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 gastrectomy. [...]
Category Archives: Cases
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) [...]
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. [...]
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 [...]
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. [...]
A 40-year-old woman is on the liver transplant list for Laennec’s cirrhosis with a MELD (Model for End-stage Liver Disease) score of 9. She presented to the hernia clinic with multiple recurrent abdominal wall hernias, resulting from prior operations [...]
ELIZABETH A. DOVEC, M.D. Case: A 45-year-old morbidly obese female with past medical history significant for hypertension presents for evaluation of burning epigastric and substernal pain that has recurred almost daily for the past four months. She says these symptoms are worse when she lies down and after meals. She denies difficulty swallowing. The patient...
Ischemic stroke is a devastating neurologic disease and a significant cause of death and disability. While recognized in the elderly, disability from an ischemic cerebrovascular accident (CVA) can also be profound in younger patients.
REBECCA ELON, M.D. Case Mrs. Jones was a successful businesswoman. After retiring at age 65 she remained active with local volunteer groups. After her 79th birthday, her husband became concerned because she had dropped out of most of her usual activities. She had always been a very outgoing person, but had become quiet and reserved....
By Stephen Cattaneo, M.D. Case: In 2012, a 65-year-old female, current smoker with a 58-pack year smoking history (the equivalent of one pack per day for 58 years) underwent a chest X-ray as part of her pre-operative workup prior to left shoulder arthroscopic surgery. Her radiograph identified an incidental left lung lesion. Subsequent diagnostic...