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Search Patient Charts: Tension

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

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Case ID: 13925 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial HypoTension
	History	29 year old previously healthy woman picked up her young child and immediately developed a severe headache. Her headache was completely relieved in the supine position.
	Findings	• MRI Brain-- DisTension of the intracranial venous sinuses and veins. No definite herniation of tonsils • MRI Spine-- Markedly distended Epidural veins.
	Differential Dx	• Leptomeningeal Tumor spread • Intracranial HypoTension • Aseptic Meningitis • Sarcoid
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 13516 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Pseudotumor cerebri (idiopathic intracranial hyperTension)
	History	50 year old woman with headaches and blurred vision for 1 month.
	Findings	• Empty Sella • Dilated optic nerve sheaths due to increase CSF volume • Bilateral transverse sinus stenoses on MRV
	Differential Dx	• Optic neuritis • Hydrocephalus • Intracranial hyperTension • Sinus Thrombophlebitis
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 13217 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Pulmonary Arterial HyperTension
	History	57 year old woman presenting to the Emergency department with intracranial hemorrhage and a past medical history of CHF, atrial fibrillation, CABG 20 years prior, hepatitis C and cirrhosis.
	Findings	Markedly dilated pulmonary arteries
	Differential Dx	PA chest radiograph DDx for an AP window mass: -Aneurysm -Pseudoaneurysm (post CABG) -Enlargement of the main pulmonary artery (PAH, post stenotic dilatation, etc.) -Lymphadenopathy (neoplastic, infectious, inflammatory) -Primary bronchogenic CA
	Discussion	... (continues ...)
	User Group
	Contributor	Amy D Haberman :: Affiliation Unlisted - Please See Comments -
	Reviewer	Grant Lattin, Jr. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 13137 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension Pneumocephalus - 'Mount Fuji Sign'
	History	80 year-old man with subtle personality changes and alteration in awareness 4 weeks after a minor bicycle accident, brought in by his family.
	Findings	• Presentation Images -Bilateral layering extraaxial fluid collections -Mass effect with loss of sulci but no herniation • Post-operative Images -Interval bifrontal burr holes with drainage catheters -Decrease in size of subdural hematoma with new pneumocephalus -Increased mass effect on the frontal lobes bilaterally, L > R -Widening of the interhemispheric space anteriorly -New effacement of the left ambient and quadrigeminal plate cisterns
	Differential Dx	• Initial images show bilateral extraaxial (subdural) fluid • Normal Post-Operative Changes • Residual Subdural Hematomas • Pneumocephalus • Tension Pneumocephalus
	Discussion	... (continues ...)
	User Group
	Contributor	Hugh M Dainer :: National Capital Consortium -
	Reviewer	Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 12972 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Arachnoid Cyst with exTension through Third ventricle into lateral ventricle
	History	18 year old woman presented to ER with three day history of headache. Ten pound weight loss over past 6 months. Irregular menses.
	Findings	• Large suprasellar CSF lesion (arachnoid cyst) • Invaginating into the third ventricle and left lateral ventricle • No pathologic enhancement noted
	Differential Dx	• Epidermoid cyst • Craniopharyngioma • Rathke cleft cyst • Arachnoid cyst • Diverticula of membrane of Lilequist
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 12752 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension Pneumocephalus
	History	66 year old woman with altered mental status following subdural hematoma evacuation. Subdural hematoma resulted from blunt head trauma.
	Findings	Bilateral subdural hypoattenuating air collections causing compression and flattening of the frontal lobes and widening of the interhemispheric space between the tips of the frontal lobes.
	Differential Dx	Tension pneumocephalus NonTension pneumocephalus
	Discussion	... (continues ...)
	User Group
	Contributor	Karen R Craig :: National Capital Consortium -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 12457 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial HypoTension
	History	45 female with worsening has over past 6 weeks. No trauma or procedures. Worse with cough, sneeze, going from standing to sitting positions.
	Findings	Sagging of the brain, thickened linear pachymeningeal enhancement, effacement of the basal cisterns, and small bilateral subdural fluid collections.
	Differential Dx	• Intracranial HypoTension • Meningitis
	Discussion	... (continues ...)
	User Group
