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Imaging Quiz Case 1
Adi Yoskovitch, MD;
Michael P. Hier, MD, FRCSC;
Gerard Mohr, MD, FRCSC;
Nathan Sheiner, MD, FRCSC;
Donatella Tampieri, MD, FRCPC;
Martin J. Black, MD, FRCSC
Montreal, Quebec
Arch Otolaryngol Head Neck Surg. 2000;126:792-796.
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A 68-YEAR-OLD man presented to the internal medicine service with a 2-day history of rectal bleeding (bright-red blood), a temperature of 39.6°C, and leukocytosis. His medical history was insignificant. A barium enema and a small-bowel follow-through revealed no lesions. Colonoscopy demonstrated no abnormalities. Two days later, the patient developed mild dysphagia and a mass in the right side of his neck. Prophylactic intravenous broad-spectrum antibiotic therapy was initiated, and the otolaryngology service was consulted. Physical examination revealed a 5-cm mobile neck mass that was tender and pulsatile to palpation. There was diminished pulsation of the ipsilateral superficial temporal artery. There were no cervical bruits or thrills. The results of the rest of the physical examination, including flexible laryngoscopy and full neurological assessment, were normal. A . . . [Full Text of this Article]
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