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A Rarity in a Common Disease: Thyroid Paraganglioma

Thyroid nodule is extremely common in clinical practice. An evaluation of thyroid nodule is often straightforward. However, pathologic findings can occasionally be surprising. A 42-year-old previously healthy man was referred to the endocrinology clinic with asymptomatic neck enlargement noted during evaluation of acid reflux symptom. He had no previous radiation exposure to the head and […]

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Benign but Not Harmless: Solitary Fibrous Tumor

For one unfortunate patient, benign histopathology did not lead to a good outcome. A 74-year-old woman presented with dyspnea on exertion and altered mental status. She had no history of lung disease and denied other cardiopulmonary, abdominal, or constitutional symptoms. Her past medical history, besides many years of tobacco abuse, was unremarkable Assessment While the […]

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Chylous Ascites: An Unusual Complication of Necrotizing Pancreatitis

To the Editor: A 59-year-old woman with hypertension presented to the emergency department with abdominal pain secondary to gallstone pancreatitis. She had no history of liver disease, tuberculosis, or cancer. She was febrile to 38.9°C (102°F), blood pressure 49/29 mm Hg, heart rate 124 beats per minute, respiratory rate 31 breaths per minute, and normal […]

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Restoring Balance: Paraneoplastic Cerebellar Degeneration

A 63-year-old woman was evaluated for 3 months of gradually worsening tremors in her legs. The tremors were worse in the right leg, increased in amplitude on standing or walking, and were absent at rest. She also had a milder tremor of her head. She had no headache, confusion, weakness, numbness, or dyscoordination. Her medical […]

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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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