University Mitsuhiro Shimomura TCTAP 2012 Case A 77 year old female had been treated with hemodialysis(hd) for chronic
More informationa 62-year-old man, a car driving instructor complaining of thigh purpura NMC resident, General internal medicine
a 62-year-old man, a car driving instructor complaining of thigh purpura MAKOTO INADA NMC resident, General internal medicine Chief complaint purpura at right thigh History of Present Illness He had been
More informationCASE-BASED SMALL GROUP DISCUSSION MHD II
MHD II, Session 11, Student Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION MHD II Session 11 April 11, 2016 STUDENT COPY MHD II, Session 11, Student Copy Page 2 CASE HISTORY 1 Chief complaint: Our baby
More informationLung Cancer - Suspected
Lung Cancer - Suspected Shared Decision Making Lung Cancer: http://www.enhertsccg.nhs.uk/ Patient presents with abnormal CXR Lung cancer - clinical presentation History and Examination Incidental finding
More informationHiroyuki Kamiya 1), Soichiro Ikushima 1), Tetsu Sakamoto 1), Kozo Morimoto 1), Tsunehiro Ando 1), Masaru Oritsu 1), Atsuo Goto 2), Tamiko Takemura 3)
29 2001 ACE39.7IU/l X TBLB 2002 11 Langhans [ ] A Case of Granulomatous Interstitial Nephritis with Progressive Renal Impairment Due to Sarcoidosis in the Course of Spontaneous Improvement of Pulmonary
More informationBRONCHOGENIC CARCINOMA CHALLENGES IN EVALUATION
BRONCHOGENIC CARCINOMA CHALLENGES IN EVALUATION GRAND ROUND WARD 7C DATE: 25 TH MARCH 2015 PRESENTER: DR E. SAYO FACILITATOR: DR J MECHA DEMOGRAPHIC DATA NAME : CM AGE: 69 YEARS ADDRESS : KIAMBU OCCUPATION:
More informationBy Your Sis: Ghada Odeh :)
By Your Sis: Ghada Odeh :) Hx: Chest pain ACS. Hx.: Cough Bronchiectasis. Hx: Epigastric pain Peptic ulcer disease. Hx: Joints Pain SLE. Hx: Hematurea post-strep Glomerulonephritis. Hx: Jaundice Chronic
More informationDr Vidya Devarajan DNB(Gen Med),FNB(ID), Fellowship ID,SCE (UK) Consultant ID Apollo Cancer Hospital
Dr Vidya Devarajan DNB(Gen Med),FNB(ID), Fellowship ID,SCE (UK) Consultant ID Apollo Cancer Hospital Knowledge of nodal distribution and anatomic drainage Provide an approach to the patient with peripheral
More informationGOOD MORNING! Thursday, July Heidi Murphy, MD Leslie Carter-King, MD
GOOD MORNING! Thursday, July 10 2014 Heidi Murphy, MD Leslie Carter-King, MD PREP QUESTION Almost all infants experience a transient increase in bilirubin concentrations known as physiologic jaundice during
More informationClass 10. DNA viruses. I. Seminar: General properties, pathogenesis and clinial features of DNA viruses from Herpesviridae family
English Division, 6-year programme Class 10 DNA viruses I. Seminar: General properties, pathogenesis and clinial features of DNA viruses from Herpesviridae family II. Assays to be performed: 1. Paul-Bunnel-Davidsohn
More informationHeadache Follow-up Visit Form
!1 Headache Follow-up Visit Form We will be unable to see you unless this form is completely filled out. We appreciate your thoroughness. Name DOB Age Today s Date Referring doctor: Primary doctor: Neurologist:
More informationMast Cell Activation Syndrome
Mast Cell Activation Syndrome Clinical Questionnaire Description Today s Date: Patient Name: Please indicate yes or no for the following symptoms and traits: (If you are not familiar with a particular
More informationRAPIDLY FAILING KIDNEYS. Dr Paul Johny 2 nd yr DNB Medicine Resident
RAPIDLY FAILING KIDNEYS Dr Paul Johny 2 nd yr DNB Medicine Resident Mr Z 67yrs old Occupation : Retired officer from electricity board Chief complaints : Fever : 5 days Right lower limb swelling and pain
More informationSB 6331 (scanned slide available) Keith Duncan; Mills-Peninsula Hospital 52-year-old male with painful right parotid mass.
