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Case of the Month

Disfiguring and disabling growth is seen in an existing mass

March 23, 2010

A patient presents with a large cutaneous mass on her buttock. It was first noticed years earlier but had recently grown significantly.

A very abnormal ECG in a relatively healthy person

Rami N. Khouzam, MD, FACC, FACP, FASNC February 23, 2010

An ECG obtained during the routine physical of a healthy, active man indicates serious heart disease.

What could be causing this woman's abdominal pain and constipation?

Corri Wolf, PA-C, MS, RD January 26, 2010

Imaging studies and key laboratory test results help identify the cause of this patient's GI pain and altered bowel habits.

Unexplained hypertension and hypokalemia in a young man

Tom Vascik, MS, PA-C December 22, 2009

The patient's recent behavior and lack of sympathomimetic symptoms hide the cause of his presenting conditions.

A 2-week history of painful urination

Jodi Welt, MA, RD, PA-C; Ellen D. Mandel, DMH, PA-C November 24, 2009

An otherwise healthy 6-year-old boy presents with nonspecific abdominal pain. Recent voiding behaviors were the most definitive clues to this diagnosis.

Persisting shin tenderness and erythema

David M. Alden-St. Pierre, MS, PA-C October 20, 2009

This patient experienced shin pain after a long walk. The next day, an ankle sprain was diagnosed. The clue was in his medical history of thyroid cancer.

Cough steadily increases in severity

Michael D. Jacobson, MSHS, PA-C September 22, 2009

A student reports a progressively worsening cough that comes in spasms and is accompanied by a choking sensation and an inability to catch his breath.

Persistent malodorous breath in a youngster

Rene Frasher, DHSc, PA-C August 21, 2009

A young boy has multiple episodes of foul-smelling breath so severe that he is ridiculed at school. After 5 months and several rounds of antibiotics, the cause emerges.

Episodes of severe dyspnea

Tyson Parker, MPAS, PA-C July 17, 2009

A 73-year-old nonsmoker complains of fatigue and dyspnea so severe that he has to rest when walking from his car to his house and sit up on the edge of the bed to breathe.