Textbook for a year-long Beginning Chinese course. Chapters are available in word and pdf files.
Word Count: 81283
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(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
A 64 year old male Chinese patient presented with generalized tonic-clonic seizures for a month prior to admission. He had a past history of diabetes, hypertension and previous cerebrovascular accident. Otherwise, he had no other constitutional symptoms such as fever, chills, weight loss etc. Physical examination did not disclose any systemic lymphadenopathy. Subsequent MRI revealed right frontal extra-axial mass with features suggestive of a meningioma which was associated with compression of the anterior portion of the superior sagittal sinus (Fig. 1a). He underwent a craniotomy and tumor excision. During surgery, an avascular right frontal enplaque tumor associated with poor brain-tumor interface was noted. A biopsy of the mass was submitted for frozen section intra-operative consultation during which smears as well as frozen tissue sections were prepared. Following the frozen section result, a subtotal resection was undertaken with residual tumor remaining in the patient.