SB 6331 (scanned slide available) Keith Duncan; Mills-Peninsula Hospital 52-year-old male with painful right parotid mass. SB 6332 Shyam Raghavan/Don Born; Stanford 77-year-old male with right
More informationForm 2033 R3.0: Wiskott-Aldrich Syndrome Pre-HSCT Data
Key Fields Sequence Number: Date Received: - - CIBMTR Center Number: CIBMTR Recipient ID: Has this patient's data been previously reported to USIDNET? USIDNET ID: Today's Date: - - Date of HSCT for which
More informationMorbidity Conference. Presented by 肝膽腸胃科張瀚文
Morbidity Conference Presented by 肝膽腸胃科張瀚文 Chief Complaint General weakness for three days Present Illness This 63-year-old female with diabetes and on oral hypoglycemic agents presented with 3-day history
More informationCASE-BASED SMALL GROUP DISCUSSION
MHD II, Session XII, STUDENT Copy Page 1 CASE-BASED SMALL GROUP DISCUSSION Session XII MHD II April 21, 2014 STUDENT COPY Helpful Resource: ACP Medicine online available through LUHS Library Infectious
More informationInfections and nonmicrobial inflammatory stimuli can cause leukocytosis (as seen in Lab 1) as well as lymph node enlargement (lymphadenopathy).
LAB 5: LYMPHOID TISSUE AND SKIN The focus of this week s lab will be pathology of the lymphoid tissue and skin. The lymphoid organs include the thymus, spleen, and lymph nodes. Abnormalities in the lymph
More informationAbstracting Hematopoietic Neoplasms
CASE 1: LYMPHOMA PHYSICAL EXAMINATION 43yo male with a history of lower gastrointestinal bleeding and melena undergoing colonoscopy and biopsy to rule out neoplasm versus inflammation. Patient had no other
More informationCase conference. TAKUGA HINOSHITA 2 nd resident ONMC
Case conference TAKUGA HINOSHITA 2 nd resident ONMC 38 y/o female, Japanese CC: Dyspnea, Muscle clump, Numbness HPI Since 1 week PTA, she s been complaining of fever around 38, chills, cold sweat and nocturnal
More informationDocumentation Dissection
History of Present Illness: Documentation Dissection The patient is a 50-year-old male c/o symptoms for past 4 months 1, severe 2 bloating and stomach cramps, some nausea, vomiting, diarrhea. In last 3
More informationChief Complain. Liver lesion found in routine health check 41 days ago
Chief Complain Liver lesion found in routine health check 41 days ago Present Illness On 2005-7-26 at 台北署立醫院 he underwent a health check for the first time. Abdominal US showed suspicious of a 6*5 cm hepatoma,
More informationGASTROENTEROLOGY PATIENT QUESTIONNAIRE - PLEASE PRINT
GASTROENTEROLOGY PATIENT QUESTIONNAIRE - PLEASE PRINT Full name: Date: Telephone Number: Age: Address: Email address: CHIEF COMPLAINTS(List the problems about which you came to see the doctor) 1) 2) 3)
More information53 year old Female with Hypoglycemia. Colleen Flynn, MD April 5, 2012
53 year old Female with Hypoglycemia Colleen Flynn, MD April 5, 2012 HPI 53 yo F referred to the endocrine clinic for hypoglycemia x 1 year. History of a non secreting metastatic neuroendocrine tumor diagnosed
More informationVol. 25 No CT. Mycoplasma pneumoniae. Mycoplasma pneumoniae. Key words Mycoplasma pneumoniae
2013 Vol. 25No. 3247 1 1 2 1 3 1 6 11 X 20 CT Mycoplasma pneumoniae 1 Mycoplasma pneumoniae 1 6 11 C Key wordsmycoplasma pneumoniae 1 2 1428666 158 3 248 2013 1 WBC 4,200l 43.0 46.0 2.0 8.0 1.0 RBC 38410
More informationMechanical versus bioprosthetic valve. Intern: Supervisor: VS
Mechanical versus bioprosthetic valve Intern: Supervisor: VS Patient basic data ID: N102110716 Name: Age: 64 years old Sex: male Occupation: Admission date: 0960528 Chief complaint Exertional dyspnea for
More informationPrimary adrenal lymphoma with adrenal insufficiency : report of three cases and review of literature
Primary adrenal lymphoma with adrenal insufficiency : report of three cases and review of literature Masumi Ogawa 1, Naoki Edo 1, Takuji Matsuo 1, Tadashi Yamamoto 1, Satoshi Takahashi 1, Yamato Mashimo
More informationMajor Topic. Malignant Melanoma Plastic and Reconstructive Surgery R3 陸尊惠 /VS 吳瑞星
Major Topic Malignant Melanoma Plastic and Reconstructive Surgery R3 陸尊惠 /VS 吳瑞星 Patient Data Name: OOO Age: 70 Gender: Male Date of admission: Day 1 Chief Complaint Black skin tumor at the back of the
More informationד"ר דוד ירדני המכון לגסטרואנטרולוגיה ומחלות כבד מרכז רפואי סורוקה
ד"ר דוד ירדני המכון לגסטרואנטרולוגיה ומחלות כבד מרכז רפואי סורוקה Presentation: S.A is 25 years old. Referred to a gastroentrologist because of abdominal pain and bloody diarrhea in the last few weeks.
