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Departments » Case of the Month

Facial Cellulitis in Older Man Presents Variability in Diagnosis

November 4, 2014

Clinical report highlights how disease progression can mimic head, neck cancer

Pages: 1 2 | Single Page

Persistent Cough in a Nonsmoking Woman

March 1, 2014

A 57-year-old woman presents with a five-year history of persistent, nonproductive cough

Pages: 1 2 | Single Page

Dysphagia, Odynophagia, Hoarseness in Elderly Man

December 1, 2013

A 97-year-old man presents with worsening dysphagia, odynophagia, mild hoarseness

Pages: 1 2 | Single Page

A Patient with Gradual Airway Obstruction

October 1, 2013

A 64-year-old woman presents to the ED with shortness of breath

Pages: 1 2 | Single Page

Management of Bilateral Tinnitus and Nasal Tumor

July 1, 2013

A 53-year-old man with a one-month history of bilateral tinnitus. An MRI detected a sphenoid tumor incidentally, and a contrast-enhanced computed tomography scan revealed a partially enhanced tumor in the left sphenoidal sinus that destroyed part of the skull base.

Pages: 1 2 | Single Page

Management of an Unusual Middle Ear Foreign Body

August 9, 2012

A 42-year-old male was recently fitted for occupational ear molds to protect him from excessive noise exposure at work and further hearing loss. During the fitting, he experienced severe, sudden otalgia and vertigo and complained that hearing loss in the left ear, his better-hearing ear, had worsened.

Pages: 1 2 | Single Page

Weight Loss and Hoarseness in a 38-Year-Old Woman

June 7, 2012

A woman presented with a chief complaint of throat pain of four weeks duration and hoarseness of several years duration. She eventually presented to the otolaryngology clinic complaining of a four-week history of odynophagia associated with a frequent urge to clear her throat.

Pages: 1 2 | Single Page

Parotid Mass Diagnostic Dilemma

April 6, 2012

A 75-year-old man presented with a left ear lobule melanoma and was found, on examination, to have a concurrent right parotid mass and bilateral cervical lymphadenopathy. A CT scan of the neck confirmed a 2-cm right superficial parotid mass containing both solid and cystic components without any pathognomonic characteristics, as well as bilateral cervical lymphadenopathy with multiple 2- to 3-cm lymph nodes. FNA biopsy of the parotid mass was consistent with carcinoma, whereas FNA samples from the cervical lymph nodes were non-diagnostic.

Pages: 1 2 | Single Page

Decade-Long Progressive Dysphagia with Intermittent Regurgitation

February 14, 2012

A 78-year-old woman presented with a 10-year history of progressive dysphagia for solid foods and pills, with intermittent regurgitation of pills but not food. No aspiration or weight loss was reported. Her past medical history was significant for breast cancer, hypothyroidism and arthritis. No head and neck masses were appreciated. A modified barium swallow was obtained.

Pages: 1 2 | Single Page

Baseball Foul Tip Causing Frontal Sinus Fracture

April 4, 2011

A 14-year-old boy sustained blunt trauma to the forehead from a foul-tipped baseball. Significant past medical history consisted of allergic rhinitis treated with over-the-counter cetirizine (Zyrtec). On examination, the patient had right frontal sinus depression with overlying edema. There were no palpable nasal bone or orbital rim abnormalities. Baseball threads were seen on the overlying skin as well as ecchymosis on the nasal dorsum and under both eyes.

Pages: 1 2 | Single Page
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