“…Work up was significant for a large homogeneously extra-axial mass (57×35×44 mm) arising from the left clinoid extending anteriorly, inferiorly, and posteriorly to the planum sphenoidale, the sphenoid sinus, and the suprasellar cistern, respectively. …”
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“…Initial laboratory tests revealed leukocytosis to 24K/uL, lactic acid of 5. 0 mmol/L, ESR 100 mm/hr, CRP 419 ng/dl, and blood culture was positive for gram-positive cocci in clusters for which he was started on iv vancomycin and piperacillin/tazobactam. …”
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“…Abdominal CT-scan demonstrated a 11×8 mm left adrenal nodule with an absolute washout of 60%. …”
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“…She had been having intermittent headaches and flu-like symptoms over the 2 days preceding her presentation. Her BP was 179/116 mmHg, initial basic metabolic profile was normal, and head CT showed hemorrhage into a bilobed sellar and suprasellar mass measuring 2.2×2.2×3.3 cm. …”
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“…Pathology revealed that the nodule was a follicular adenoma, however also identified two papillary microcarcinomas, measuring 1 and 2 mm. The patient was started on levothyroxine 50 mcg with a goal TSH below 0.5 mU/L and was monitored with ultrasounds which were unremarkable. …”
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“…During workup, a pituitary MRI showed a 6×5 mm lesion suggestive of a partially cystic microadenoma. …”
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“…Cranial MRI was done which showed lobulated, heterogeneous hyperdense sellar-suprasellar mass measuring 55×36×47 mm extending to the bilateral sphenoid and ethmoid sinuses, left pterygopalatine fossa, left superior orbital fissure, probably the left foramen lacerum, and left cavernous sinus with encasement of the left internal carotid artery and associated erosion of the adjacent osseous structures. …”
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“…Upon presentation, the patient was hypertensive, 184/124mmHg. Physical exam was notable for active hallucinations. …”
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“…At the emergency department, the patient had a temperature of 101.4°F, a heart rate of 110 bpm, and blood pressure of 130/70 mm Hg. On examination, tenderness was indicated upon palpating the anterior part of the neck. …”
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“…The goal of this study is to review the anatomical characteristics of severe hypospadias that can accurately define patients that have 46XY DSD and to determine the practical utility of performing a genomic workup in these rare 46XY DSD patients with severe hypospadias.Patients: 14 patients seen in disorders of sexual development clinic between 2018–2020 with severe hypospadias defined by an ectopic urethral meatus typically in the scrotum or perineum, an abnormally small glans penis size (<14 mm at maximal width in the first year of life), severe curvature and associated foreskin fusion or penoscrotal transposition were enrolled in the study. …”
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“…He required extracorporeal membrane oxygenation (ECMO) treatment for 2 days, during which time his systolic blood pressures were extremely labile (47–270 mmHg). CT angiography incidentally noted a 4.3 cm right para-adrenal lesion, at which time urine metanephrines were ordered and noted to be markedly high. …”
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“…An MRI was performed demonstrating a 13mm lobulated, homogeneously enhancing hypothalamic mass with adjacent thickening of the pituitary stalk and pituitary. …”
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“…He was hypotensive 87/55 mmHg, bradycardic 55 bpm, respirations 12 breaths/min, SpO2 99% on room air, temperature 37 °C. …”
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“…Independent variables included demographics, visits, treatment, symptoms (Gorman diplopia scores [0-3], proptosis change (mm), spontaneous orbital pain, gaze-evoked orbital pain). …”
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“…Final pathology report showed three gland parathyroid hyperplasia (two left inferior and one right superior) and tissue extracted from the right thyroid lobe serendipitously contained one normal appearing parathyroid gland, a benign calcified cystic nodule and a focus of thyroid papillary microcarcinoma (1.6 mm) limited to thyroid with negative margins. Post-operatively, she continued regular follow up and active surveillance of hormonal levels with the Endocrinology service. …”
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“…On admission, blood pressure was 292/156mmHg; physical exam revealed flaccid paralysis on the left upper and lower extremities, decreased sensation to light touch, and pinprick in the left side of the body. …”
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“…Although there was no family history, MEN2 was suspected, and screening of the abdominal organs by a CT scan revealed a 35 mm nodular lesion with calcification on the ventral side of the inferior vena cava (IVC). …”
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“…Labs showed significantly elevated free T4 greater than 7.7 ng/dl (0.8-1.7) and free T3 level at 20.7 pg/ml (2. 0-4.8), and suppressed TSH less than 0. 01 uIU/ml (0.45-4.5) and normal ESR at 15 mm/hour. Her TPO antibody was greater than 1300 u/ml. …”
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“…The monosaccharides including glucose, galactose, fructose, mannose, and potential interferences were resolved from each other on Unison UK Amino column (3×250mm) eluted with acetonitrile and water gradient. …”
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“…On examination, the patient was unresponsive with a blood pressure of 60/40 mmHg, heart rate of 52 bpm, temperature 36°C and oxygen saturation of 96% at 7lpm. …”
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