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Clinical Problem Solving
November 2014

Nasal Congestion and Hemoptysis

Author Affiliations
  • 1Department of Otolaryngology, University of Florida College of Medicine, Gainesville
  • 2Department of Pathology, Immunology, and Laboratory Medicine, University of Florida College of Medicine, Gainesville
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1081-1082. doi:10.1001/jamaoto.2014.2414

A woman in her 50s presented to the outpatient clinic after several days of bloody sputum, hoarseness, and left nasal congestion preceded by allergy symptoms. She denied sore throat, dysphagia, fevers, and weight loss. Her medical history included gastroesophageal reflux disease, allergic rhinitis, and high-frequency hearing loss. She had a minimal smoking history and did not consume alcohol. Nasal examination revealed inflammation of left nasal cavity with a suspected mass. No palpable nodes were noted in the head and neck. Findings from a systemic examination were otherwise unremarkable.

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