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  Vol. 130 No. 6, June 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Stefanie K. Horne, MD; Thomas R. Lowry, MD; Drew M. Horlbeck, MD
Wilford Hall Medical Center, San Antonio, Tex

Arch Otolaryngol Head Neck Surg. 2004;130:797.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A previously healthy 44-year-old woman presented with new-onset hearing loss and a 4-month history of pulsatile tinnitus in her right ear. She stated that she was not taking any new medications and had no recent upper respiratory infections, vertigo, chronic otitis media, head trauma, or history of hypertension. Her medical history was significant only for asthma and gastroesophageal reflux disease. She noted that the tinnitus was continuous, pulsatile, and humming in nature and that it stopped when she applied pressure to the right side of her neck. She stated that it was significantly worse at night, complaining that some nights she got little to no sleep.

Physical examination revealed intact and mobile tympanic membranes in both ears, and the results of Rinne and Weber examinations were normal. Auscultation of the preauricular region in the right ear was significant . . . [Full Text of this Article]



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