More informationGeneral History. 林陳 珠 Female 69 years old 住院期間 : ~ Chief Complaint : sudden loss of conscious 5 minutes in the morning.
General History 林陳 珠 Female 69 years old 住院期間 : 93.5.8~93.5.15 Chief Complaint : sudden loss of conscious for 2-52 5 minutes in the morning. General History DM under regular medical control for 10 years.
More informationCommunity Acquired Pneumonia. Abdullah Alharbi, MD, FCCP
Community Acquired Pneumonia Abdullah Alharbi, MD, FCCP A 68 y/ male presented to the ED with SOB and productive coughing for 2 days. Reports poor oral intake since onset due to nausea and intermittent
More informationGOOD MORNING! July 3, 2014
GOOD MORNING! July 3, 2014 OUR PATIENT 4yo Female with: 2 days of fever, sore throat, swollen nodes in neck and abdominal pain PMH: Tonsillectomy age 2 Immunizations: UTD NKDA DIFFERENTIAL: OUR PATIENT
More informationCase presentation. Dr REESAUL R
Case presentation Dr REESAUL R Mr S. 25 years old Case 1 Ref on 06/ April /2006 to Chest Clinic from a private GP of Port Louis for : Cough + haemoptysis and dyspnoea Case 1(6/April/2006) Mr S Single 25
More informationObjectives. 3HP and Flu Syndrome What is the Underlying Mechanism? Case #1 3/23/2016. Christina T. Fiske, MD MPH March 30, 2016
Objectives 3HP and Flu Syndrome What is the Underlying Mechanism? Christina T. Fiske, MD MPH March 30, 2016 Illustrate the side effect of 3HP flu like syndrome after its initiation to raise awareness in
More informationESIM 2014 Clinical Case Presentation Israel. Ben-Sasson Maayan Bnei-Zion medical center Haifa
ESIM 2014 Clinical Case Presentation Israel Ben-Sasson Maayan Bnei-Zion medical center Haifa Presentation A 24 YO male,a ping-pong player, presented to the ER with acute onset of right upper extremity
More informationA 16 yr old boy with aggressive ca esophagus. DR Ayunga A.O Physician-Garisa PGH Associate Faculty Lecturer-UON Afya Bora Fellow in Global Health
A 16 yr old boy with aggressive ca esophagus DR Ayunga A.O Physician-Garisa PGH Associate Faculty Lecturer-UON Afya Bora Fellow in Global Health Cancer of esophagus in a 16yr old Y.N 16 yr old boy unwell
More information3/25/2012. numerous micro-organismsorganisms
Congenital & Neonatal TB A Case of Tuberculosis Congenital or Acquired? Felicia Dworkin, MD NYC DOHMH Bureau TB Control World TB Day March 23, 2012 Congenital TB: acquired by the fetus during pregnancy
More informationAn Uncommon Presentation of Large B-cell Lymphoma of the kidney A Case Report and Literature Review
An Uncommon Presentation of Large B-cell Lymphoma of the kidney A Case Report and Literature Review CHRISTOPHER ADILETTA M.D., AJAZ SHAWL M.D. ST. JOSEPH S HEALTH, SYRACUSE, NY Our Patient Case We present
