54.224.75.101

Open-Close Option Buttons

MedPix®Display: Image (0)-Pt (0)-Topic (0)

| | | | | | | | | | | | :: Options-

compass

Working ...

Search Patient Charts: Oral

Results for [ Oral ] - Click for Details and More Options

Search Results for => Oral <= Result Items 1 - 20

Using tf_case_results.php3 function

Case ID: 14284 Sample Image Click to View	:: - TF Case :: - Thumbnails :: No Topic ::


	Diagnosis	Right hip femOral acetabular impingement, right hip anterior superior labral tear, right iliopsoas snapping syndrome, right iliac wing fracture
	History	This 14 yo girl presents with two issues with her right hip pain. The acute problem began 6 days ago, after she slipped on the hallway floor and fell down 12 steps, landing on her right hip. Since this time she has had significant pain over the posterior iliac region, which has remained stable since the time of injury. She has attempted to use crutches when ambulating without any significant amelioration of her pain. She is a competitive dancer. With regard to her chronic problem, the patient complains of several years of substantial right hip pain located in the groin region and significant popping of the joint. The pain is worse with activity, especially dancing, but does not seem to be associated with the popping. She does not complain of pain in the left hip.
	Findings	Radiograph of the pelvis shows a subtle, non-displaced right iliac wing fracture and a fairly significant cam lesion on the right femOral neck. MR arthrogram of the right hip confirms the CAM lesion of the femOral head and neck junction and associated anterior superior labral tear measuring approximately 1 cm in length with near complete separation from the acetabular rim.
	Differential Dx	-FemOral acetabular impingement -Labral tear -Coxa saltans(snapping hip syndrome) -Greater trochanteric bursitis
	Discussion	... (continues ...)
	User Group
	Contributor	Chadwick C Garner :: Childrens Hospital of Dayton, OH -
	Reviewer	Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 14282 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Acute dural venous sinus thrombosis (DVST), secondary tempOral lobe venous hemorrhagic infarction
	History	27 year old man presents with acute onset of severe headache and somnolence. He had a renal biopsy one week earlier, for suspected glomerulonephritis.
	Findings	Hematoma left tempOral lobe. Thrombosis left transverse and sigmoid sinus and jugular vein.
	Differential Dx	Ruptured AVM Hemorrhagic Tumor Hypertensive hemorrhage Amyloid Angiopathy Mycotic aneurysm Vasculitis Venous infarction
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 14189 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Venous Sinus Thrombosis, TempOral bone otomastoiditis, osteomyelitis, MRSA
	History	13 year old girl who presents with headache, left ear pain, cough and fever.
	Findings	MRI brain reveals mastoid effusion of the left. There is also filling defect in left transverse and sigmoid sinus. CT tempOral bone reveals mastoid fluid with bone erosion posterior cortex of left tempOral bone consistent with osteomyelits.
	Differential Dx	• Malignant otitis • Mastoiditis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 14142 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Oral Chewing Tobacco
	History	Neck pain
	Findings	Heterogeneous mixed density air containing mass, in right side of the Oral cavity, between the tongue and cheek and displacing the tongue to the left.
	Differential Dx	• Snuff • Chewing tobacco • Lunch meat • Paper • grass (ordinary type)
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 14033 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Varicella Zoster with tempOral lobe involvement
	History	62 year old man presents to ER with aphasia.
	Findings	• Lesion in left tempOral lobe which demonstrates high signal intensity on T2 and Flair sequences. • DWI images are positive. No mass effect. • Enhancement at base of tempOral lobe in the region of the foramen ovale.
	Differential Dx	• Stroke • Cerebral Contusion • Encephalitis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 14017 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Diffuse Astrocytoma, WHO 2-3, tempOral lobe
	History	23 year old man presents with a first time seizure. No fever.
	Findings	Minimally enhancing mass left tempOral lobe. Moderate amount of edema. No hemorrhage.
	Differential Dx	• Herpes Encephalitis • Resolving hematoma • DNET • Infiltrating glial neoplasm - astrocytoma vs. oligodendrglioma
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13922 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Arteriovenous Malformation Right TempOral Lobe Atresia Right Middle Ear and external auditory canal
	History	28 year old man with multiple neurologic complaints including headache and left arm weakness.
	Findings	• Right posterior inferior TempOral Lobe high flow lesion supplied by tempOral branches of Posterior Cerebral Artery (PCA) • Deformed Pinna on right. • Absent right external auditory canal, middle ear cavity, and ossicular chain.
	Differential Dx	Arteriovenous malformation High grade neoplasm with vascular shunting
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13894 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Breast Cancer, Metastatic to brain and tempOral bone
	History	37 year old woman presents with a left facial nerve palsy (CN VII). She has a PMHx of breast cancer.
	Findings	• Destructive lesion left petrous apex. • TempOral lobe brain lesion with intra-tumOral hemorrhage.
	Differential Dx	• Abscess & Osteomyelitis • Chondrosarcoma • Metastasis - Breast cancer, Melanoma, etc
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13606 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Longitudinal petrous (tempOral bone) fracture
	History	29 year old man injured in a motorcycle accident; and, he was not wearing a helmet.
	Findings	• Longitudinal fracture passing through anterior wall of external auditory canal into TMJ. • The fracture extends along the floor of the middle cranial fossa into the sphenoid sinus.
	Differential Dx	• Transverse petrous fracture • Longitudinal petrous fracture
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13413 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Common FemOral Artery Pseudoaneurysm
	History	52 yo male status post right heart catheterization with abdominal pain and palpable right pelvic mass.
	Findings	Complex fluid collection in the right hemipelvis. Saccular anechoic structure arising from the right common femOral artery. Swirling color flow within the saccular collection
	Differential Dx	Pseudoaneurysm Enlarged inguinal lymph node Inguinal Hernia Arteriovenous fistula
	Discussion	... (continues ...)
	User Group
	Contributor	Timothy Justin Miller :: Walter Reed Army Medical Center -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13256 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	TempOral bone fracture
	History	50 year old women hit by and run over by a car in a parking lot.
	Findings	Mixed right tempOral bone fracture with both longitudinal and transverse components
	Differential Dx	None
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	Steven J Goldstein :: University of Kentucky - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 13087 Sample Image Click to View	:: - TF Case :: - Thumbnails :: No Topic ::


