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Proceedings of the Baylor University Medical Center

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https://www.readbyqxmd.com/read/28966474/facts-and-ideas-from-anywhere
#1
EDITORIAL
William Clifford Roberts
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966473/cardiologist-with-a-big-heart-the-allen-and-shelly-dollar-saga
#2
EDITORIAL
John Davis Cantwell
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966472/fiftieth-anniversary-of-the-first-heart-transplant-the-progress-of-american-medical-research-the-ethical-dilemmas-and-christiaan-barnard
#3
EDITORIAL
Peter A Alivizatos
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966471/invited-commentary-changing-the-conversation-at-the-end-of-life-how-the-language-we-use-impacts-surrogates-decision-making-burden
#4
EDITORIAL
Laurel B Kilpatrick
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966470/viaticum
#5
EDITORIAL
Robert Fine, Jeffrey Michel
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966469/usefulness-of-nuclear-whole-body-bone-scanning-for-diagnosis-of-leprosy
#6
Hector Marquez, Joseph McDevitt, Orhan K Öz, Jason Wachsmann
Leprosy, or Hansen's disease, is rare in the United States. Given its rarity, as well as the pathognomonic dermatologic findings, there are few cases in which nuclear medicine imaging plays a role in the diagnostic workup. We present a 39-year-old man who presented with chronic abdominal pain, skin ulcers, and hypercalcemia who underwent computed tomography of the chest and a whole-body bone scan to evaluate for possible underlying neoplasm due to his profound hypercalcemia. Although the diagnosis of leprosy had been established by lower-extremity skin biopsy upon admission, workup for other potential concurrent etiologies of hypercalcemia was performed before initiating therapy...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966468/fetal-ventriculomegaly-and-herpes-encephalitis-following-primary-maternal-herpes-simplex-infection
#7
Jenna K Sloan, Chase R Cawyer, Nathan S Drever
Uteroplacental transmission of a primary herpes simplex virus (HSV) infection in pregnancy has been reported; however, HSV ventriculomegaly of the neonate has not been well documented in utero. We present a case of a 19-year-old woman who developed a primary HSV outbreak at 17 weeks of gestation and was treated with acyclovir. A congenital malformation scan at 18 weeks of gestation demonstrated no fetal abnormalities; however, an ultrasound at 33 weeks showed a new finding of ventriculomegaly. Additionally, hydrocephalus was confirmed with magnetic resonance imaging...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966467/submandibular-neck-mass-in-a-newborn
#8
Hunter Skoog, David W Clark
A deep neck abscess is uncommon in the newborn period. In this case, we noted a clindamycin-sensitive methicillin-resistant Staphylococcus aureus infection characterized as a deep neck abscess in an 8-day-old boy. He was admitted to the pediatric intensive care unit with a progressively enlarging indurated mass below the mandible. Imaging confirmed the mass as a submandibular abscess. The patient received antibiotics in addition to incision and drainage, with resolution of the abscess.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966466/congenital-midline-nasal-anomalies
#9
Niraj Vora, Ram Kalagiri, Bryan Guillory, Ashita Shetty, Venkata Nakta Raju, R K Powitzky, Madhava R Beeram
Congenital midline nasal anomalies are rare, with a prevalence of 1 in 20,000 to 40,000 births and with 5% to 7% of them being nasal glioma. Differential diagnoses of nasal anomalies include nasal dermoid cysts, gliomas, encephaloceles, nasal polyps, and some other rare anomalies. Due to current medical technological advancements, most of these anomalies are easily correctable, though delaying management may lead to fatal effects. This report describes two cases-one of nasal glioma and one of nevus lipomatosus cutaneous superficialis-that presented as respiratory distress in a newborn...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966465/multifocal-sinonasal-inverted-papilloma-with-middle-ear-involvement
#10
E Burke Haywood, Colin Fuller, Gerhard W Hill, Felix Olobatuyi, David W Clark
Inverted papilloma of the nasal cavity is a benign neoplasm, although it can be locally invasive and has the potential for malignant degeneration. Inverted papilloma of the temporal bone is extremely rare. We describe a case of a 44-year-old woman who was treated for nasal inverted papilloma and was later found to have inverted papilloma of her temporal bone. The patient required several procedures to remove the inverted papilloma from the nasal cavity and temporal bone, and she is currently free of recurrence...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966464/cavernous-sinus-syndrome
#11
Rakul Nambiar, Sreejith G Nair
Cavernous sinus syndrome (CSS) is a condition characterized by multiple cranial nerve palsies manifesting with ophthalmoplegia, ptosis, and facial sensory loss due to involvement of adjacent cranial nerves. Tumors, trauma, and vascular, infectious, and noninfectious inflammatory disorders have all been described as causes. Lymphomas have been reported to involve the cavernous sinus, both as primary cavernous sinus lymphomas or as secondary lesions. Here, we describe the case of a 63-year-old-man with untreated chronic lymphocytic leukemia (CLL), diagnosed 4 years earlier, who presented with CSS...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966463/sinonasal-and-laryngeal-sarcoidosis
#12
