Case of the Month

University of Calfornia, Davis

Listed by chronological order.

Sorted without diagnosis  Sorted with diagnosis  Show the codes in a separate window

Number

Clinical information

UCD-2020-06

The patient is a 55-year-old man with chest pain and dyspnea after a ground-level fall.

UCD-2020-05

The patient is a 50-year-old male who presented with facial swelling near the region of the right parotid gland for several months.

UCD-2020-04

A 77-year-old male presented to the hospital with gross hematuria. 

UCD-2020-03

A middle-aged patient with a history of HIV and poor adherence to antiretroviral therapy (HAART) presented to an outside institution with 1-week history of abdominal pain, nausea, and constipation.

UCD-2020-02

This is a 69-year-old South Asian female who presented with a rash of one month’s duration, long-standing neuropathy in a stocking glove distribution, polyarthritis, and fever.

UCD-2020-01

A 24 year old Caucasian female with chronic kidney disease stage V had been on peritoneal dialysis for two years.  

UCD-2019-12

The patient is an 85-year-old man with intermittent gross hematuria for the past few months. He reports intermittent symptoms of hesitancy and frequency.

UCD-2019-11

A 44-year-old male presents with a two-year history of swelling in the right jaw, which was previously treated with hot compresses and antibiotics with some immediate improvement.

UCD-2019-10

A 22-year-old woman with a history of chronic abdominal pain, nausea, and gastroesophageal reflux disease underwent esophagogastroduodenoscopy to reveal diffuse white patches of esophageal epithelium with associated epithelial sloughing.

UCD-2019-09

A 65-year-old man presented with one week of non-radiating right lower quadrant abdominal pain associated with nausea, vomiting, and anorexia.

UCD-2019-08

Presentation: 25 year-old previously healthy male presented with fever, sore throat, night sweats and weight loss found to have leukocytosis.

UCD-2019-07

Patient is a 71-year-old woman with persistent lower left quadrant pain and a CT scan that showed a solid 4 cm right ovarian mass.  

UCD-2019-06

A 72-year-old female had history of a thyroid mass discovered by her PCP on routine exam.

UCD-2019-05

The patient is a 32-year-old woman with a nine-month history of constitutional symptoms of ‘just not feeling good.’

UCD-2019-04

The patient is an 80-year old woman who presented with sudden onset of sharp, constant pain in her epigastrium that radiates to her chest. An abdominal ultrasound performed a few months prior was notable for multiple calculi, diffuse wall thickening, and a 0.5 cm polyp in the gallbladder.

UCD-2019-03

A 43-year-old female presented to the emergency department with a seizure.  She has history of alcoholism and seizures attributed to alcohol withdrawal.

UCD-2019-02

A 29-year-old G5P2022 presented for repeat cesarean section at 38 weeks gestation. The pregnancy was a twin gestation complicated by intrauterine fetal demise of one twin at 11 weeks gestation. Subsequent chorionic villous sampling of both twins showed a normal 46 XX karyotype in the living twin and a 69 XXX genotype in the demised twin.

UCD-2019-01

A 72-year-old man presented to the emergency department with a chief complaint of abdominal pain, vomiting, poor appetite and weight loss. CT demonstrated thickening of the duodenum and a right adrenal mass.

UCD-2018-12

A 66-year-old male presented with a right neck mass.  Ultrasound of his neck revealed an 18 mm slightly irregular hypoechoic mass in the submandibular gland.

UCD-2018-11

A 34-year-old woman presented with a history of acute abdominal pain, nausea, and non-bilious, non-bloody vomiting. She had a history of lupus nephritis for which she was treated with peritoneal dialysis as an outpatient.

UCD-2018-10

Patient is a 37-year-old G5P2032 with no significant past medical history who presents with severe abdominal pain. CT abdominal and pelvis reveal bilateral ovarian masses with central necrosis in addition to moderate ascites and nodularity.

UCD-2018-09

A previously healthy adolescent male presents with one week of jaundice and abdominal pain. Radiology imaging reveals an obstructing mass at the pancreatic head.

UCD-2018-08

A 24-year-old homeless man presented with five months of progressive diarrhea which worsened in the past 2 months.

UCD-2018-07

A 17-year-old female presented with right femur fracture and underwent intermedullary nailing and open reduction internal fixation.

UCD-2018-06

A fully vaccinated 14-year-old girl with no significant medical history presented to our institution with a history of progressive decline. Ten days prior to admission, she experienced vague abdominal pain, followed by a sore throat. She developed chest pain, and after experiencing a fall, was found to have altered mental status with speech difficulties.

UCD-2018-05

A 69-year-old female with a history of cecal tubular adenoma and tubulovillous adenomas and a family history of colon cancer presented for a repeat colonoscopy.

UCD-2018-04

The patient is a 69-year old woman who presented with a longstanding, recently enlarging left thyroid nodule.