More informationA case of hypokalemia MIHO TAGAWA FIRST DEPARTMENT OF MEDICINE NARA MEDICAL UNIVERSITY
A case of hypokalemia MIHO TAGAWA FIRST DEPARTMENT OF MEDICINE NARA MEDICAL UNIVERSITY Case 57 y.o. male CC: Weakness HPI: About 20 years ago, he developed bilateral lower extremity weakness. Laboratory
More informationCARDIOVASCULAR CASE-BASED SMALL GROUP DISCUSSION
MHD I Session VIII Student Copy Page 1 CARDIOVASCULAR CASE-BASED SMALL GROUP DISCUSSION MHD I SESSION VIII OCTOBER 22, 2014 STUDENT COPY MHD I Session VIII Student Copy Page 2 Case 1 Chief Complaint I
More informationGASTROENTEROLOGY ESSENTIALS
GASTROENTEROLOGY ESSENTIALS Practical Gastroenterology 8/25/2018 Jahnavi Koppala, MBBS Abdullah Abdussalam, MD A 48-year-old male was evaluated for noncardiac chest pain. Treatment with PPI twice daily
More informationHASPI Medical Biology Lab 03
Patient 1001 is a 42-year-old female that is experiencing severe heartburn, abdominal pain, bloating, nausea, and vomiting. Ulcers Bleeding sores in the stomach or intestine Gallbladder Disease Gallstones
More informationDOUBLE WHAMMY DR K.JAGADEESWAR REDDY DNB MEDICINE
DOUBLE WHAMMY DR K.JAGADEESWAR REDDY DNB MEDICINE 52 yrs male who is hailing from Mannargudi of Tamilnadu Chief c/o excessive fatigue, exertional dyspnea, black coloured stools on and off, bleeding from
More informationA TRICKY PROBLEM. Presenter-Dr Lakshmi PK
A TRICKY PROBLEM Presenter-Dr Lakshmi PK Patient particulars 33 years old Male Resident of Andhra Pradesh Occupation-soldier Chief compliants Headache- 03 days Headache-global,throbbing type Associated
More informationMelanoma Case Scenario 1
Melanoma Case Scenario 1 History and physical 11/5/16 Patient is a single, 48-year-old male in good health who presented to his primary physician for a yearly physical exam during which a 3.4 x 2.8 x 1.5
More information,**2 AIDS +, + CMV AIDS : CMV +* :,**,*/,**2 HIV CMV CMV ,**0,,**1 - S -,/ -2.* +.* CMV : *0* *2+/ +/ CMV ,**2 1 +.
**2 The Japanese Society for AIDS Research The Journal of AIDS Research AIDS + + + + + + + - : CMV CMV AIDS : /1 **1 - CMV HIV : CMV CMV : AIDS HIV +* : ** */ **2 CMV AIDS CT + CMV CMV + CRP AST AIDS LDH
More informationNORTHERN VIRGINIA PULMONARY AND CRITICAL CARE ASSOCIATES, P.C.
NORTHERN VIRGINIA PULMONARY AND CRITICAL CARE ASSOCIATES, P.C. Past Medical History AIDS/HIV disease Anemia Asthma Bronchitis Cancer Date of last Chest X-ray Diabetes Mellitus, Type I Diabetes Mellitus,
More information2017/04/21 R1 歐宗頴. Case Discussion
2017/04/21 R1 歐宗頴 Case Discussion Case Demography Name: 18143xxx Age: 14y/o Gender: boy Admission: 2017/04/07 Chief complaint: recurrent fever with RUQ pain for 6 weeks Past History G3P3 full term NSD
More informationTopic: Chronic Heart Failure Cases for Monday s March 21th lecture.
