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...
View ArticleMorbid 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...
View ArticleHernia 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...
View ArticleMinimally 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...
View ArticleStart 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...
View ArticleCurrent 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...
View Article30 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...
View ArticleBody Contouring Following Bariatric Surgery
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...
View ArticleGenetic Testing for Ovarian Cancer
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...
View ArticleCollagenase Injection: An Alternative to Surgery for Dupuytren’s Contracture
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...
View ArticleGenetic 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...
View ArticleSpinal Cord Stimulation: Alternative to Pain Medication
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....
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Preventing Amputation With Surgical Foot Reconstruction
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...
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Bariatric Surgery: Safe and Effective
Barry Greene, MD, FACS, FASMBS Case RW is a 66-year-old gentleman with a body mass index (BMI) of 54. He presented with poorly controlled diabetes, hypertension, gout, nonalcoholic steatohepatitis,...
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Undescended Testes: Less Imaging and Early Referral Reduces Cost, Risk and...
BY ROBERT A. MEVORACH, MD, FSPU, FAAP Case In this case a 12-year-old boy received a new diagnosis of a right non-palpable undescended testicle, which was discovered on a routine sports physical at an...
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Advantages of Anterior Hip Arthroplasty
By Farshad Adib, MD Case FJ is a 57-year-old male who had bilateral hip replacement and needed a right hip revision arthroplasty due to acetabular osteolysis and multiple hip dislocations. After...
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Donated Cards Allow Metastatic Cancer Patients to Convey Love Beyond Death
By Lillie Shockney, RN, BS, MAS As the administrative director of the Johns Hopkins Breast Center for nearly two decades and the director of Johns Hopkins Cancer Survivorship programs for our cancer...
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