The patient A 60-year-old male with no prior cardiovascular diagnoses presented for routine preventive care. The patient was an active runner, including in ultramarathons, with no reported symptoms of coronary artery disease, such as chest pain, shortness of breath, exercise intolerance or fatigue. His medical history was notable for elevated cholesterol and a significant family…
The patient A 43-year-old woman presented to the Norton Neuroscience Institute Face Pain Clinic with severe trigeminal neuralgia pain affecting the left side of her face. She described the pain as sharp, electrical, and shock-like — triggered by everyday activities such as eating, speaking, applying makeup and exposure to cold air. The condition progressively had…
The patient Patient is a 37-year-old male. He was referred to Norton orthopedic oncology following outpatient orthopedic hand X-rays demonstrated a nondisplaced fracture of the right third metacarpal neck, following low-energy work-related trauma. Open biopsy demonstrated leiomyosarcoma of the right volar palm with involvement of the third metacarpal neck. The challenge Patient is right-hand dominant…
The patient Patient is a 61-year-old male with a past medical history significant for mitral valve prolapse (diagnosed at age 14). He presented to a Norton Immediate Care Center location with complaints of rash on his lower legs. He had been having shortness of breath for several months after a back injury left him with…
The patient An active 60-year-old male with atrial fibrillation (A-fib) had been seen by Norton Heart & Vascular Institute cardiothoracic surgeon Steven M. Peterson, M.D., and after endocardial ablation was still symptomatic. His condition limited his ability to exercise and engage in his role as a soccer referee and long-distance runner. The challenge Despite five direct current cardioversion treatments…
The patient A 33-year-old male with heroin use and an abscess to left arm: Workup revealed methicillin-sensitive Staphylococcus aureus bacteremia with tricuspid endocarditis and pulmonary septic emboli with cavitations and central nervous system septic emboli. This condition is common with intravenous drug use and increasing in prevalence. His course was complicated by COVID-19. The challenge…
The patient A 13-year-old female presented with bilateral shin pain that began after she increased her gymnastics training from nine to 21 hours per week around nine months prior. Her right leg pain was worse than left. She was seen by an outside sports medicine specialist clinic in August of 2024 and treated with rest…
The patient A 54-year-old man with chronic severe pulmonic regurgitation due to history of valvar pulmonary stenosis, the patient had a Brock procedure at age 8. Right heart failure symptoms included dyspnea, early satiety, ascites and peripheral edema, qualifying as New York Heart Association Class III heart failure. A cardiac MRI showed a severely dilated…
The patient A 41-year-old pregnant patient at 38 weeks’ gestation was admitted for elective cesarean section. Her medical history included three pregnancies, two live births, two prior cesarean sections, anterior placenta with polyhydramnios (amniotic fluid index 35), pituitary macroadenoma, gastroesophageal reflux disease (GERD), and headaches. Echocardiogram in 2019 demonstrated an ejection fraction (EF) of 56%….
The patient A man in his forties with a history of epilepsy and ankylosing spondylitis presented with acute onset neck pain after he was found down on the ground next to his bed by his father. The patient is amnesic to the event. The challenge The care team The solution The patient was placed in…
The patient A 4-year-old child with complex form of long QT syndrome needed surgical revision of her implantable cardioverter-defibrillator (ICD) due to device malfunction. Long QT syndrome is a congenital heart condition that predisposes affected patients to suddenly develop serious heart rhythm disturbances (for example, ventricular tachycardia/fibrillation) that can be life-threatening. In addition to taking…
The patient A 12-year-old male initially was seen for significant bowing of the right tibia, causing knee pain — and his mom noted increasing deformity as he was growing older. There was concern for continued bowing of the leg, causing long-term issues with the right knee. He was having mild to moderate knee pain, which…