SUMMARY A 46-year-old man, originally from Iran, with no relevant medical history, was admitted with intermittent acute colic pain in the lower abdomen with nausea and vomiting over the past few weeks. STUDENT DISCUSSION Cilie C. van ‘t Klooster,* Jan J. Uil, Joep van der Leeuw, Elaine F. Eppens, and Susanne C. Marczinski …
by SQRC STUDENT DISCUSSION Min Yu,1* David E. Bruns,1 Jerry A. Katzmann,2 Lawrence M. Silverman,1 and David L. Murray2 1Division of Laboratory Medicine, Department of Pathology, University of Virginia, School of Medicine and Health System, Charlottesville, VA; 2Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. *Address correspondence to this author at: Division of Laboratory Medicine, Department of Pathology, University …
by SQRC SUMMARY A 26-year-old Caucasian man collapsed in the morning after having drunk several glasses of beer the night before. STUDENT DISCUSSION Annelienke M. van Hulst,1† Hendrick J.W. Lammers,2 W.A.C. (Kristine) Koekkoek,3* Charlotte A. Smulders,4 and David H.T. Tjan1 Departments of 1Intensive Care; 2Hospital Pharmacy; 3Internal Medicine; 4Pediatrics, Gelderse Vallei Hospital, Ede, The Netherlands. *Address correspondence to this author at: Willy Brandtlaan 10, 6716 …
by SQRC SUMMARY A 3-year-old female presented to the emergency department with worsening myoclonic and atonic seizures. Several months before presentation, she was diagnosed with epilepsy and was treated with an antiepileptic medication (zonisamide, 10 g/L oral suspension, twice daily). STUDENT DISCUSSION Joesph R. Wiencek,1,2* Dennis J. Dietzen,3,4 Teresa Murray,2 Sheila Dawling,5 Jennifer M. Colby,2 and James H. Nichols2 1Division of …
by SQRC SUMMARY An infant with a history of hypotonia, developmental delay, and inadequate nutrition was evaluated. The patient was the offspring of a consanguineous (first cousin) Syrian couple, born at term in Syria after an unremarkable pregnancy. His neonatal course was unremarkable. STUDENT DISCUSSION Lizbeth Mellin-Sanchez1 and Neal Sondheimer1,2* 1Division of Clinical and Biochemical Genetics, The …
by SQRC SUMMARY A 60-year-old female patient with a history of chronic pain and headache presented to the Pain Management Clinic for follow-up assessment of her prescribed medications, as well as to determine the patient’s suitability for enrollment in the medical cannabis program. STUDENT DISCUSSION Mark A. Cervinski1* and Paul J. Jannetto2 1Department of Pathology and Laboratory …
by SQRC SUMMARY A 72-year-old man presented to the emergency department with a 3-day history of slurred speech, altered mental status, and unstable gait. STUDENT DISCUSSION Paul E. Young, Anthony O. Okorodudu,* and Sean G. Yates Department of Pathology, University of Texas Medical Branch, Galveston, TX. *Address correspondence to this author at: Clinical Chemistry Division, Department of …
by SQRC SUMMARY A 39-year-old woman was referred to a digestive and liver specialist after several weeks of her feeling tired, with complaints of abdominal pain, nausea, and vomiting, and with abnormal liver function tests. STUDENT DISCUSSION Eduardo Martínez-Morillo,1* María García-García,1 Clara Barneo-Caragol,1 Alejandra Fernández Fernández,1 and Francisco V. Álvarez1,2 1Department of Biochemistry and Laboratory Medicine, Hospital Universitario Central de …
by SQRC SUMMARY A 25-year-old woman presented to the emergency department with a 1-day history of nausea, fatigue, exertional lightheadedness, and a syncopal event without witnessed seizure activity or urinary incontinence. STUDENT DISCUSSION Monica R. Hill, Mark R. Hopkins, and Claire E. Knezevic* Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD. *Address …
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