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Thursday, November 17, 2011

MDadmit Cool Case of the Week

This blog has been focused on providing tips to help you get into medical school. Don't worry, those tips will still be published weekly. But I've decided to spice things up a bit here on the MDadmit blog and include a Cool Case of the Week. Something to get you even more excited about the fascinating field you are about to enter. I'll send out the case on Wednesday at 9am and ask you to guess the diagnosis, treatment, etc. I will then provide the answer on Thursday at 9am. Have fun with it!

Case#1: 50yo female from Eastern Europe presents to the Emergency Department with three weeks of intermittent double vision, trouble walking, and R arm uncoordination. She had an outpatient CT of her head that showed no abnormalities and could not initially undergo a MRI because she had an IUD in place. The IUD has been removed and she now presents to the EED because the symptoms are getting worse. On exam, her vital signs are stable. Positive findings include a cranial nerve III palsy of the left eye, R arm and leg ataxia, and marked gait ataxia. She also has trouble finding words. A MRI/MRA is performed emergently that shows a ring-enhancing lesion in the midbrain. What could the lesion be? What is the diagnosis?

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