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Case 6: When Is a Headache Not Just a Headache?
A 41-year-old healthy woman underwent a gingival scraping procedure. Following the procedure, she developed fever and malaise, and the "worst headache of her life."
Clinical Case, July 2004
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A 14-Year-Old Boy With Jaundice and Pruritus
This patient presented to his pediatrician with a 3-week history of jaundice, diffuse pruritus, and fatigue. He was referred to a gastroenterologist for further evaluation.
Clinical Case, June 2004
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A 5-Year-Old Girl With Massive Hepatosplenomegaly, Fever, and Rash
This previously healthy young girl presented to her primary pediatrician with a 1-week history of intermittent fever to 38.9 degrees Celsius, fatigue, cough, congestion, and a diffuse skin rash.
Clinical Case, May 2004
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Case 5: Altered Mental Status and Fever After Resection of Glioblastoma Multiforme
A 54-year-old man with a medical history of hypertension presented to the emergency room after a single, generalized tonic-clonic seizure.
Clinical Case, April 2004
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Case 1: A Gigantic Fatigue
A 32-year-old man presents with a 3-year history of progressively worsening, excessive daytime somnolence and fatigue.
Clinical Case, April 2004
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Surgical Management of Esophageal Epiphrenic Diverticula
What is your surgical approach to this 57-year-old woman who presented with a 10-year history of dysphagia, heartburn, regurgitation, and chest pain?
Clinical Case, March 2004
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Granulomatous Tracheo-Bronchitis Associated With Crohn's Disease
The authors report a rare case of diffuse tracheo-bronchitis as a complication of Crohn's disease in a 24-year-old man with a long-standing history of Crohn's enterocolitis.
Clinical Case, February 2004
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A 60-Year-Old White Man With a 3-Week History of Intermittent, Generalized Abdominal Pain and Diarrhea
This patient was transferred with a 3-week history of intermittent, generalized abdominal pain, diarrhea, and a 1-week history of jaundice, dark urine, and light-colored stool. What is your diagnosis?
Clinical Case, February 2004
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Surgical Management of Achalasia
Brant Oelschlager, MD, and Carlos A. Pellegrini, MD,
discuss and demonstrate, the surgical approach to a
37-year-old woman with a 2-year history of progressive
dysphagia to both solids and liquids.
Clinical Case, December 2003
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Case 4: Just a Bruise?
A 20-month-old girl presents to the emergency department after falling from her couch, hitting her head on a coffee table, and then becoming sleepy.
Clinical Case, November 2003
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A 52-Year-Old Man Referred for Liver and Kidney Transplant Evaluation
This patient with end-stage renal disease from
polycystic kidney disease was admitted to another
hospital with peritonitis from peritoneal dialysis.
Clinical Case, October 2003
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Esophageal Diverticulum as a Cause of Upper Gastrointestinal Bleeding
The authors report 2 patients with esophageal
diverticular bleeding, 1 treated successfully with
endoscopy and the other requiring surgery.
Clinical Case, October 2003
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Case 3: 44-Year-Old Man With Fever, Headache, Confusion, and Ataxia
A man from India with a 2-month history of low-grade
fever, headache, and neck pain presents with gradual
worsening of symptoms. His medical history is
remarkable for uveitis for 2 years prior.
Journal Article, August 2003
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Anti-Yo Antibody-Mediated Paraneoplastic Cerebellar Degeneration in a Man With Esophageal Adenocarcinoma
The patient presented with progressive ataxia and
dysarthria, and extensive work-up suggested
paraneoplastic neurologic syndrome.
Clinical Case, August 2003
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A 46-Year-Old Man With End-Stage Liver Disease Secondary to Hepatitis C With Diarrhea, Fever, and Worsening Liver Failure
This patient presented with a 2-day history of acute
abdominal pain, nausea, decreased appetite, diarrhea,
chills, fevers, and left lower extremity tenderness.
Clinical Case, June 2003
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Case 2: Acute Ascending Paralysis in a 4-Year-Old Boy
A "limp" rapidly progresses to generalized weakness
and areflexia, along with other symptoms.
Journal Article, April 2003
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A 54-Year-Old Man With a History of Heartburn and Progressive Dysphagia
David A. Katzka, MD, launches this new series of
clinical cases with a discussion of a patient who
presented with a 5-year history of heartburn, followed by
4 years of progressive dysphagia.
Clinical Case, April 2003
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Case 1: A Woman With Headache and Dizziness
This patient worsened despite treatment. What's your
diagnosis?
Clinical Case, February 2003
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A Case Report - Posttransplantation Lymphoproliferative Disorder
A 53-year-old woman who had undergone a single right
lung transplant in 2001 for COPD was admitted 1 year
later with fatigue, dyspnea on exertion, and watery
diarrhea.
Clinical Case, February 2003
