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Unusual Inflammatory Neuropathy
Clinical History: This 60-year-old patient presented with a history of chronic progressive paresthesias involving all four extremities. Electrodiagnostic studies showed…
Diagnose This 2/5/2024
What is your diagnosis in this transplant biopsy given the features present? Answer: Chronic active antibody-mediated rejection The features…
Vascular Micromineralization
Clinical History This 40-year-old female patient presented with a three month of bilateral medial thigh pain and edema. Her past…
Diagnose This 1/29/2024
What stain would you order to clinch the diagnosis in this transplant patient with AKI? A CMV stain is…
Diagnosis This 1/15/2024
What considerations should be included in your differential diagnosis given the provided histologic finding? The image of a Jones silver…
Longstanding Weakness in an Adult
Clinical History 54-year-old woman. Family history negative for neuromuscular disease Longstanding (L>R) upper & lower extremity weakness Periodic falls &…
Patient with Painful Leg
Clinical History The 60-year-old patient was admitted for complaints of acute left lower extremity pain and weakness, and was found…
Pituitary Lesion
Clinical History This 35-year-old patient presented with headaches. MRI showed a sellar mass (diffuse enlargement of the pituitary gland) with…
Cauda equina mass
Clinical History This 40-year old patient with lumbar back pain. MRI demonstrated an intradural extramedullary mass at the level of…
11-year-old boy with falls
Clinical History 11-year-old boy Progressive weakness, Gower sign, falls 3 to 4 times a week, and leg pain PMH: ADHD,…
Bulbar Weakness and Rash
Clinical History 68-year-old woman with dysphagia, dysarthria, facial muscle weakness and rash Past medical history breast cancer Medications hydroxychloroquine…
Painful Ankle Mass
Clinical History 49-year-old woman Right-sided sural nerve mass Distal pain and numbness of the ankle What is the structure at…
Rhabdomyolysis
Clinical history This 20-year-old patient was found in a prolonged seizure state (status epilepticus of unknown duration). CPK levels at…
Myofiber Injury
Clinical History The 50-year-old patient presented with proximal upper and lower extremity muscle weakness of several months duration. They also…
Patient with Ptosis and Weakness
Clinical history This 60-year-old patient presented with chronic ptosis and mild muscle weakness. CPK levels were within normal limits. …