1 Phar6122: CV section Date: 3/10/05 Topic: Chronic Heart Failure Cases for Monday s March 21th lecture. Directions: This handout includes three chronic heart failure cases of increasing difficulty. In
More informationCase Discussion Splenic Abscess
Case Discussion Splenic Abscess Personal Data Gender: male Birth Date: 1928/Mar/06th Allergy: Mefenamic Smoking: 0.5 PPD for 55 years Alcohol: negative (?) 4 Months Ago Abdominal pain: epigastric area
More information62- year-old man presented with-
62- year-old man presented with- High grade continued fever Extreme anorexia and vomiting 2 months BACKGROUND On 15 th March 2004, presented with- - severe pain, swelling, marked redness of ears, nose,
More informationPediatric Case Studies. Case 1
Pediatric Case Studies James Naprawa, MD Assistant Clinical Professor Pediatric Emergency Medicine Children s Hospital, Columbus Case 1 Almost 4 year old AA girl PMH UTI x 2 with abdominal pain and fever
More informationMelanoma Case Scenario 1
Melanoma Case Scenario 1 History and physical 11/5/16 Patient is a single, 48-year-old male in good health who presented to his primary physician for a yearly physical exam during which a 3.4 x 2.8 x 1.5
More informationESIM: Winter School in Riga Case report
ESIM: Winter School in Riga 2015 Case report Imanta Ozola Zālīte Pauls Stradins Clinical University Hospital Latvia 29.01.2015. January, 2006 32 y., man 2-3 weeks fatigue fluidal stool 2 times per day
More informationWeight loss, Night sweats & Diarrhea Imported from the Ukraine Dr. Yael Weintraub Pediatric Gastroenterology Unit Dana-Dwek Children s Hospital
Weight loss, Night sweats & Diarrhea Imported from the Ukraine Dr. Yael Weintraub Pediatric Gastroenterology Unit Dana-Dwek Children s Hospital A.N,, 14 y.o., generally healthy, Ukraine citizen. Admitted
More informationResults. Clinical reports of transplant recipients
Cloning of EBV genes as fusion proteins with Renilla luciferase for Luciferase Immunoprecipitation System (LIPS) analysis A panel of 13 different EBV proteins was generated as Renilla luciferase (Ruc)
More informationBroward Oncology Associates, P.A. PATIENT INFORMATION
NAME: BIRTHDATE: AGE: LOCAL ADDRESS (Street city state zip): HOME TELEPHONE# CELL # SOCIAL SECURITY #: - - SEX MARITAL STATUS WHAT IS YOUR HT? WHAT IS YOUR WT? EMPLOYER WORK# SPOUSE'S NAME SPOUSE'S EMPLOYER
More informationLower GI bleeding. Aliu Sanni, MD Long Island College Hospital 17 th June, 2010
Lower GI bleeding Aliu Sanni, MD Long Island College Hospital 17 th June, 2010 Case Presentation CC: Hematochezia HPI: 28yr old male presents with 1 day episode of bloody stools. Denies any abdominal pain.
More informationCase Presentation: Mr. S
Case Presentation: Mr. S History Seen as inpatient in May, but has significant prior history and is a poor historian 53 y.o. Male no PMH, has been out of contact with medicine for years aside from hernia
More informationHand-Carried Ultrasound Performed by a Hospitalist to Assist with Clinical Decisions in Medicine Inpatients: a Case Series
Hand-Carried Ultrasound Performed by a Hospitalist to Assist with Clinical Decisions in Medicine Inpatients: a Case Series Stefan Tchernodrinski, MD Cook County Hospital Chicago, Illinois Introduction
More informationPatient Name Date of Birth MALE / FEMALE Date. Left handed or Right handed. Marital Status: Single Married Divorced Widowed Children?
PH NEW PATIENT HISTORY Patient Name Date of Birth MALE / FEMALE Date Occupation: Left handed or Right handed Marital Status: Single Married Divorced Widowed Children? Y or N # Previous Treating Physician:
More informationPatient Intake Form for Allegany Ear, Nose, & Throat
Patient Intake Form for Allegany Ear, se, & Throat Patient Name: What brings you to the office today? Who is your primary care doctor? Please list your current medications: Are you allergic to any medications?
More informationPast Medical History. Chief Complaint: Patient Name: Appointment Date: Page 1
Appointment Date: Page 1 Chief Complaint: (Please write reason, symptoms, condition or diagnosis that prompts your appointment) Past Medical History PERSONAL SKIN HISTORY YES NO Yes - Details Melanoma
More informationPathology of Hematopoietic and Lymphoid tissue
CONTENTS Pathology of Hematopoietic and Lymphoid tissue White blood cells and lymph nodes Quantitative disorder of white blood cells Reactive lymphadenopathies Infectious lymphadenitis Tumor metastasis
More information*HSP is a common vasculitis of small vessels with cutaneous & systemic complications. Its etiology is unknown& often follows URTIs.
