Diagnostic Challenge from Cortlandt Forum

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Diagnostic Challenge

Compression fractures in a man with osteoporosis

August 19, 2010

An 83-year-old male with an osteoporotic compression fracture of the second lumbar vertebra (L2), sustained in a fall, complained of continuing pain despite conservative treatment for the past 3 weeks.

Bacterial meningitis complicated by seizures and confusion

August 10, 2010

Myoclonic seizures began following surgery to repair a cerebrospinal fluid leak in a 73-year-old woman.

What is the significance of this patient's pulsatile tinnitus?

June 29, 2010

Symptoms were worse when she tried to sleep, but there was no associated dizziness, vertigo, or otalgia.

When prescription and OTC hydrocortisone creams are ineffective against itchy lesions

June 15, 2010

Psoriasis can be tricky to treat, especially when topical steroids aren't making a dent. Where do you go next?

Statin therapy initiated in a hepatitis C patient with elevated cholesterol

June 03, 2010

Given a family history of premature coronary disease, the patient became concerned after...

Fatigue and hypersomnia in a depressed alcoholic

May 20, 2010

Our patient had a history of depression, peptic ulcer disease, and alcoholism. For several months, she had complained of fatigue and daily bifrontal headaches. She was referred to a neurologist after a brain MRI showed questionable white-matter changes. However...

What's causing drastic weight loss and bone deformities in an infant?

May 17, 2010

Between the age of six and eight months, this baby dropped from the 50th percentile to the 25th percentile in weight. During this time, he had been breastfed and given a large variety of complementary foods.

Cutaneous symptoms reveal an unintentionally obscured disease

Matthew S. Rice, LTC, MC, USA March 01, 2010

As a health-care professional, this patient sought informal options that led to a delay in...

An infrequent cause of chronic cough

Guada Respicio, MD February 10, 2010

A number of diagnostic possibilities are raised, including allergy, asthma, postnasal drip, and reflux.

Recurrent cellulitis following buttock augmentation

Erica Kass, MD, and Eugene Wong, MD November 12, 2009

The patient's pain and swelling failed to resolve despite previous hospitalization and IV cephalosporin therapy.

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Statistically Significant

3.1

Annual percentage increase in new diagnoses of malignant melanoma from 1992 to 2004.

30

Percentage of people diagnosed with asthma who don't have the disease.

142,505 emergency department visits

31% of all antidepressant prescriptions

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