Tag Archives: Featured

Acute Calcific Tendinitis of the Longus Colli Muscle

A 47-year-old healthy woman presented with sudden-onset, severe neck pain and stiffness associated with odynophagia, dysphagia, and low-grade fever (37.8°C). She described it as severe neck pain extending into the deep neck and radiating upward to the occiput and vertex of the head. She also complained of difficulty in opening her jaw and swallowing due […]

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Connecting the Dots: A Case of Myeloid Sarcoma

A 73-year-old white gentleman with a medical history significant for stage IIA (pT3a, N0, M0) malignant melanoma managed by wide local excision from his right shoulder was referred to our cutaneous clinic for evaluation of locally recurrent disease. An excisional biopsy of the lesion 3 months prior had been interpreted as consistent with malignant melanoma, […]

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Twenty Children, Six Teachers, Two Sets of Eyes, a Dog, and a Transformation

Twenty children, six teachers, two sets of eyes, and a dog were a terribly tragic catalyst for my metamorphosis as a physician and person. Let me explain. Until the cataclysmic event, I was an academic physician at an Ivy League institution who worshipped at the altar of evidence-based medicine and thought housestaff and students should […]

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Tophaceous Gout of Lumbar Spine with Fever Mimicking Infection

A 56-year-old man was admitted with complaints of low back pain and fever lasting for about 2 months. He had a 10-year history of intermittent gouty arthritis in his feet, which was being treated with colchicine, with the most recent attack occurring 12 months before. Assessment On physical examination, his body temperature was 38.5°C. His […]

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Brought Down by a Mosquito? West Nile Virus Encephalitis

  Neurologic symptoms in a previously healthy man spurred a battery of tests to determine the cause. The 51-year-old patient lived alone and was transferred to our intensive care unit from another facility. Emergency medical services personnel first brought him to his local emergency department, where he stated that he had not been feeling well […]

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