Diabetes Mellitus
Diabetes Mellitus Mark E. Nunnally Vinod Malhotra A 59-year-old woman presents for vaginal hysterectomy for cervical cancer. She is obese (body mass index 32 kg per m2) and has had…
Pheochromocytoma
Pheochromocytoma Anup Pamnani Vinod Malhotra A 39-year-old man has a history of recurrent headaches, diaphoresis, and severe hypertension for several weeks. During a physical examination, he was found to have…
Cerebral Aneurysm
Cerebral Aneurysm Patricia Fogarty Mack A 43-year-old woman presented to the emergency room 2 days ago, complaining of severe headache, nausea, and vomiting, followed by a witnessed 3-minute loss of…
Awake Craniotomy for Mapping and Surgery in the Eloquent Cortex
Awake Craniotomy for Mapping and Surgery in the Eloquent Cortex Thomas A. Moore II A 47-year-old right-handed physician presented after two episodes of acute onset of left-sided headache associated with…
Head Injury
Head Injury Chris C. Lee Susan A. Ironstone Marie A. Theard A 52-year-old woman with an unknown past medical history was involved in a highspeed motorcycle collision and was airlifted…
Carotid Endarterectomy
Carotid Endarterectomy Christine Lennon An 85-year-old woman is scheduled for a left carotid endarterectomy (CEA) for asymptomatic left carotid stenosis. She has 90% occlusion of her left carotid artery and…
Brain Tumor and Craniotomy
Brain Tumor and Craniotomy June M. Chan Kane O. Pryor A 47-year-old woman who was previously healthy presents with a 4-month history of headache, with intermittent diplopia and gait disturbance…
Liver Transplantation
Liver Transplantation L. Hannah Bell Vivek K. Moitra A 66-year-old woman with a history of alcoholic cirrhosis and portal hypertension is admitted to the intensive care unit with altered mental…
Intestinal Obstruction
Intestinal Obstruction Joseph Tjan A 73-year-old woman with an acute abdomen was scheduled to undergo an emergency exploratory laparotomy. She complained of severe abdominal pain with periodic bouts of bilious…
Ischemic Heart Disease and Noncardiac Surgery
Ischemic Heart Disease and Noncardiac Surgery Shamsuddin Akhtar Paul G. Barash A 72-year-old man is scheduled for right hemicolectomy for colon cancer. Past history reveals a myocardial infarction (MI) 5…
