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Subcutaneous Lesion in an Oncologic Patient

A 40-year-old Caucasian woman presented to our university hospital after she noticed a mass in the right supraclavicular area. The lump was easily palpable, sized 1-1.5 cm, firm, and rather immovable, with surrounding edema (Figure 1). She had noticed the lesion approximately 2 weeks earlier, and during that time the mass was gradually enlarging. Her personal […]

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woman in bed with icu

How the USPSTF’s Mammographic Screening Guidelines Should Be Interpreted

In 2016, the US Preventive Services Task Force (USPSTF) issued their final recommendation for mammographic screening for breast cancer, advising women to undergo biennial screening between the ages of 50 and 74 years (B recommendation), and that the decision to undergo screening for women aged 40-49 years should be an individual one, and a woman may […]

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Double the Trouble: Acute Coronary Syndrome and Ischemic Stroke in Polycythemia Vera

Vague symptoms turned out to be life-threatening conditions. A 50-year-old man with a history of polycythemia vera presented to the hospital with epigastric discomfort and clumsiness of the right hand for 5 days. Polycythemia vera was diagnosed 1 year prior, with good control of hematocrit by intermittent phlebotomy. He did not have any other medical […]

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Primary Care Management of Skin Abscesses Guided by Ultrasound

Primary care providers often manage skin abscesses in the outpatient setting. Estimating the size and depth of an abscess, and distinguishing abscess from cellulitis by clinical examination can be challenging due to surrounding firm tissue induration. Definitive treatment of abscess requires incision and drainage, and the approach chosen may be altered by abscess size, depth, […]

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Still Febrile After All These Weeks

A previously healthy 28-year-old man was admitted to an outside hospital with fever, pharyngitis, and diarrhea. His symptoms began with generalized fatigue, fever, night sweats, pharyngitis, diffuse myalgias and arthralgias, and 10-pound weight loss. He self-administered a 5-day course of azithromycin. Afterwards, he developed malodorous and watery diarrhea, abdominal cramping, tenesmus, and incomplete evacuation. On […]

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