Tag Archives: pain

An Uncommon Cause of Low Back Pain

A 21-year-old active duty Air Force male without past medical history presented to our Emergency Department with low back pain. The patient had been performing general resistance strength training, including specific exercises focusing on the low back region, for about 2 months. A few hours after a workout session, he developed acute pain to the […]

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Urschel’s Sign in Paget Schroetter Syndrome

A 32-year-old man, employed as a deckhand, was referred for right upper extremity swelling and pain of 3 months’ duration. Physical examination revealed swelling of the right upper extremity and prominent superficial veins over the right upper arm and shoulder (Urschel’s sign; Figure). Blood work including thrombophilia screen was unremarkable. Right upper extremity venous duplex ultrasonography […]

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Dueling Lungs: The Progression of Swyer-James Syndrome

Severe pulmonary hypertension led us to recommend surgery in the face of progressive Swyer-James syndrome. Presentation A 50-year-old African American woman presented to the Emergency Department with worsening pain over her left flank, chest, and back. The pain had been getting worse, especially in the morning, over the previous couple days and was described as […]

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Sole-Searing Pain: Classic Kaposi’s Sarcoma

To read this article in its entirety please visit our website. – This article originally appeared in the November 2017 issue of The American Journal of Medicine.

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Trench Mouth

A 37-year-old male patient presented with severe pain and bleeding of gingiva with inability to eat spicy food for 6 days. The patient was systemically healthy, but a heavy smoker for 3 years (15 cigarettes per day) and also under heavy stress due to family problems. He also complained of “metallic” taste and “pasty” saliva. Intraoral examination […]

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