Hawa Edriss, John Kelley, Joshua Demke
Sarcoidosis is a chronic granulomatous inflammation of uncertain etiology that can involve any organ system in the body. Sinonasal and laryngeal involvement is rare, poorly understood, and difficult to diagnose. Additionally, the extent of the disease is variable, and the response to systemic corticosteroids is often poor. We report a case of a 55-year-old woman with prior cutaneous sarcoidosis who presented with chronic nasal congestion, difficulty breathing, dysphonia, and stridor, and biopsy of the nasal vestibule revealed noncaseating granulomatous inflammation...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966462/blastic-plasmacytoid-dendritic-cell-neoplasm-following-acquired-erythropoietic-protoporphyria
#13
John R Krause, Laura Baugh, Alicia Swink, Micah Burch
A 56-year-old Texas rancher with a prior diagnosis of acquired erythropoietic protoporphyria secondary to an underlying myelodysplastic disorder developed an uncommon tumor, blastic plasmacytoid dendritic cell neoplasm (BPDCN). During his initial disease, analysis revealed a TET2 mutation, which is the most common mutation associated with BPDCN. This article discusses this unusual hematopoietic neoplasm, the possible evolution from erythropoietic protoporphyria, and the underlying myelodysplastic process.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966461/natural-killer-t-cell-lymphoma-invading-the-orbit-and-globe
#14
Lance J Lyons, Ivan Vrcek, Marie Somogyi, Kevin Taheri, Joan H Admirand, Saradha Chexal, Demetrius F Loukas, Tanuj Nakra
Natural killer/T-cell lymphomas are extremely rare and carry high mortality rates. Epidemiologically, these cancers tend to affect mainly Asian and South American patients and are associated with Epstein-Barr virus seropositivity. This report details a 78-year-old Vietnamese woman who presented initially with vitritis of unknown cause, but later developed proptosis and conjunctival involvement as her disease spread. Biopsies of the orbit, ethmoid sinus, and conjunctiva were found to be significant for natural killer/T-cell lymphoma...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966460/lymphoblastic-lymphoma-of-the-palate
#15
Rakul Nambiar, Geetha Narayanan, Lali V Soman, Nandini Devi
Lymphoblastic lymphomas are neoplasms of immature or precursor lymphoid cells with no or limited bone marrow involvement, whose clinical presentation varies according to the immunophenotype. While mediastinal involvement is predominant in T-lymphoblastic lymphomas, B-lymphoblastic lymphomas frequently involve nodal sites. Extranodal presentation of B-lymphoblastic lymphomas is extremely rare. We present the case of a 49-year-old man with B-lymphoblastic lymphoma of the hard palate. The patient was treated with the R-Hyper CVAD regimen and is on maintenance chemotherapy...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966459/epstein-barr-virus-positive-diffuse-large-b-cell-lymphoma
#16
Stacey L Murthy, Michael A Hitchcock, Tiana R Endicott-Yazdani, John T Watson, John R Krause
While the World Health Organization included Epstein-Barr virus (EBV)-positive diffuse large B-cell lymphoma (DLBCL) as a provisional entity of a lymphoma occurring in older individuals without any known immunodeficiency in 2008, it has since been recognized that this entity may occur in younger individuals. As a result, the 2016 revision has substituted the modifier "elderly" with "not otherwise specified" (NOS). The NOS highlights that there are more specific entities with neoplastic EBV-positive large B cells such as lymphomatoid granulomatosis...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966458/breast-implant-associated-anaplastic-large-cell-lymphoma
#17
Lindsay Keith, William Herlihy, Houston Holmes, Paul Pin
Anaplastic large cell lymphoma is a rare disease associated with breast implants. We present the case of a woman who had had breast augmentation and multiple revisions over a period of 13 years and presented with recurrent fluid collections. The cause was determined to be anaplastic large cell lymphoma, which required removal of the implants, capsulectomy, and evaluation by a medical oncologist. The patient was not found to have metastatic disease on imaging studies. Breast implant-associated anaplastic large cell lymphoma is a poorly understood disease entity, and optimal treatment is unclear...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966457/listen-to-the-patient
#18
D Luke Glancy
No abstract text is available yet for this article.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966456/combined-atresia-of-one-left-sided-and-one-right-sided-cardiac-valve-in-a-premature-newborn
#19
William C Roberts, Alan C Sing, Joseph M Guileyardo
Described herein is the heart of a 2-day-old newborn, the product of a 25-week gestation, with atresia of two cardiac valves, one on the right side and one on the left side, apparently a previously undescribed entity.
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28966455/combined-mitral-and-aortic-valve-stenosis-caused-by-two-different-etiologies-rheumatic-and-congenital
#20
William C Roberts, Joshua K Dodderer
Described herein are five patients who had double left-sided cardiac valve replacement for mitral and aortic valve stenosis resulting from two different etiologies: rheumatic heart disease, the cause of the mitral stenosis, and congenital heart disease (bicuspid valve), the underlying cause of the aortic stenosis.
October 2017: Proceedings of the Baylor University Medical Center
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