Case Report on Clinical Vignette

Clinical Vignette Session A: Vignette Award Finalists

CASE: A 50-year-old female with chronic obstructive pulmonary disease, tobacco use and bipolar disorder presented with acute, intense substernal chest pain and heart rate of 170 bpm. She had no previous cardiac history and no similar episodes in the past. She started taking lithium 2 months earlier for bipolar disorder. Her electrocardiogram showed inferior ST depression and an incomplete left ...

True Digital Artery Aneurysm - A Clinical Vignette

Swellings of the hand are commonly seen in routine clinical practuce. Ninety five percent of them are benign and most common diagnoses include ganglions, epidermoid inclusion cysts, and giant cell tumours of the tendon sheath. It is very uncommon to find true digital aneuryms in the hand. In this clinical vignette I present a case of true digital artery aneurysm, with the tell tale clinical fea...

Herpetic encephalitis based on clinical judgment in pregnancy: case report

Background: Herpes simplex virus (HSV) encephalitis is the most common cause of sporadic encephalitis, with significant morbidity and mortality that are effectively reduced by antiviral treatment. Herpes simplex infection in pregnant women rarely results in encephalitis. The most common symptoms of a pregnant woman with herpes simplex infection are colds and skin vesicles. Herpetic encephalitis...

2014 Clinical Vignette and Research Competition

Cryptogenic gelastic epilepsy: a pediatric case vignette.

Gelastic seizures, characterized by epileptic laughter, are rare and the majority is associated with hypothalamic hamartomas. We report a case with cryptogenic Gelastic seizure (without hypothalamic hamartoma), as the MRI was normal and, EEG and clinical data suggested a focal origin of the seizures.