June 2, 2014
A 63-year-old woman with history of hepatic cirrhosis and chronic kidney disease, now presenting with weakness and nausea. Laboratory values on presentation significant for NH3 level of 347 µMol/L.
Case of the Week Archive
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
May 29, 2014
A 14-year-old boy with chronic diarrhea, bilateral Achilles tendon xanthomas, intellectual disability, and cerebellar ataxia
May 22, 2014
A 59-year-old man with prior history of laryngeal invasive squamous cell carcinoma treated 9 years ago with radiation. New primary in the right tonsil status post rituximab with concurrent stereotactic radiosurgery completed 9 months ago. Non-small cell carcinoma of the right upper lobe of the lung recently treated with Cyber-Knife stereotactic radio surgery 6 months ago. Patient is very thin, weighing 79 pounds; temporal wasting is seen. Sclera anicteric. No visual symptoms.
May 19, 2014
A 22-year-old man who smokes marijuana, with chest pain and shortness of breath
May 12, 2014
A 25-year-old woman with history of seizures for the last 22 years and long-standing impaired cognitive functioning
May 8, 2014
A 22-year-old man with history of trauma but no significant past medical history
May 5, 2014
An 8-year-old girl with high-grade fever for 7 days and loss of consciousness for 3 days
May 1, 2014
A 42-year-old man with acute onset of blurry vision followed by loss of consciousness
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