UCD-2018-03

The patient is a 64-year-old woman who presented to an outside gastroenterologist for evaluation of dysphagia.

UCD-2018-02

A 78-year-old man with a history of biliary colic admitted to outside hospital in for gallstone pancreatitis.

UCD-2018-01

A 77-year-old G4P4004 female presented for evaluation of post menopausal bleeding for the past one month.

UCD-2017-12

A 33-year-old woman presented with heavy vaginal bleeding with large clots lasting for more than two weeks.

UCD-2017-11

The patient is a 68 years old female, presented with shortness of breath and lower extremity swelling. She reports a significant abdominal distension, early satiety and small caliber bowel movements for the past 2 weeks.

UCD-2017-10

The patient is a 76-year-old male with a history of diabetes mellitus and bullous pemphigoid. He presented with diffused erythema, edema and slight fissuring in both palms without active blisters.

UCD-2017-09

A 5-week-old female presented with blood in her diaper.

UCD-2017-08

The patient is a newborn baby boy delivered at 37 weeks with a large 9 cm multicystic mass overlying his neck that significantly impaired his respiratory efforts.

UCD-2017-07

This patient is a 21-year-old female who initially presented with epistaxis, severe back pain and fatigue

UCD-2017-06

Patient is 10-year-old female with profound iron deficiency anemia.

UCD-2017-05

The patient was a 21-month-old, previously healthy girl who presented with abdominal distension, emesis, and irritability to an outside hospital. She was found to have a liver mass.

UCD-2017-04

A 74-year-old man has a 1.5 year history of a right inferior pole renal mass seen incidentally on CT scan.

UCD-2017-03

A 13-year-old female with past medical history of Sickle cell disease (Hb SS disease) had multiple transfusions, iron overload, abnormal transcranial doppler (TCD), status post hematopoietic stem cell transplant (HSCT) complicated with GVHD in skin and lungs during transplant course, HHV6 reactivation, oral/labial HSV infection.

UCD-2017-02

A 52-year-old man presented with progressive eosinophilia for two years.

UCD-2017-01

The patient was a 66-year-old woman with a past medical history of chronic hepatitis B infection (for more than 30 years – asymptomatic), hypothyroidism, hyperlipidemia, and degenerative joint disease.

UCD-2016-12

A 75-year-old man presented with a 2-year history of a lesion on the left temple. A shave excision was performed on a 1.1 cm well-demarcated, ulcerated, brown pigmented plaque.

UCD-2016-11

The patient is a 70 year old Caucasian male, who is transferred from an outside institution with complains of increasing black stools, fatigue, nausea and vomiting and vague upper abdominal pain.

UCD-2016-10

An 18-year old female with a history of asthma presented to the clinic with the primary complaint of bilateral knee pain (4-5/10) that is mostly associated with running.

UCD-2016-09

The patient is a 44-year-old Asian man with a three month history of worsening cough and painful deep inspiration.

UCD-2016-08

The patient is a young adult with a history of systemic lupus erythematosus (SLE) complicated by class IV-V lupus nephritis requiring prolonged immunosuppression on a multi-drug regimen. New onset headaches, confusion, and behavioral changes prompted evaluation by neurology.

UCD-2016-07

A 46-year-old G2P2 female presented with bleeding and cramping pelvic pain that had gradually gotten worse. She complained of spotting in between her periods with clotting every six months.

UCD-2016-06

A 62-year-old female with a remote past medical history of hairy cell leukemia (HCL) presented to an outside hospital with progressively worsening headaches accompanied by short term memory loss, expressive aphasia, and lethargy.

UCD-2016-05

The patient is a 55-year-old woman with a history of alcoholic cirrhosis, currently being treated for breast cancer, who noticed a slowly-growing left cheek mass one year ago.

UCD-2016-04

The patient is a 65-year-old woman with a history of hypothyroidism, colonic tubular adenomas, and new onset hematochezia.

UCD-2016-02

A 38-year-old man was transferred from outside facility for evaluation and management of an intra-abdominal mass.

UCD-2016-01

A 69-year-old female returns for follow up regarding her lobular carcinoma in situ (LCIS).

UCD-2015-12

A 20-year-old man presented with a 1 year history of slowly progressive left sided proptosis.

UCD-2015-11

The patient is a 6-year-old boy who presented with 4 days of vomiting and bloody diarrhea.

UCD-2015-10

The patient is a 2.5 year old male, who presented with a slow growing papule on the right anterior thigh; first noticed around one year of age.

UCD-2015-09

A 20-year-old female with history of Systemic Lupus Erythematosus (SLE) and lupus nephritis causing renal failure for which she is on hemodialysis. She was on chronic immunosuppression and subsequently developed a left thigh nodule and numerous lung nodules.

