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Insidious Swelling in the Neck of a 45-Year-Old Man |
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Thursday, 04 September 2008 |
BACKGROUND
A 45-year-old man complains of gradual swelling in his neck over the past 6 months; he has a nontender, nonerythematous, fluctuant mass in the midline of the lower neck. He has not experienced any pain, fevers, difficulty swallowing, or alteration of his voice
What is the diagnosis?
CASE DISCUSSION
Click here for the answer and discussion
HINT
This is the most common congenital anomaly resulting in a midline neck mass.
Click here for information on submitting a case
Authors:
Pramod Gupta, MD, Staff Physician, Department of Radiology, Dallas VA Medical Center, Dallas, Texas
Jitendra Gohil, MD, Staff Physician, Department of Radiology, Dallas VA Medical Center, Dallas, Texas
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Food Impaction in a 33-Year-Old Man |
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Thursday, 28 August 2008 |
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BACKGROUND
A 33-year-old man presents to the ED after eating lunch complaining
of “food stuck in my esophagus.” For the last few months, the patient
has been experiencing worsening dysphagia;
he has had problems with swallowing solid food since childhood. The
patient is diagnosed with an esophageal foreign-body obstruction and
treated in the ED with intravenous fluids and glucagon. Two hours after this initial treatment, his symptoms persist.
What condition is revealed on the endoscopic images?
CASE DISCUSSION
Click here for the answer and discussion
HINT
The patient’s history of allergies and his young age are significant to this condition.
Click here for information on submitting a case
Authors:
Juan Carlos Munoz, MD, Clinical Assistant Professor of Medicine,
Department of Gastroenterology, University of Florida, Jacksonville, FL
Carmela Monteiro, MD, Associate Professor, Department of Pathology
and Laboratory Medicine, University of Florida College of
Medicine-Jacksonville, Jacksonville, FL
Ivan E. Rascon-Aguilar, MD, Fellow, University of
Florida/Jacksonville College of Medicine, Department of Internal
Medicine, Division of Gastroenterology, Jacksonville, FL
eMedicine Editors:
Rick G. Kulkarni, MD, FACEP, Assistant Professor, Yale School of
Medicine, Section of Emergency Medicine, Department of Surgery, Attending Physician, Medical Director, Department of Emergency Services, Yale-New Haven Hospital, CT
Tomasz Guzowski, MD, FRCPC, Internal Medicine and Gastroenterology, Stanton Territorial Hospital, Yellowknife, Canada; Assistant Professor of Medicine, University of Alberta
Erik D. Schraga, MD, Clinical Instructor of Emergency Medicine,
Stanford/Kaiser Emergency Medicine Residency Program, Department of
Emergency Medicine, Kaiser Permanente, Santa Clara Medical Center, Santa Clara, CA
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A Change in Upper Extremity Examination |
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Tuesday, 26 August 2008 |
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BACKGROUND
A 45-year-old woman suffers severe complications during treatment for right pleural effusion.
A change in her right hand is noticed; it is blistered, extremely
swollen, and tense. The distal hand and fingers are darkly discolored
and cool, and the radial and ulnar pulses are not palpable. The fingers
are all in a slightly flexed position, and the nail beds are blackened.
What is the underlying etiology?
CASE DISCUSSION
Click here for the answer and discussion
HINT
Look closely at the position of the hand.
Click here for information on submitting a case
Authors:
Brian Olack, MD, Plastic Surgery Resident, Cleveland Clinic Florida, Weston, FL
Michel C. Samson, MD, FRCSC, FACS, Interim Chairman, Dept. of Plastic Surgery; Program Director, Plastic Surgery Residency Program, Cleveland Clinic, Weston, FL
Martin I. Newman, MD, Department of Plastic and Reconstructive Surgery, Cleveland Clinic Florida, Weston, FL
eMedicine Editors:
Rick G. Kulkarni, MD, FACEP, Assistant Professor, Yale School of
Medicine, Section of Emergency Medicine, Department of Surgery, Attending Physician, Medical Director, Department of Emergency Services, Yale-New Haven Hospital, CT
William L. Jaffe, MD, Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases
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Breast Calcification on Screening Mammography |
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Tuesday, 26 August 2008 |
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BACKGROUND
A 42-year-old Nigerian woman living in the UK presents for
mammography as part of an evaluation for a renal transplant. While her
physical exam is generally normal, her lab exam reveals microcytic
anemia, BUN of 56 mg/dL, and creatinine of 6.2 mg/dL. The mammogram is
obtained.
What is the underlying etiology?
CASE DISCUSSION
Click here for the answer and discussion
HINT
A more common location for this entity is in the lower extremity.
Click here for information on submitting a case
Authors:
Heather Kesler DeVore, MD, Clinical Instructor, Georgetown University School of Medicine, Department of Emergency Medicine, Attending Physician, Department of Emergency Medicine, Washington Hospital Center, Washington, DC
Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP, Chairman of Medical Imaging, Professor of Radiology, NGHA, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia
Sirhan Alvi, BSc, MBChB, MRCS(Ed), MRCS(Glasg), Senior House Officer, Department of Orthopaedic Surgery, N Manchester General Hospital, UK
eMedicine Editors:
Rick G. Kulkarni, MD, FACEP, Assistant Professor, Yale School of
Medicine, Section of Emergency Medicine, Department of Surgery,
Attending Physician, Medical Director, Department of Emergency Services, Yale-New Haven Hospital, CT
Michael S. Bronze, MD, Stewart Wolf Professor, Chairman of the
Department of Medicine, University of Oklahoma Health Science Center,
Oklahoma City, OK
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