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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

2011

The Medicine Forum

Man

Articles 1 - 5 of 5

Full-Text Articles in Medicine and Health Sciences

A Man With Fevers And Chest Pain, Jigar Patel, Md May 2011

A Man With Fevers And Chest Pain, Jigar Patel, Md

The Medicine Forum

A 42 y/o Hispanic man without significant medical
history presented to the ED with the complaint of
increasing left-sided chest pain. The patient reported that
symptoms began 4 days prior, when he developed a
severe headache. That night, he noted increasing chills
and sweats, with a fever measured at 103 degrees F. The
following morning, he developed left-sided chest pain
that he described as a pressure exacerbated by movement
and breathing. For the next several days, he reported
feeling worse with continuous chills and fever spikes up
to 105 degrees F, along with increased severity and
duration of his chest …


A Man With Dyspnea And Diffuse Abdominal Pain, Dominick Galluzzo Md May 2011

A Man With Dyspnea And Diffuse Abdominal Pain, Dominick Galluzzo Md

The Medicine Forum

A 50 y/o male with a PMH significant for HIV/HCV
co-infection, and chronic renal insufficiency, presented
to the ED with a one week history of progressive dyspnea
and diffuse abdominal discomfort. He reported resting
shortness of breath without orthopnea, PND, or chest
pain. His abdominal pain was diffuse, and he denied
nausea, vomiting, increased abdominal girth or lower
extremity edema.


A Man With Diarrhea And Achalasia, Dan Valancius Md May 2011

A Man With Diarrhea And Achalasia, Dan Valancius Md

The Medicine Forum

A 78 y/o male with an extensive history of CAD s/p
multiple MIs and CABG surgery, presents with two and
one half weeks of diarrhea. About 9 weeks prior, he had
been diagnosed with achalasia, and was treated with a
botulinum toxin injection, with resolution of his
symptoms of dysphagia. He was also hospitalized a month
ago after experiencing chest pain, and subsequently ruled
in for a small non-ST elevation MI. He underwent
coronary catheterization at that time, and was found to
have severe multivessel disease unamenable to PTCA or
bypass surgery. Now, he presents with progressively
frequent “brown watery” …


A Man With An Elevated Hemoglobin, Paula Sorokanich Md May 2011

A Man With An Elevated Hemoglobin, Paula Sorokanich Md

The Medicine Forum

A 50-year-old male with history of severe gout and
degenerative joint disease presented to his PCP for a
physical. On routine blood work he was found to have
an elevated hemoglobin/hematocrit. This was confirmed
on repeat analysis and work-up was pursued.


A Man With A Soft Tissue Lesion Of The Hand, Susan Masonis Md May 2011

A Man With A Soft Tissue Lesion Of The Hand, Susan Masonis Md

The Medicine Forum

A fifty year old male presents with a lesion on his right
hand. Approximately 2 months prior to presentation, the
patient, who is a dentist and avid boater, first noted the
lesion after hitting his hand when working in his boat’s
engine room. Initially he had a 1 cm erythematous
macular lesion on the dorsum of his right hand at the
5th metacarpal. He believed the lesion was present prior
to the time he struck his hand, and the injury brought it
to his attention.