UCD-2015-08

A 74-year-old woman underwent living donor kidney transplantation for chronic kidney disease. She developed small bowel obstruction and pleural effusion.

UCD-2015-07

The patient is a 64-year-old female with an unremarkable past medical history who presented for evaluation of a slow growing swelling on the floor of her mouth.

UCD-2015-06

An 82-year-old man who presented with fever, diaphoresis, fatigue, dysphagia, lymphadenopathy and splenomegaly.

UCD-2015-05

A 17-year-old female with past medical history of Anomalous Pulmonary Venus

UCD-2015-04

A 66-year-old female with a past medical history of peptic ulcer disease and a large pancreatic mass.  

UCD-2015-03

A 53-year-old male with history of neurofibromatosis type 1 (NF-1) presented to the ED with a 3-week history of abdominal pain.

UCD-2015-02

A 30-year-old male with a history of Hodgkin lymphoma which was diagnosed 5 years ago. He received chemotherapy followed by an allogenic stem cell transplant in 2013.

UCD-2015-01

The patient is a 43-year-old woman with an incidental nodular thyroid.

UCD-2014-10

The decedent is a 55-year-old Caucasian male with a past medical history of diffusely metastatic carcinoma, severe chronic obstructive pulmonary disease (on 4 L home oxygen therapy), extensive smoking history, and asbestos exposure history.

UCD-2014-09

The patient is a 24-year-old O RhD positive G2P1 female at full term in her pregnancy. Her history includes HbSC disease and she has had sickle cell pain crises episodically requiring transfusions. Fetal monitoring has been stable.

UCD-2014-08

The patient is a 57-year-old male with a history of atrial fibrillation on coumadin, chronic obstructive pulmonary disease, hypertension, gout, and alcohol abuse who presented with a three day history of melena.

UCD-2014-07

The patient is a 35-year-old female with a medical history significant for hypothyroidism, depression, and asthma.

UCD-2014-05

An 83-year-old female G2P2 with a past medical history of hypertension, hyperlipidemia, hypothyroidism and enterococcus endocarditis in 2013 presented in February 2014 with mid-abdominal pains.

UCD-2014-04

A 2-year-old female with no significant past medical history presented to her primary care physician six months prior with complaint of dysuria, she was placed on empiric antibiotics, urine cultures were found to be negative and she was sent home with resolution.

UCD-2014-03

The patient is a 47-year-old male with no significant past medical history who presented with a palpable mass of several years in the anterior and lateral aspects of the left lower leg.

UCD-2014-02

The patient, a 91-year-old female, presented with a 6 month history of vaginal bleeding and mild abdominal discomfort.

UCD-2014-01

The decedent is a 57-year-old female with a history of papillary serous ovarian cancer (stage IIIc) who underwent a radical hysterectomy and debulking of her primary tumor followed by six cycles of intraperitoneal chemotherapy.

UCD-2013-12

A 50-year-old female with a past medical history of fibromyalgia, chronic pain, and 25 pack year smoking history, who presented to the ED at an outside hospital one year ago with severe left upper quadrant pain without fever, chills, anorexia, nausea, vomiting, diarrhea, constipation, or back pain. She additionally had a 40 lb weight loss (unintentional) over the prior 8 months.

UCD-2013-11

A 70-year-old woman with malaise, hot flashes, and 5-10 pound weight loss was found to have an elevated hematocrit of 46.

UCD-2013-10

A 28-year-old woman with no significant past medical history presented with a palpable left neck mass which had been slowly increasing in size for approximately one year and was not associated with pain or other symptoms.

UCD-2013-09

The patient is a healthy 80-year-old male with a large, right, painless scrotal swelling that has progressed in size slowly for many years.

UCD-2013-08

A 22-year-old G1P0 female with an uncomplicated pregnancy history was at 31 weeks 6/7 days gestational age by last menstrual cycle when she presented to her OB clinic for routine screening.

UCD-2013-07

A 3-year-old boy presented with an enlarging mass in front of his ear.

UCD-2013-06

The patient is a 55 year old male with a past medical history significant for hypertension and osteoarthritis who presented with a 3 to 4 month history of alternating diarrhea with steatorrhea and constipation. He also noted fevers and an unintentional 40 lbs weight loss.

UCD-2013-04

The decedent was a 33 year old male with a prior history of illicit drug use who complained of vague abdominal pain 1 week prior to death.

UCD-2013-03

A 75 year old male who presented with dysphagia and epigastric discomfort.

UCD-2013-02

A newborn female infant born at 37 weeks gestation with a left –sided multicystic lung mass discovered at 25 weeks on ultrasound.

UCD-2013-01

A 63-year-old female with a past medical history of gastrointestinal bleeding from a gastric ulcer and H. pylori infection presented with new complaints of melena, progressive weakness, fatigue and shortness of breath.

UCD-2012-12

A 55-year-old para 1 female who presented with abdominal pain and a palpable mass.

