Category Archives: Cases

Preventing Amputation With Surgical Foot Reconstruction

Surgical foot reconstruction can prevent amputation in diabetic patients

By: Normal A. Siddiqui, DPM, MHA A 60-year-old female with a history of Type 2 diabetes, neuropathy and high blood pressure related that she had developed a non-healing sore after she noticed her “arch collapsed” a year earlier. She had seen multiple doctors but had not had any success healing her open wound. She was […]

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Spinal Cord Stimulation: Alternative to Pain Medication

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SUDHIR R. RAO, MD Case: A 51-year-old woman presented with severe lower-back and leg pain that had been taking a toll on her life since she had fallen down a flight of stairs nearly five years earlier. Despite multiple treatments with NSAIDs, physical therapy and lumbar spine surgery, she continued to report intolerable pain. While […]

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Genetic Testing for Lynch Syndrome


CHRISTY HAAKONSEN, ScM, CGC CASE Sarah is a 49-year-old woman with an extensive family history of gastrointestinal cancer. Her brother was diagnosed with colon cancer at 34. Her father was diagnosed with an adenocarcinoma of the cecum at age 45 and died from metastases at 47. Her paternal uncle developed colon cancer in his 30s […]

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Collagenase Injection: An Alternative to Surgery for Dupuytren’s Contracture

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JESSICA BROWN, MD Case A 49-year-old woman with blue eyes and fair skin presented with severe Dupuytren’s contracture of her little finger. She first noted thickening of her palmar fascia and a nodule in her 30s. She had a positive family history of Dupuytren’s that included her father, brother and several cousins. At the time […]

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Genetic Testing for Ovarian Cancer

Uterus or uterine cancer medical concept as cancerous cells spreading in a female body attacking the reproductive system anatomy including ovaries and fallopian tubes as a health care symbol of cervical tumor growth treatment and risks.

ALBERT STEREN, MD CASE Julia is a 49-year-old woman with a significant family history of gynecologic and breast cancer. Julia’s mother was diagnosed with epithelial ovarian cancer at age 52 and died of complications of treatment only six months after her cancer diagnosis. Julia’s maternal aunt (her mother’s younger sister) was diagnosed with breast cancer […]

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Body Contouring Following Bariatric Surgery

Fat woman obesity concept

RACHEL BLUEBOND-LANGNER, MD Twenty-three-year-old TJ has struggled with his weight throughout his life. TJ tried to diet and exercise but this was not working. He consulted with the team of physicians at the University of Maryland Center for Weight Management and Wellness in Baltimore, and enrolled in their comprehensive program. He eventually underwent a sleeve […]

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30 Years of Progress in Treating Cardiovascular Disease


I first met ‘Fred’ when he was 32 years old, with his first inferior myocardial infarct (MI). We treated him with streptokinase within two hours of chest pain onset. His ejection fraction (EF) remained intact. However, this tale really started many years before that MI. Fred remembers going to the National Institutes of Health (NIH) […]

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Current Awareness and Treatment of Critical Limb Ischemia

A 59-year-old male laborer presented with a non-healing, left great-toe ulcer. He also described severe rest-pain in his same forefoot. His past history was significant for insulin-dependent diabetes mellitus (IDDM), hypertension, dyslipidemia, renal insufficiency, obesity and 40 pack/years of smoking. […]

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Start Palliative Care Consult at Time of Cancer Diagnosis

Cheryl is a 55-year-old woman in good health with no significant medical history, who presented with low back pain radiating to her legs that has failed six weeks of conservative treatment with physical therapy and NSAIDS. She attributed a 20-pound weight loss over two months to increased exercise and a new dietary supplement […]

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Minimally Invasive Spine Surgery: Fast Relief for Intractable Pain

A 54-year-old male presents with a four-year history of severe back pain, sciatica and difficulty walking. He has spinal stenosis and spondylolisthesis at L4-L5. The patient has loss of sensation and weakness. He is no longer able to work out or even enjoy recreational activities with his wife due to intense pain and the need for opiates. […]

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