	Diagnosis	Basilar Skull Fracture--tempOral bone involvement
	History	23 year old man, who was involved in a physical altercation. The pt was struck in the back of the head and had his head smashed on a concrete sidewalk. The patient lost consciousness for an unspecified amount of time. He was taken to a local hospital with a GCS of 9.
	Findings	The film included is a head CT without contrast; this film is part of a full head CT series and was chosen because it best demonstrates the basilar skull fracture. There are fractures of both tempOral bones seen. The right tempOral bone demonstrates a 1.5 cm horizontal fracture that is also a longitudinal fracture of the petrous part of the left tempOral bone--this one is not as easily seen;however it is best seen in section #3. The most posterior fracture line is about 6 mm in length. The most anterior fracture line is about 1 cm in length. These two fracture lines can be connected, in which case, it is easily seen that the fracture is interrupted by the mastoid air spaces and that it actually traverses the long axis of the left petrous tempOral bone. It is also worth noting the fluid in the mastoid air spaces.
	Differential Dx	None - imaging shows t-bone fracture
	Discussion	... (continues ...)
	User Group
	Contributor	Dakota C Smith :: No Academic Affiliation -
	Reviewer	Alice Boyd Smith :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12863 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	FemOral Neck Stress Fracture
	History	Military (active duty) airman with left hip pain; he is an avid runner and admits to "running through the pain"
	Findings	Pelvis radiograph (fig 1a) demonstrates a subtle oblique area of sclerosis at the base of the left femOral neck, new from the prior exam (fig 1b). Nuclear medicine bone scan (fig 2) demonstrates intense activity in the area of sclerosis. MRI (figs 3,4) reveals a band of signal loss in the marrow (with associated surrounding marrow T2 hyperintensity) corresponding to the radiographic finding.
	Differential Dx	Stress fracture
	Discussion	... (continues ...)
	User Group
	Contributor	James Odone MD :: David Grant USAF Medical Center -
	Reviewer	Robert A Jesinger M.D. :: David Grant USAF Medical Center - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12812 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Coalescent mastoiditis, longitudinal tempOral bone fracture
	History	58 year old man "found down". Wife saw him fall down stairs. Brought to the ER unconscious. He regularly consumes more than 6 beers per night.
	Findings	• Coalescent Mastoiditis with erosion of mastoid process • Longitudinal tempOral bone fracture
	Differential Dx	• Metastatic tumor to tempOral bone. • Malignant otitis • Glomus tumor
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12777 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Traumatic SCFE (Salter Harris Type 1 Fracture for the FemOral Head)
	History	1 week history of right sided hip pain and limp. All starting after report of being struck by a car.
	Findings	two images of the pelvis show right sided subtle SCFE, post-traumatic in nature.
	Differential Dx	congenital hip dysplasia Legg-Calve-Perthes Disease
	Discussion	... (continues ...)
	User Group
	Contributor	Amit Kumar Sanghi :: National Capital Consortium -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12402 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Common FemOral Artery Pseudoaneurysm
	History	72 yo female status-post catheterization with right hip pain, and pulsatile inguinal mass.
	Findings	In the region of the right common femOral artery, color doppler images reveal a cystic structure adjacent to the common femOral artery with a swirling pattern of blood flow in the lumen appearing as a characteristic “yin-yang” sign. Spectral Doppler flow demonstrates a narrow neck in relation to the large lumen, with to-and-fro (bidirectional) flow.
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Paul J. Shogan :: National Capital Consortium -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12350 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Mesial TempOral Sclerosis
	History	11 y.o. girl with vomiting, headache, "seizures", and progressive myalgia over the past 2 days. Patient’s father reports a fever of 102 degrees Fahrenheit and she was described as unresponsive with eyes deviated to the left while she was lying on the couch. Seizure activity (shaking) was described as beginning in both upper extremities - then progressed to involve both lower extremities. No significant past medical history.
	Findings	Abnormal signal intensity in the medial aspect of the right tempOral lobe present on all sequences except T1. Area of abnormality is present on diffusion weighted images as well. TempOral horn enlargement on right.
	Differential Dx	• Encephalitis • Tumor (low-grade astrocytoma, ganglioglioma, etc.) • Inflammatory changes • Mesial TempOral Sclerosis (should have atrophy) • Seizure induced signal change (should resolve)
	Discussion	... (continues ...)
	User Group
	Contributor	Shiao-Pei S Pan :: Childrens Hospital of Dayton, OH -
	Reviewer	Dawn E Light :: Childrens Hospital of Dayton, OH - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 12333 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	FemOral Neck Stress Fracture
	History	19 yo USNA student with groin pain. Prior radiographs of hips were negative. These images were obtained 10 days later, with continued pain after running.
	Findings	Subtle sclerotic line on plain films at the compressive side of femOral neck on Left. Correlates with fracture seen on MR with associated edema (increased T2 signal). There is also edema, but no fracture, on the contralateral side.
	Differential Dx	Insufficiency fracture Fatigue fracture Traumatic fracture Sclerotic bone lesion
	Discussion	... (continues ...)
	User Group
	Contributor	Denise M Thigpen :: National Capital Consortium -
	Reviewer	Eric A Walker :: Penn State University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 11983 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	SLIPPED CAPITAL FEMOral EPIPHYSIS
	History	12 y/o boy presents to ER with right knee pain for a week.
	Findings	AP and frogleg view of the hips demonstrates slippage of the femOral epiphysis from the femOral neck. This involves between 30 and 60% of the femOral neck width (grade 2).
	Differential Dx	SCFE
	Discussion	... (continues ...)
	User Group
	Contributor	Andrew Mullins :: Civilian Medical Center -
	Reviewer	Matthew Monson :: Walter Reed Army Medical Center - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