	Contributor	Jason W. Schroeder :: Civilian Medical Center -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 12401 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension Pneumothorax
	History	Shortness of breath recently.
	Findings	Single frontal view of the chest shows large left pneumothorax resulting in deviation of the trachea and mediastinum to the right.
	Differential Dx	Tension pneumothorax Non-Tension pneumothorax In considering etiologies for pneumothorax, include Spontaneous/idiopathic Traumatic, including barotrauma Underlying malignancy Infection, such as TB Ruptured bulla Catamenial (due to endometriosis involving the thoracic cavity) Lymphangioleiomyomatosis (LAM)
	Discussion	... (continues ...)
	User Group
	Contributor	James G. Smirniotopoulos, M.D. :: Uniformed Services University -
	Reviewer	Daniel Hawley :: Naval Medical Center San Diego - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 12130 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension pneumothorax
	History	14 m.o. infant status post patent ductus arteriosus closure with increased work of breathi
	Findings	• left sided pneumothorax • depression of left hemidiaphragm • mediastinal shift to right • splaying of left sided ribs
	Differential Dx	Tension pneumothorax nonTension pneumothorax
	Discussion	... (continues ...)
	User Group
	Contributor	Brad L Kocher :: National Capital Consortium -
	Reviewer	Kevin F. McCarthy :: Civilian Medical Center - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 11552 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Atrial Septal Defect causing pulmonary artery hypterTension.
	History	The patient presented with symptoms of dyspnea, easy fatigability, and chest pain.
	Findings	Frontal radiograph of the chest shows cardiomegaly with prominent pulmonary arteries. The lungs are hypoinflated with bibasilar atelectasis. Axial CT images show a channel of contrast communicating between the right atrium and left atrium consistent with an atrial septal defect. The main, right, and left pulmonary arteries are enlarged secondary to the left to right shunt through the atrial septal defect.
	Differential Dx	1. Left to right shunt: ASD, VSD, PDA, anomalous pulmonary venous return 2. Severe lung disease: IPF, Emphysema, Pneumoconiosis, Sarcoidosis, Vasculitis, Pulmonary Emboli 3. CHF, Fluid Overload, Renal Failure, Left Atrial Obstruction, Constrictive Pericarditis, MV insufficiency 4. Obstructive Sleep Apnea 5. Primary Pulmonary Artery HyperTension
	Discussion	... (continues ...)
	User Group
	Contributor	Robert A Liotta :: National Capital Consortium -
	Reviewer	Les R Folio :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 11527 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension pneumothorax
	History	Productive cough
	Findings	Left sided pneumothorax with shift of the mediatinunm to the right.
	Differential Dx	Pneumothorax Tension pneumothorax
	Discussion	... (continues ...)
	User Group
	Contributor	John Yasmer :: Walter Reed Army Medical Center -
	Reviewer	Les R Folio :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 11501 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial hypoTension
	History	14 year old girl with HO of pseudotumor cerebri. She has had multiple lumbar punctures for diagnosis and therapy. Developed intractable headache precipitated by standing, one week prior to this study.
	Findings	Marked disTension of deep venous sinuses as well as spinal epidural veins. The deep veins are rounded in configuration and engorged. Prominent enhancement of dura. No downward displacement of brainstem or drooping of chiasm
	Differential Dx	• Intracranial hypoTension • Dural sinus thrombosis • Leptomeningeal spread of tumor
	Discussion	... (continues ...)
	User Group
	Contributor	Steven J Goldstein :: University of Kentucky -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 11243 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension Hydrothorax, Malignant pleural effusion
	History	54 year old woman, rule out infiltrate or effusion.
	Findings	Opacification of the left lung with shift of the mediastinal contents to the right. A left chest tube has been inserted. The breast shadow is not seen on the patient's left.
	Differential Dx	• Tension hydrothorax • Tension hemothorax • Unilateral pulmonary edema • Pulmonary contusion • Pulmonary/Pleural Mass
	Discussion	... (continues ...)
	User Group
	Contributor	John Yasmer :: Walter Reed Army Medical Center -
	Reviewer	Albert V Porambo :: Civilian Medical Center - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 11240 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Fracture of the distal radius with intraarticular exTension.
	History	Fall on outstreched hand (FOOSH)
	Findings	A comminuted fracture of the distal radius with volar angulation and intraarticular exTension.
	Differential Dx	radius fracture without intraarticular exTension radius fracture with intraarticular exTension
	Discussion	... (continues ...)
