65-Year-Old Woman With a Wheeze

Fasciola hepatica infection in a 65-year-old woman.

Fascioliasis is an infectious disease caused by fasciola or liver fluke. Humans are accidental hosts to these flatworms. The World Health Organisation considers fascioliasis an important human parasitic disease. In Europe, Australia and Northern America, the disease is rare, but should have a high index of suspicion in patients who have lived in or travelled to endemic areas. Although it can be...

Pulmonary vascular engorgement in a 65-year-old woman.

~ O I L . I Z , Rhode Island 02852 failure. The carotid pulses were brisk, but collapsed in midsystole. The cardiac apical impulse was hyperkinetic with a diffuse precordial systolic thrill. A third heart sound was present. There was a grade 4 of 6 harsh holosystolic murmur maximal at the left sternal border in the third interspace, but audible across the entire precordium. A grade 1 of 6 decre...

A 52-year-old woman with asymptomatic annular erythematous plaques

A 52-year-old woman sought medical attention because of several annular erythematous lesions with central clearing on her body since seven months ago. No pruritus or burning sensations were noted. Her medical and family history was unremarkable. Her Fitzpatrick skin photo-type was II. On dermatological physical examination, there were several annular erythematous plaques with raised borders and...

A 65-Year-Old Woman With Multiple Papules in a Unilateral Segmental Distribution.

A 46-Year-Old Woman with Unilateral Hearing Loss: A Recent Diagnosis of a Birth Condition

Cochlear nerve (CN) aplasia refers to the absence of a visible CN on oblique sagittal magnetic resonance images of the lateral aspect of the inner auditory canal (IAC). Magnetic resonance (MR) is the preferred technique in patients with sensorineural hearing loss and/or vertigo; however, computed tomography (CT) is used to evaluate the IAC or facial nerve canal. Three types of aplasia or hypopl...