Clinical Challenge

Neurology Information Center

A Patient With Fatigue and Fluctuating Bilateral Ptosis, Vertical Binocular Diplopia

By

Lauren Blessing, PA-C

Sara Haddow Liebel, MSA, PA-C

Publish Date November 5, 2020

Fluctuating bilateral ptosis, binocular diplopia, and fatigue without pupillaryabnormalities raise the clinical index of suspicion for myasthenia gravis.

Clinical Challenge

Case Study: Painless Loss of Vision

By

Brady Pregerson, MD

Publish Date November 4, 2020

A patient presents with dark and blurred vision occurring in her left eye that has been present for 24 hours.

Pulmonology Information Center

Aspiration Pneumonia Mistaken for Community- Acquired Pneumonia

By

Paula M. Barrenechea, PA-S

Stevie M. Redmond, MPA, PA-C

Publish Date October 2, 2020

A patient with a history of achalasia presents to the emergency department with pneumonia that quickly leads to hypoxic respiratory failure.

Clinical Challenge

Case Study: Pain in the Right Lower Abdomen

By

Brady Pregerson, MD

Publish Date September 23, 2020

A young woman presents to the emergency department with right lower quadrant pain that has become progressively worse over the past 18 hours.

Clinical Challenge

Case Study: Epigastric Abdominal Pain and Vomiting

By

Brady Pregerson, MD

Publish Date August 24, 2020

A patient presents to the emergency department with intermittent epigastric abdominal pain that radiates into his back.

Clinical Challenge

Case Study: Gunshot Wound to the Thigh

By

Brady Pregerson, MD

Publish Date July 27, 2020

A man presents to the emergency department with a gunshot wound above the knee on his left thigh.

Neurology Information Center

Case Report: When a Headache Isn’t a Migraine

By

Heather Jones, DNP, AGPCNP-C

Beth Ammerman, DNP, FNP-BC

Publish Date June 8, 2020

Chiari malformation is a condition characterized by cerebellar tonsillar herniation of ≥5 mm below the level of the foramen magnum.

Clinical Challenge

Case Study: Pain and Swelling in the Knee

By

Brady Pregerson, MD

Publish Date May 21, 2020

A man presents to the emergency department with a 3-day history of gradually worsening pain and swelling in his left knee.

Dermatology Information Center

Mole Patrol: A Case of Disseminated Melanoma

By

Amanda Boyd, PA-S

Lisa Daitch, MPAS, PA-C

Publish Date May 20, 2020

The clinical presentation of melanoma varies between patients, stage of diagnosis, subtype, and may initially present the same as any other pigmented macule or patch on the skin.

Clinical Challenge

Case Study: Eye Pain and Drainage, Headache, and Blurry Vision

By

Brady Pregerson, MD

Publish Date April 17, 2020

An older woman presents with a 4-day history of worsening pain and discharge in her right eye followed by a headache and blurry vision.