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Case Reports

BRCA gene testing in a woman with a family history of cancer

Terry D. Kober, PA-C; Miranda M. Collins, MEd, MPAS, PA-C August 16, 2010

The case of a woman at risk of breast cancer illustrates the importance of taking action; how a recent law protects all patients.
 

Rapidly growing abdominal tumor in a toddler

Holly L. Green, PA-C; Michael E. Rytting, MD; Charles S. Cox Jr, MD August 09, 2010

Worsening abdominal distention, intermittent vomiting, a palpable mass, and decreased activity signaled a life-threatening malignancy.
 

Evolving purple lesions and nodules on the abdomen and forearm

Meera S. Kumar, MS, PA-C July 19, 2010

An elderly man complains of plum-colored lesions, some of which had worsened and some of which had spontaneously regressed.
 

Mediastinal mass in a patient with a history of bypass surgery

Robin Sterin, PA-C, MS June 14, 2010

Nonproductive cough and pleuritic chest pain with a history of chronic obstructive pulmonary disease lead to a surprising diagnosis.
 

Painful subcutaneous abdominal mass in a woman with a history of cesarean section

Rene Frasher, DHSc, PA-C June 07, 2010

Years of worsening pain in a surgical scar proved baffling until an MRI revealed a soft-tissue mass in an uncommon location.
 

A rare combination of uveitis, salivary gland swelling, and cranial nerve palsy in a febrile woman

Jason Evanchan, DO; Timothy J. Barreiro, DO, FCCP, FACOI; David Gemmel, PhD May 17, 2010

Bilateral swollen parotid glands trigger an evaluation and imaging studies that uncover ocular, neurologic, and pulmonary abnormalities.
 

Acute respiratory illness leads to 
the discovery of renal disease

Tamara Moutsatson, DO; Ahmad Hakemi, MD; Keir Todd, MEd, PA-C; Manjit Grewal, MD; John Lopes, MS, DHSc, PA-C May 13, 2010

The patient presented with a sore throat, runny nose, and a cough. When his condition worsened despite treatment, further workup revealed chronic nephropathy.
 

Dizziness induced by acute noise exposure

Carrlene Donald, MMS, PA-C; David Barrs, MD; Joseph Hoxworth, MD April 12, 2010

This patient had left-sided autophony, aural fullness, and episodes of vertigo triggered by a loud noise that lasted from a few seconds to a few minutes.
 

A rare presentation of metastatic breast cancer in a woman with apparent cholangiocarcinoma

Holly L. Johnson, MPAS, PA-C? March 08, 2010

Jaundice and intermittent abdominal pain were the only clues to a primary breast cancer that manifested without the usual symptoms.
 

Exploratory laparotomy for a pancreatic pseudocyst uncovers an adrenal mass instead

Castigliano M. Bhamidipati, DO; Matthew Smeds, MD February 08, 2010

In the patient with an abdominal mass, good communication, collaboration, and an evidence-based approach are essential.
 
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