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Blood in Urine: A Hard Nut to Crack

A 34-year-old woman presented with a 2-week history of intermittent painless macroscopic hematuria. She had a similar episode of macroscopic hematuria 5 years ago during her last pregnancy, which resolved spontaneously. Apart from this, she had no significant medical history. She was not taking any regular medications or supplements. On examination, she appeared well. She […]

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Deadly Diarrhea: The Clever Disguise of Aortic Dissection

  Aortic dissection is one of the great imitators that can present in many ways clinically, depending on the portion of the aorta undergoing dissection.1 Therefore, it is of utmost importance to discuss the variety of presentations, including those that are rare, so as not to miss this potentially fatal diagnosis. Our case is important because […]

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A Hard Calculus: Submandibular Sialolithiasis

  Eating worsened the discomfort a 52-year-old woman was experiencing, who presented with a 4-day history of painful swelling on the left side of the neck. The consumption-related symptom is common among those with her diagnosis. Assessment A tender, firm, warm swelling was identified in the patient’s left submandibular region. Intraoral examination revealed a hard […]

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An Unusually Long Process: Eagle Syndrome

For a tiny subset of patients, an anomaly in the skull’s architecture can precipitate significant symptoms. That was true for a 34-year-old woman who presented with a 5-month history of diffuse neck pain that increased with movement. For the previous 3 months, discomfort was associated with the feeling that she had a lump in the […]

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No Structural Signposts: Afterload-Dependent Mitral Regurgitation

Bad news seemed to generate alarming symptoms in a 61-year-old woman. After learning of a stressful family situation, she presented to an outside hospital with acute, severe dyspnea and mild chest discomfort. Her past medical history included paroxysmal atrial fibrillation, remote pulmonary embolism, hypertension, hypothyroidism, and questionable mitral valve prolapse. The patient also reported that […]

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