What is your diagnosis? Juxtapapillary lipoma

A rheographic investigation on the liver in patients with leptospirosis revealed substantial disturbances in the system of hepatic circulation, which observation was regarded as corresponding to gross morphologic changes in the liver. Potentialities are shown of hepatorheography in assessment of severity of injury to the liver and degree of its return to normal in leptospirosis.     

What is your diagnosis? Leiomyosarcoma of the cecum

Epidural hematoma is a rare but serious neurological complication of epidural anesthesia. We report the case of a 61-year-old man with squamous cell carcinoma of the lung who suffered an epidural hematoma after undergoing right double lobectomy. Before anesthetic induction an epidural catheter was inserted to the D5-D6 space for postoperative analgesia. Surgery was without noteworthy events and the patient was extubated in the operating room; 5,000 IU of low molecular weight heparin was injected subcutaneously every 24 hours and 5 mg of methadone was provided by epidural catheter every 8 hours. After removal of the catheter three days after surgery, lumbar back pain and hypoesthesia, and weakness in both legs appeared. Epidural hematoma was suspected and treatment with 30 mg.kg-1 of methylprednisolone i.v. was started. Nuclear magnetic resonance imaging of the lumbar spine confirmed the presence of a hematoma at D6-D8. Neurologic symptoms improved in the following hours and additional surgery was not required. The patient was released without neurological symptoms 10 days after lung surgery. We discuss the prevalence, etiology and treatment of epidural hematoma related to epidural anesthesia.     

Case presentation in small animal medicine. What is your diagnosis?

Atrial fibrillation and dilated cardiomyopathy were diagnosed in a 9-year old boxer who was examined because of anorexia and ascites. Longterm treatment included a diuretic (furosemide), an ACE-inhibitor (benazepril), digoxin, and a betablocker (atenolol). The prognosis for DCMP is unfavorable--the described dog died 11 months after diagnosis.     

Nineteen-year-old female with unilateral ankle pain. What is your diagnosis?

The case history of a 19-year-old female with left ankle pain of 18 months' duration is presented. The reader is encouraged to make his or her own diagnosis after reviewing the history, laboratory values, and imaging. The final diagnosis with a full explanation and differential diagnosis will follow.     

Subacute constrictive uremic pericarditis. Survival after pericardiectomy

Uremic pericarditis progressed to subacute constriction despite intensive medical treatment in two patients with concomitant metabolic stress of surgery and infection. Total pericardiectomy was successful and should be done as soon as medical measures fail to resolve the pericarditis.     

What is your diagnosis? Generalized tuberculosis caused by M. tuberculosis complex]

The study of parahydroxybenzonitrile on the cardiovascular system of the Rat shows alpha blocker properties.