Autopsy No.: #46758
Case No: 26.
Autopsy No.: #46758
Age (decades): 70
Sex: F
Decade of Autopsy: 1990
Key Number: 810547
appendectomy ;.
hysterectomy ;.
bladder repair ;.
osteoarthritis ;.
family history cerebrovascular accident cancer ;.
tick bite ;.
onset nausea ataxia right facial weakness ;.
admission local ;.
diagnosis LYME disease nervous system ;.
elevated serum cerebrospinal fluid igm igg titers borrelia burgdorferi ;.
intravenous ceftriaxone ;.
transfer progression cranial nerve deficits ;.
lyme disease ;.
secondary bell palsy cerebellar involvement ;.
right lid lag ;.
heberdeen nodules ;.
elevated serum cholesterol ;.
aspiration pneumonia ;.
pleocytosis ;.
mononuclear per lumbar puncture ;.
area increased signal ;.
weighting noted right cerebellar peduncle ;.
enhanced ;.
gadolinium ;.
white matter lesions corona radiata per magnetic resonance imaging ;.
multiple temperature spikes ;.
enterobacter species per sputum culture ;.
broad spectrum antibiotics ;.
right vocal cord paralysis per nasopharyngeal endoscopy ;.
acute respiratory arrest ;.
intubation ;.
extubation required one hour ;.
chest radiograph consistent ;.
new bilateral aspiration pneumonia ;.
admission stereotatic biopsy pontine lesion ;.
left gaze paresis anisocoria right cornea decreased sensation bell palsy uvula
deviated right ataxia upper extremities ;.
consistent ;.
right pontine lesion ;.
blot negative lymph disease ;.
negative rheumatoid factor ;.
serum rapid plasma reagin positive ;.
broad spectrum antibiotics ;.
pulmonary infiltrates per chest radiograph ;.
anemia ;.
small left pleural effusion sonography ;.
atelectasis pleural effusion negative lymphadenopathy negative definite masses
per computerized tomography ;.
extensive necrosis ;.
lymphocytes atypical poorly preserved suggestive negative diagnostic small cell
malignant neoplasm per nervous system sterotactic needle aspiration ;.
necrotic tissue cannot determine specimen represents necrotic brain abscess
tumor per pons needle biopsy ;.
steroid therapy ;.
tracheostomy ;.
mechanical ventilation ;.
hypotensive episode responsive fluid resuscitation ;. feeding tube ;.
heme positive loose stools ;.
conjunctivitis treated ;.
topical gentamicin ;.
right gaze palsy ;.
leukocytosis ;.
percutaneous endoscopic gastrostomy tube placement ;.
elevated cerebrospinal fluid glucose per lumbar puncture ;.
extremely atypical ;.
background mononuclear per cerebrospinal fluid analysis ;.
left subclavian venous line ;.
hypotensive episode responsive fluid resuscitation ;.
increasing bilateral atelectasis versus infiltrates per chest radiography ;.
antibiotic therapy ;.
enterobacter per sputum culture ;.
stable ring enhancing lesions posterior pons decreasing cortical edema exam
less distortion fourth ventricle per magnetic resonance imaging study ;.
diarrhea ;.
positive assay clostridium difficile toxin ;.
weaning ventilator ;.
pulmonary toilet ;.
supraventricular tachycardia per electrocardiogram responsive verapamil ;.
recurrent atelectasis left lower lobe per chest radiograph ;.
continuous positive airway pressure maintain airway ;.
empiric flagyl ;.
right subclavian line ;.
maltophilia per sputum culture enterobacter ;.
enterococcus ;.
per urine culture ;.
cardiopulmonary arrest ;.
successful cardiopulmonary resuscitation ;.
coma score ;.
neurological exam consistent ;.
brain death ;.
heparin ;.
lidocaine pressor agents ;.
atrial tachycardia ;.
intermittent atrial flutter fibrillation per electrocardiogram ;.
increased arterial alveolar oxygen gradient ;.
burst suppression pattern consistent ;.
severe anoxic brain injury per electroencephalogram ;.
negative resuscitate status ;.
death ;.
well differentiated primary cns lymphoma ;.
associated hemorrhage necrosis right inferior cerebellar peduncle brain ;.
severe ischemic ;.
anoxic ;.
encephalopathy cerebral cortex cerebellum brain ;.
lacunar infarcts midbrain putamen brain ;.
adenoma right kidney ;.
acute chronic pancreatitis pancreas ;.
chronic passive congestion intrahepatic cholestasis steatosis liver ;.
organizing pneumonia right left lower lobes lung ;.
focal active pneumonitis lungs ;.
scattered cytomegalovirus intranuclear inclusions ;.
organized thromboemboli lung ;.
leiomyomas stomach esophagus ;.
congestion edema lungs ;.
weight gms ;.
calcified granulomas ;.
greatest diameter ;.
lower lobe left lung ;.
mild atherosclerosis left anterior descending right coronary arteries heart ;.
cardiomegaly ;.
left ventricular hypertrophy heart ;.
fatty infiltration right ventricle heart ;.
atherosclerotic plaque ;.
stenosis superior mesenteric artery ;.
moderate complicated atherosclerosis aorta ;.
mild atherosclerosis pulmonary artery ;.
degenerative joint disease vertebra ;.
hemorrhagic urethritis cystitis urinary bladder ;.
hematomas rib fractures anterior chest wall thorax ;.
cardiopulmonary resuscitation ;.
ulcer gastroesophageal junction ;.
cytomegalovirus inclusions underlying endothelium ;.
diverticulosis colon ;.
tracheostomy tube trachea ;.
heberdeen nodes nodes radial deviation distal
interphalangeal phalanges hands ;.
mild pedal edema ;.
surgical absence uterus ovaries ;.
hysterectomy