UCD-2012-11

A 27 year-old male with a recent history of recurrent pneumonia (5 times over the past two years).

UCD-2012-09

A 37 year-old nulligravida female with a history of abnormal menstruation and more recently, episodes of severe lower abdominal cramping and copious vaginal bleeding.

UCD-2012-08

A 44 year-old pravida 2, para 2 woman with a seven-year history of a pedunculated vulvar mass.

UCD-2012-07

A 11-year-old girl with no significant past medical history who presented with a headache located behind the right eye, with radiation to bilateral temples.

UCD-2012-06

A 64 year-old female with a past medical history of cervical cancer s/p vaginal hysterectomy, hemorrhagic cyst s/p right oopherectomy, hypertension, and recurrent pulmonary emboli. She presented with abdominal pain for two weeks. Computed tomography (CT) showed a multi-cystic pelvic mass.

UCD-2012-05

A 86 year old male with a past medical history significant for diabetes mellitus and hypertension who was incidentally found to have a left lung mass discovered on chest radiographs (during work-up for dull chest pain).

UCD-2012-04

A 40-year-old Asian female status post right ovarian cystectomy and left salpingo-oophorectomy for seromucinous cystadenoma of the right ovary and mixed endometrioid and mucinous tumor of low malignant potential of the left ovary.

UCD-2012-03

A 63-year-old female presents with worsening abdominal pain, distention, nausea and progressively fewer and smaller bowel movements.

UCD-2012-02

A 16-year-old girl with no significant past medical history presented with a tender right breast lump.

UCD-2012-02

A 16-year-old girl with no significant past medical history presented with a tender right breast lump.

UCD-2012-01

A 53-year-old Caucasian male with a past medical history significant for hypertension.

UCD-2011-12

A 64-year-old female, with a past medical history significant for chronic obstructive pulmonary disease, diabetes mellitus, and hypertension, who was found to have a right adrenal mass on chest CT (during work-up for pneumonia).

UCD-2011-09

A 2-year-old boy with a soft tissue mass in the thenar eminence of the hand. MRI showed an amorphous area of enhancing soft tissue in the thenar eminence and a suggestion of increased soft tissue between the radial metacarpals.

UCD-2011-08

A 39 year-old female with a 5-month history of persistent abdominal pain and cramping. A colonoscopy was performed and found no abnormalities.

UCD-2011-07

A 54 year-old woman with a history of melanoma of the right leg and a left adnexal mass that was found on CT when the patient presented to the ED with abdominal pain.

UCD-2011-06

A 38 year-old male, with a past medical history significant only for gastroesophageal reflux disease, who presented with burning epigastric pain.

UCD-2011-04

A 38 year-old male with a history of a left testicular varicocele and a chief complaint of infertility for four years.

UCD-2011-03

A 30 year-old female from Sudan with no significant past medical history who presents with an incidental finding of persistent mildly elevated liver function tests and microcytic anemia.

UCD-2011-02

A 66 year-old female with a past medical history of hypertension, atrial fibrillation and congestive heart failure who underwent a computed tomography (CT) scan of the abdomen to evaluate for an existing abdominal aneurysm.

UCD-2011-01

A 22 year-old woman with a 10 year history of menorrhagia.

UCD-2010-12

A 15-month-old female with a 1-week history of fever, fatigue, and maculopapular rash which had recently resolved.

UCD-2010-10

A 9-year-old boy with no past medical history who had a right flank mass which had been growing over several months.

UCD-2010-09

A 31-year-old female with a prior history of a myelomeningocele who was noted to have a new cystic structure within the pelvis/sacrum region at the time of a C-section.

UCD-2010-08

A 68 year-old man who initially presented with pancreatitis and was incidentally found to have hypercalcemia due to hyperparathyroidism.

UCD-2010-07

A 34-year-old male with no significant past medical history who presented with right painful lump, behind right ear for 2.5 months.

UCD-2010-05

A 33-year-old Caucasian female with no significant past medical history who presented with a chief complaint of progressive shortness of breath over a course of 3 months.

UCD-2010-04

A 79-year-old man with a history of Barrett’s esophagus.

UCD-2010-03

A 37-year-old female with a two to three month history of abdominal pain, burning on urination, occasional fevers, weight loss of 10 lbs. and amenorrhea for a period of 6 months.

UCD-2010-02

The patient is a nulligravida 47-year-old female with Turner’s Syndrome who presented with a 10 month history of irregular vaginal bleeding.

UCD-2010-01

An 80 year-old woman who presented with a three month history of multiple urinary tract infections and one day of gross hematuria.

UCD-2009-09

A 57-year-old male who noted a “pop” in his right thigh while doing heavy labor activities.

UCD-2009-08

A 63-year-old male who presented to the emergency room because of sharp chest pain radiating to the scapula.