(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The patient is a 6-year old girl with past medical history significant for biliary cirrhosis secondary to extra hepatic biliary obstruction (biliary atresia) who, at one year of age, underwent an cadaveric, orthotopic liver transplant (OLTx). The recipient's EBV status prior to transplantation was not available in the clinical records. Post-transplant serology was positive for EBV. Around 40 months post-transplantation, she had an episode of early EBV-associated PTLD of the adenoids which clinically responded to decreased immunosuppression. At 63 months post-transplantation, she presented with an enlarging left neck nodal mass that was surgically excised.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The neonate was the product of an uneventful 39-4/7 week pregnancy with normal delivery and adequate initial Apgar scores. Soon after birth, the neonate developed cyanosis, left side pneumothorax and lung parenchymal abnormalities with opacity on x-ray. He expired at 12 days of age in the setting of progressive respiratory failure, pulmonary hypertension, and finally acute kidney failure. An autopsy revealed normal cardiac anatomy.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A term female neonate presented for excision of two prenatally detected oral cavity masses. The pregnancy was uncomplicated, and the neonate was delivered via Caesarean section without complications. Immediately following delivery, the patient was transferred to the operating room. Intra-operative findings included a 1 cm mass of the ventral tongue and a 4 cm mass of the left maxillary alveolar ridge, both of which were excised. At time of discharge, she was feeding orally without issue and was stable on room air.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A patient is a five-day-old infant, born to a 27-year-old gravida 2 para 2 mother. Her prenatal course was uncomplicated with proper prenatal care and a normal fetal ultrasound. The patient was delivered via spontaneous vaginal delivery at 40 6/7 weeks.
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