BY Introduction The disease is eponymously named after Eduard heinrich Henoch (1820-1910), a German pediatrician, and his teacher Johann Lukas Schonlein (1793-1864), who described it in the 1860s. Cont
More information155.2 Malignant neoplasm of liver not specified as primary or secondary. C22.9 Malignant neoplasm of liver, not specified as primary or secondary
ICD-9 TO ICD-10 Reference ICD-9 150.9 Malignant neoplasm of esophagus unspecified site C15.9 Malignant neoplasm of esophagus, unspecified 151.9 Malignant neoplasm of stomach unspecified site C16.9 Malignant
More informationFBC interpretation. Dr. Gergely Varga
FBC interpretation Dr. Gergely Varga #1 71 Y/O female, c/o weakness Test Undertaken : FBC (FBC) Sample Type: Whole Blood [ - 26.09.11 14:59] Hb 7.3 g/dl* 12.0-15.5 RBC 3.5 10^12/l * 3.80-5.60 Hct 0.24
More informationUNUSUAL PRESENTATION OF AN USUAL CAUSE OF THROMBOCYTOPENIA SOUTHERN RAILWAY HQ HOSPITAL, PERAMBUR DR. KUMARAN DNB PG
UNUSUAL PRESENTATION OF AN USUAL CAUSE OF THROMBOCYTOPENIA SOUTHERN RAILWAY HQ HOSPITAL, PERAMBUR DR. KUMARAN DNB PG 5 months old female infant hailing from Thoothukudi brought by her mother referred from
More informationCase Workshop of Society for Hematopathology and European Association for Haematopathology
Case 148 2007 Workshop of Society for Hematopathology and European Association for Haematopathology Robert P Hasserjian Department of Pathology Massachusetts General Hospital Boston, MA Clinical history
More informationExam 1 Review. Cardiopulmonary Symptoms Physical Examination Clinical Laboratory Studies
Exam 1 Review Cardiopulmonary Symptoms Physical Examination Clinical Laboratory Studies WBC Count Differential A patient had been admitted to the hospital for acute shortness of breath. A CXR examination
More informationAnemia (3).ms4.25.Oct.15 Hemolytic Anemia. Abdallah Abbadi
Anemia (3).ms4.25.Oct.15 Hemolytic Anemia Abdallah Abbadi Case 3 24 yr old female presented with anemia syndrome and jaundice. She was found to have splenomegaly. Hb 8, wbc 12k, Plt 212k, retics 12%, LDH
More informationDISCUSSION BY: Dr M. R. Shakeebi, MD, Rheumatologist
Case presentations Related to some Rheumatic Diseases Lab & Clinic i Programs, Tuesday, April 24, 2012 COORDINATOR: Dr M. Mahdi Mohammadi, LMD,PhD, Immunologist COORDINATOR: Dr M. Mahdi Mohammadi, LMD,PhD,
More informationLymphoma co existing with Tuberculosis granulomatous
Available online at www.worldscientificnews.com WSN 90 (2017) 265-270 EISSN 2392-2192 SHORT COMMUNICATION Lymphoma co existing with Tuberculosis granulomatous Madeeha Subhan 1, *, Waleed Sadiq 2 1 Ayub
More informationCitywide Infectious Disease Conference. March 27 th, 2018
Citywide Infectious Disease Conference March 27 th, 2018 Citywide Show and Tell Case 1 Summary 60 s year old Puerto Rican born man SCC of Esophagus, treated with radiation and chemotherapy and then esophageal
More informationa mimicker of Wegener s Granulomatosis
a mimicker of Wegener s Granulomatosis Combined Meeting October 2009 a story of 2 ladies Madam JA 56 year-old Madam RH 36 year-old Madam JA 56 year-old Apr 2008 May Jun Jul Aug Sept Oct Nov 2008 Madam
More information( Rosai Dorfman disease)
Sinus histiocytosis with massive lymphadenopathy ( Rosai Dorfman disease) BIBI SHAIN SHAMSIAN Rosai Dorfman disease Rosai-Dorfman Disease (RDD) or Sinus Histiocytosis with massive lymhadenopathy (SHML):
More informationA Practical Approach to Leukopenia/Neutropenia in Children. Vandy Black, M.D., M.Sc., FAAP OLOL Children s Hospital August 24, 2014
A Practical Approach to Leukopenia/Neutropenia in Children Vandy Black, M.D., M.Sc., FAAP OLOL Children s Hospital August 24, 2014 Disclosures EPIC trial MAST Therapeutics SUSTAIN trial Selexys Pharmaceuticals
