Category Archives: Cases

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

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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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Hernia Repair in a Liver Transplant Candidate

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 [...]

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Morbid Obesity and Gastroesophageal Reflux Disease

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...

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Rapid Recogniton/Evaluation of Ischemic Stroke in Younger Patients

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.

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