Case ID: 11944 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Avascular Necrosis of femOral heads bilaterally with associated osteoarthritic changes.
	History	Patient is a 49 year old African American male with a history of sarcoidosis, sinusitis with intermittent steroid treatment that presents with several years of bilateral hip pain.
	Findings	Frontal and frog leg films of both hip joints revealed extensive degenerative changes on the bilateral femOral heads and acetabula. Acetabula demonstrate sclerosis and associated osteophyte and subchondral cyst formation. The bilateral femOral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femOral heads. Coronal T1 and T2 MRI: T1 and T2 MRI revealed extensive degenerative changes on the bilateral femOral heads and acetabula. There is high signal intensity degenerative edema of the femOral heads on T2. Superior acetabula demonstrate low signal intensity on T1 and associated osteophyte and subchondral cyst formation. The bilateral femOral heads demonstrate extensive osteoarthritic changes with sclerosis, cyst formation, bilateral ring osteophytes and some mild flattening of the femOral heads. There are small areas of abnormal signal to suggest avascular necrosis.
	Differential Dx	Secondary Osteoarthritis from avascular necrosis Primary Osteoarthritis
	Discussion	... (continues ...)
	User Group
	Contributor	Terrel Lee Galloway :: Uniformed Services University -
	Reviewer	Lorraine G. Shapeero, M.D. :: Uniformed Services University - Case Accepted: 2013-04-14 19:09:47-04 :: Revised: 2013-04-14 08:43:24.423294-04 :: Submitted: 2013-04-13 14:09:41.004668-04

108 Search Results for => Oral <= Result Items 1 - 20

Search More

- Search More - (Click to Open) :: close

Use this for Comments and Suggestions

MedPix® is sponsored by the Department of Radiology and Radiological Sciences, USUHS, Bethesda, MD
We do not accept paid advertisements.

We comply with the HONcode standard
for trustworthy health information:
verify here.

MedPix® is a Registered Trademark of USUHS

The MedPix® Database Engine is Patented - USPTO No. 7,080,098
Portions of MedPix® are Copyright © 1999 - 2013 by J.G. Smirniotopoulos, M.D. & H. Irvine, M.D.
The MedPix® Classification Schema Copyright © 1999 - 2013 by J.G.Smirniotopoulos,M.D.

MedPix® has displayed more than 1,004,059,717 pages since 3 September 2000.

Database Successfully Disconnected