More informationCase Report Traumatic Haemorrhagic Cervical Lymphadenopathy with Underlying Infectious Mononucleosis
Hindawi Case Reports in Radiology Volume 2017, Article ID 3097414, 4 pages https://doi.org/10.1155/2017/3097414 Case Report Traumatic Haemorrhagic Cervical Lymphadenopathy with Underlying Infectious Mononucleosis
More informationLisa K. Fitzpatrick, MD, MPH Associate Professor of Medicine Howard University School of Medicine
Lisa K. Fitzpatrick, MD, MPH Associate Professor of Medicine Howard University School of Medicine HIV Testing Missed Opportunities Acute Retroviral Syndrome Opportunistic Infections Treatment Reminders
More informationLymphatic system component
Introduction Lymphatic system component Statistics Overview Lymphoma Non Hodgkin s Lymphoma Non- Hodgkin's is a type of cancer that originates in the lymphatic system. It is estimated to be the sixth most
More informationLymphoma (Lymphosarcoma) by Pamela A. Davol
Lymphoma (Lymphosarcoma) by Pamela A. Davol Cells derived from the bone marrow that mature and take part in cellular immune reactions are called lymphocytes. When lymphocytes undergo transformation and
More informationPROBLEMS OF THE HEMATOLOGICAL SYSTEM
PROBLEMS OF THE HEMATOLOGICAL SYSTEM UNIT 5 Review A & P of Hematological system Outline focused exam Differentiate and start to evaluate diagnostic exams used to assess problems of the hematological system
More informationA long-lasting FUO. Martial, 34, carpenter
A long-lasting FUO Martial, 34, carpenter No significant medical history Married, wife pregnant 2 healthy children Lives in a rural area Biking, jogging, parachuting 1 pet cat No travel abroad A long story
More informationUnderstanding your diagnosis. Dr Graham Collins Consultant Haemtologist Oxford University Hospitals
Understanding your diagnosis Dr Graham Collins Consultant Haemtologist Oxford University Hospitals Common questions I get asked What is lymphoma? What subtype do I have and what does that mean? What are
More informationChronic diarrhea. Dr.Nasser E.Daryani Professor of Tehran Medical University
1 Chronic diarrhea Dr.Nasser E.Daryani Professor of Tehran Medical University Timing Acute diarrhea: 4 weeks Definitions Derived from Greek
More informationTEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM
TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM PATIENT NAME: DATE OF BIRTH: TVA Physician being seen: Date of Visit: PAST MEDICAL HISTORY HEART PROBLEMS NEUROLOGICAL Congestive Heart Failure
More informationClinical & Laboratory Assessment
Clinical & Laboratory Assessment Dr Roger Pool NHLS & University of Pretoria Clinical Assessment (History) Anaemia ( haemoglobin) Dyspnoea (shortness of breath) Tiredness Angina Headache Clinical Assessment
More informationManagement of acute alcoholic hepatitis
Management of acute alcoholic hepatitis Yesim ALAHDAB Marmara University Hospital, Istanbul/TURKEY 5 th European Young Hepatologists Workshop August, 27-29, 2015 Moulin de Vernègues, France 1.4L ALCOHOL
More informationGeneral Medical Concerns
General Medical Concerns General Medical Concerns Fred Reifsteck MD Head Team Physician University of Georgia Missed Time: school, work, practice, games Decreased Performance Physical/ Mental stress: New
More informationClinical Case. Dr. Akif BAYYİĞİT Dr. İlker Nihat ÖKTEN Dr. Serkan DUMANLI
Clinical Case Dr. Akif BAYYİĞİT Dr. İlker Nihat ÖKTEN Dr. Serkan DUMANLI Case: Mr. A.D. 44 Male Abdominal pain and fever Past Medical History: Facial paralyses 20 years ago Splenomegaly? Family History:
More information