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Case Reports

C-reactive protein: A clinically useful biomarker in renal cell carcinoma

Timothy V. Johnson, MD, Jennifer DeLong, PA; Viraj A. Master, MD, PhD January 16, 2012

Biochemical markers of inflammation, specifically CRP, serve as adjuncts to TNM staging  to help identify patients at increased risk for recurrence of kidney cancer.

Immune thrombocytopenic purpura develops in a 67-year-old female

Mackenzie L. Pennington, MS, PA-C, Alison C. Essary, MHPE, PA-C December 19, 2011

After a careful diagnostic workup and a process of elimination, the patient's attempt to treat her leg cramps was revealed to be the most probable cause of her hemorrhagic lesions.

Rhinocerebral mucormycosis: A rare fungal infection linked to diabetes

Sarah Asman, MPA, PA-C, Mehrdad M. Behnia, MD, FACP, FCCP December 05, 2011

Although usually prevented by the immune system, this disease is common in patients who are immunocompromised. As in this case, early detection and treatment are key.

Fusobacterium otitis causes a case of  hydrocephalus and fatal meningitis

Erin N. Arrington; M. Michael Behnia, MD November 15, 2011

A delay in the administration of antimicrobial therapy resulted in lethal complications. To reduce the high morbidity and mortality rates, clinicians must begin early treatment.

What caused the medical emergency in this patient with type 1 diabetes?

Kenneth Szwak, MHS, PA-C, William A. Wild, DO November 04, 2011

Even though patients in diabetic ketoacidosis commonly present with hyperglycemia,  normal blood glucose levels don't allow you to rule out this diabetic emergency.

Tachycardia and an enlarged cardiac silhouette in an adolescent male

Tara Trout, MMS, PA-C, P. Nelson Le, MD, FAAP October 24, 2011

An 18-year-old with a complicated history presents with a worsening upper respiratory tract infection. A chest radiograph identified a severe heart condition as the cause.

Abdominal pain in an elderly patient with an extensive surgical history

Lisa Vieira, DHS, PA-C, Sonia James, RN, MA, ACNP-BC, CCRN October 10, 2011

One of the first steps to diagnosis was ruling out ischemia due to an earlier surgical procedure. CT with and without contrast helped confirm the cause of this man's worsening discomfort.

A rare cause of hip pain characterized by an inability to walk or bear weight

Troy Wagner, PA-C September 26, 2011

With no history of trauma, a middle-age man experiences severe pain in his left hip and  buttock. After common conditions are excluded, an unusual diagnosis is finally made.

Immune (idiopathic) thrombocytopenic purpura in a 21-year-old student

Shaun Grammer, MS, PA-C, Leamor Kahanov, EdD, LAT, ATC September 12, 2011

Diagnosis of the adult form and the pediatric form of ITP may be based less on the calendar than on individual patient presentation.

Recurrent pneumonia and fevers in a child with congenital heart disease

August 15, 2011

Sound clinical judgment coupled with diagnostic testing reveal a much more serious cause of a 6-year-old girl's seemingly nondiagnostic symptoms of recurrent fever and cough.