Case of the Month Articles

Persistent oral bleeding after toothbrushing

, John L. Abt, DO, FACEP; Joyce Wagner, MCMS, PA-C May 16, 2012

A middle-aged woman experiences persistent gum bleeding after brushing her teeth, accompanied by foul breath.
 

Dullness to percussion over the right lung base

April 27, 2012

This elderly man's phlegm- and blood-producing cough and chest pain were a cause for concern.
 

An aggressive necrotic skin lesion

, Christopher P. Forest, MSHS, PA-C April 18, 2012

A chemical burn suffered more than 3 decades ago is the underlying cause of a multinodular mass with central erythema.
 

Right lower quadrant pain in a middle-age woman

March 21, 2012

A patient with a history of hysterectomy and a family history of ovarian cancer complains of increased abdominal girth, early satiety, periodic postprandial emesis, and bloating.
 

Increasing hip pain in an elderly woman

February 22, 2012

Incapacitating pain and decreased range of motion sideline a previously healthy, active, and independent elderly patient.
 

Intermittent, longstanding bilateral mastalgia in a 35-year-old woman

, , Nicholas Ogami; Rebecca Hall January 25, 2012

This patient's breast pain was severe when she was in cold environments but resolved in warm environments.
 

Lingering knee pain in a young football player

December 23, 2011

The earliest symptoms were mild swelling and minor instability first diagnosed as knee strain, but continuing pain demanded consultation with a pediatric orthopedist.
 

An unusual presentation in an elderly man

November 23, 2011

Nocturnal abdominal and right-sided shoulder pain signal a life-threatening condition in a patient whose history revealed tell-tale clues.
 

Spearlike chest pain and vomiting in a morbidly obese patient

October 27, 2011

After taking a laxative in preparation for a colonoscopy, a woman with a number of medical problems experiences troubling symptoms.
 

Profuse left-sided epistaxis and spiderlike lesions on a 66-year-old male

, September 28, 2011

A man with a history of bleeding experiences has a number of strange lesions on the fingers, cheek, and tongue.
 
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