Session Type
Meeting
Search Results for Cranial Nerve
Abstract Number: 609
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical […]
Abstract Number: 614
SHM Converge 2023
Case Presentation: A 63-year-old male with past medical history of hyperlipidemia and diabetes mellitus presented to an outside hospital with diplopia and new onset weakness, paresthesia, and numbness in bilateral lower extremities three days following a mild viral infection. The patient was discharged after two days without acute intervention following extensive negative workup including imaging, […]
Abstract Number: 710
SHM Converge 2023
Case Presentation: The patient is a 72-year-old male with a medical history of gout and hypertension who presented from an outside hospital with diplopia and muscle cramps. Per patient report, he was sitting at home watching TV when he started noticing double vision, followed by a pressure sensation around his left eye. He did not […]
Abstract Number: 748
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]
Abstract Number: 760
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Syphilis is known as the “Great Imitator” for good reason. With its insidious onset and nonspecific presentation, it is often mistaken for other diagnoses or overlooked altogether. Here, we describe a case of an isolated facial nerve palsy as a rare manifestation of neurosyphilis. A 53-year-old man presented to urgent care with acute-onset […]
Abstract Number: 780
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47-year-old male with a past medical history of Bell’s palsy, hypertension, end-stage renal disease on hemodialysis, papillary thyroid cancer s/p thyroidectomy, and post-surgical hypothyroidism presented with new-onset left sided ptosis, mydriasis and retro-orbital pain. Approximately, three weeks ago he experienced similar symptoms without corresponding headache that self-resolved. The review of systems was […]
Abstract Number: 814
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 8 year-old male presented with one week of acute ataxia. Physical exam was significant for a wide-based gait and a mild left sixth nerve palsy. A lumbar puncture (LP) was performed and revealed an opening pressure >35 cm H2O. After the elevated opening pressure was found, a dilated funduscopic exam was performed […]
Abstract Number: 830
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Our patient was a 2-year-old female who presented with new onset esotropia, stridor with crying and swallowing dysfunction. In addition, she reported a week long history of fever, emesis and fatigue. Three weeks prior to presentation, she had travelled to India and Dubai. Laryngoscopy at the bedside showed inadequate vocal cord movement. With […]
Abstract Number: 837
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24-years-old man with no prior comorbidity presented to the hospital with a 2 months history of progressive, left sided headaches. He also developed diplopia 1 week prior when his family also noticed the deviated left eye. Upon arrival his temperature was 36.5 Celsius degree, blood pressure 142/90, respiratory rate 18 and heart […]
Abstract Number: 1127
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical […]