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Case of the Month

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.
 

What caused this mucosal diarrhea?

August 25, 2011

A patient presents to determine the cause of her abdominal cramping and the mucous and pink-red streaks in her stool.
 

Vaginal bleeding, suprapubic cramping, and blood clots in a female patient

, Michael H. Stella, MD; Ali S. Raja, MD, MBA, MPH July 26, 2011

A patient with a history of two cesarean sections and one therapeutic abortion presented after she passed several small blood clots and experienced cramping over the past hour.
 

Jaundice, fatigue, and intermittent abdominal pain in a teenager

June 17, 2011

A teenager experiencing worsening fatigue, jaundice, darkened urine, and vague intermittent abdominal pain presented for evaluation.
 

Extreme swelling and unusual symptoms in an African woman's finger

May 25, 2011

A 28-year-old female presents with a markedly enlarged finger accompanied by excoriation and yellow discharge.
 

Intermittent headaches relieved by lying down

, Mark Casteel, MD; Peter White, MD April 29, 2011

The patient was growing depressed that attempts at pain relief, including therapy for migraine headache and chiropractic care, failed to relieve her month-long symptoms.
 
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