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Clinical Problem Solving: Pathology
April 2003

Pathology Quiz Case 2

Author Affiliations
 

FREDERIC B.ASKINMDWILLIAM H.WESTRAMD

Arch Otolaryngol Head Neck Surg. 2003;129(4):486. doi:10.1001/archotol.129.4.486

AN 86-YEAR-OLD WHITE WOMAN presented to the emergency department with chest pain and shortness of breath. She also reported a recent history of hoarseness, with the sensation that her throat was "closing up." She had a medical history of hypertension, peripheral vascular disease, left ventricular hypertrophy, transient ischemic attacks, osteoporosis, and hypercholesterolemia. An electrocardiogram showed no evidence of ischemia, and her cardiac enzyme levels were normal. A helical computed tomographic scan was negative for pulmonary embolism but revealed a mass in the left side of the neck, which prompted further evaluation of the thyroid gland.

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