The patient A 14-month-old female presented to the emergency department with fever and refusal to bear weight. She had bilateral ear tube insertion 13 days previously and presented to her primary care provider (PCP) three days prior for a viral respiratory infection. She presented to her PCP the day before her admission for refusal to…
The patient A young adolescent male who participates in competitive football and basketball and with history of recent COVID-19 infection was admitted to the pediatric intensive care unit at Norton Children’s Hospital. The initial workup was consistent with multisystem inflammatory syndrome in children (MIS-C), and clinical presentation was consistent with severe MIS-C with respiratory, liver…
The patient A 29-year-old woman with no major medical issues awoke with blurry vision. As the day went on, she began to see double. She looked in the mirror and saw that one of her eyes was pointing in the wrong direction. She also noted tingling across her body and severe fatigue. An immediate evaluation…
The patient A woman presented to Norton Audubon Hospital with shortness of breath and dizziness and was noted to be in new-onset atrial fibrillation (A-fib). She underwent immediate cardioversion but had recurrent A-fib and then was placed on flecainide with a repeat successful cardioversion. Her echocardiogram showed normal left ventricular function. The providers Kent E….
The patient A 12-year-old female presented to Norton Children’s Hospital emergency department with a one-week history of worsening right knee pain and swelling. There was no known trauma, but pain started after exertion in gym class. Initial MRI demonstrated an aggressive bone lesion involving almost the entire right femur. She underwent initial biopsy which confirmed…
The patient A 31-year-old otherwise healthy man presented with an enlarging and increasingly symptomatic left posterior ilium tumor. Biopsy revealed high grade osteosarcoma. Additional staging studies demonstrated no distant metastases. He was treated with neoadjuvant MAP chemotherapy (methotrexate, Adriamycin, cisplatin). The challenge Pelvis osteosarcomas have lower overall survival than those of the extremities. Positive surgical…
The patient A girl born at 26 weeks’ gestation due to premature labor and prolonged premature rupture of membranes. At birth she weighing 891 grams. The mother received appropriate dose of steroids prior to giving birth, and the baby was intubated shortly after birth) and given surfactant with a second dose given at 12 hours….
The patient presented to the emergency department at Norton Audubon Hospital. He had been found at home, down in the bathroom. Incident details: May 3, 2021 47-year-old male arrived at Norton Audubon Hospital, 12:27 a.m. Norton Neuroscience Institute physicians: Vascular neurologist Mohammad S. Alsorogi, M.D. Endovascular neurosurgeon Tom L. Yao, M.D. Presenting complaint The patient…
The patient A 57-year-old man presented to the Norton Brownsboro Hospital emergency department with complaints of headaches that started two weeks earlier and worsened over the preceding few days. In addition, his family reported subtle changes in behavior, including increased sleepiness and issues with memory. A magnetic resonance imaging (MRI) scan demonstrated a brain mass…
The patient A 3-year-old twin girl with a history of prematurity (32 weeks gestational age), intubated for five days in the neonatal intensive care unit (NICU) and who developed pneumothorax as a neonate, was referred to the pediatric pulmonology clinic with dyspnea with activity following a symptomatic COVID-19 infection three months prior to presentation. She…
The patient An 18-year-old man initially presented with the incidental finding five years earlier of a lesion in the left thalamus. He was followed with stable surveillance imaging until 2017 when the lesion started to enlarge. He underwent a stereotactic biopsy confirming juvenile pilocytic astrocytoma. The challenge Juvenile pilocytic astrocytomas are typically benign, well-defined tumors…