	User Group
	Contributor	Nicholas Lange :: National Capital Consortium -
	Reviewer	Michael S Gibson :: National Naval Medical Center Bethesda - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 10740 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Sphenoid Mucocele with fungal sinusitis (aspergillus niger)and secondary intra-cranial exTension
	History	Admitted with altered sensorium, and fever with rigors of 4 days duration. Known diabetic on irregular treatment. H/O recurrent episodes of head ache ++
	Findings	• CT scan showed a mass showing varying signal intensities arising from the sphenoid sinus eroding the skull base and extending up to the middle cranial fossa. On soft-tissue windows the material was hyperattenuating. Since the mass was lying close to the cavernous sinus MRI scan was taken. • MRI showed a mass lesion arising from the sphenoid sinus eroding the skull base at the level of middle cranial fossa. Cavernous sinus was found free of disease. T1 and T2 weighted images showed a decrease in the signal intensity.
	Differential Dx	• Malignancy of sphenoid sinus • Mucocele involving the sphenoid sinus • Fungal sinusitis involving the sphenoid sinus
	Discussion	... (continues ...)
	User Group
	Contributor	Dr. Balasubramanian Thiagarajan :: Unlisted Institution -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 10681 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Frontoethmoidal mucocele, intracranial exTension
	History	60 year old woman with complaints of swelling over left forehead and protrusion of left eye ball of 10 years duration. Patient is a known diabetic on irregular treatment.
	Findings	CT scan Coronal section of para nasal sinuses showed expansile lesion involving the left frontal sinus with erosion of the inner and outer tables of frontal bone. Left eye showed proptosis with intact orbital walls.
	Differential Dx	• Malignancy of the frontal sinus • Frontal mucocele • Fungal sinusitis
	Discussion	... (continues ...)
	User Group
	Contributor	Dr. Balasubramanian Thiagarajan :: Unlisted Institution -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 10239 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Tension Pneumothorax
	History	Extreme shortness of breath
	Findings
	Differential Dx
	Discussion	... (continues ...)
	User Group
	Contributor	Andrew Sellers :: Naval Medical Center Portsmouth -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 9544 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	C-7 Clay Shoveler's Fracture and C-2 exTension teardrop fracture
	History	20 year-old man with neck pain after motor vehicle accident
	Findings	•Avulsion of the anteroinferior corner of axis (C2) with the vertical height of fragment greater than the width •Oblique fracture through the posterior element of C7 with minimal displacement.
	Differential Dx	none
	Discussion	... (continues ...)
	User Group
	Contributor	Kenneth Terhaar :: Naval Medical Center Portsmouth -
	Reviewer	James G. Smirniotopoulos, M.D. :: Uniformed Services University - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 9340 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial HypoTension
	History	Patient complained of worsening postural headache over the course of 3 weeks following a workout (weight lifting). He also experienced transient diplopia.
	Findings	MR: circumferential, smooth, increased T2/FLAIR signal of pachymeninges with associated enhancement. Nuclear medicine CSF leak study: focal outpouching of radiotracer at cervicothoracic junction consistent with a CSF leak. Marked delay of CSF circulation.
	Differential Dx	Intracranial HypoTension Leptomeningeal spread of tumor Lumbar puncture Post surgical dural reaction
	Discussion	... (continues ...)
	User Group
	Contributor	Michael J Walden :: National Capital Consortium -
	Reviewer	Steven J Goldstein :: University of Kentucky - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

Case ID: 9275 Sample Image Click to View	:: - TF Case :: - Thumbnails :: - Topic ::


	Diagnosis	Intracranial hypoTension
	History	40 yo man presents with a three week history of headaches that exacerbate with position
	Findings	High signal involving the pachymeninges diffusely in a smooth pattern without enhancement of the leptomeninges or loss of the grey-white matter differentiation. There is diffuse enhancement with contrast administration - without an abnormal focus, nodularity, or rim enhancing lesion.
	Differential Dx	Intracranial HypoTension Meningitis (pachymeningitis) Metastatic Disease Post surgical changes with dural thickening
	Discussion	... (continues ...)
	User Group
	Contributor	Eduardo Escobar :: Walter Reed Army Medical Center -
	Reviewer	Fletcher M Munter :: Walter Reed Army Medical Center - Case Accepted: 2011-06-17 16:58:33-04 :: Revised: 2011-06-15 11:24:34.379033-04 :: Submitted: 2011-06-15 11:24:34.379033-04

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