ABMS Lifelong Learning CME Activity

The Difficult Cholecystectomy

Importance  Difficult cholecystectomies are associated with a higher risk of severe bilio-vascular injuries. Observations  Obesity, cirrhosis, high American Society of Anesthesiologists score, previous abdominal operations, and presence of acute cholecystitis or common bile duct stones are associated with difficult cholecystectomies. On imaging,…

Painful Hand Swelling With Finger Contractures

A 56-year-old woman with no history of rheumatic disease or hand injury had swelling and tenderness of the bilateral wrists, metacarpophalangeal and proximal interphalangeal joints, nodular palmar tendon thickening, and flexion contractures of all fingers; results of serologic testing for…

Exemestane-Associated Bilateral Maculopathy

This case report discusses a diagnosis of medication-associated maculopathy in a 44-year-old woman receiving exemestane treatment after breast cancer resection.

Iridolenticular Burns After Panretinal Photocoagulation

This case report describes anterior-segment burns of the nasal pupillary margin with adjacent anterior lenticular opacities in a patient receiving panretinal photocoagulation for proliferative diabetic retinopathy.

Residual Perfluoro-n-Octane Following Surgery for Persistent Fetal Vasculature

An 11-day-old boy was referred for evaluation of right eye leukocoria and was diagnosed with persistent fetal vasculature. Fundus photographs revealed perfluoro-n-octane bubbles in the inferior retina, and optical coherence tomography showed good foveal contour, no macular edema or epiretinal…

Syphilis – A Review

Importance  Syphilis is an infectious disease caused by Treponema pallidum, a gram-negative, spirochete bacterium. Worldwide, an estimated 8 million adults aged 18 to 49 years acquired syphilis in 2022. From 2019 to 2023, US syphilis cases increased by 61% overall, with diagnoses…