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  Vol. 131 No. 3, March 2005 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case

Ryan M. Rehl, MD; Aaron G. Benson, MD; Daniel G. Danahey, MD, PhD
University of Illinois at Chicago Medical Center (Drs Rehl and Benson) and Northwestern University (Dr Danahey), Chicago, Ill

Arch Otolaryngol Head Neck Surg. 2005;131:271.

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

A 47-year-old man presented with a 2-week history of progressively worsening pain and swelling in his right eye, purulent right-sided nasal discharge, and subjective fever. He had been seen by a physician at an outside clinic 1 week earlier and had been placed on a regimen of amoxicillin-clavulanate for presumed acute sinusitis. He was a heavy smoker and had 2 to 3 alcoholic drinks per day. His medical and social histories were otherwise unremarkable.

On examination, the soft tissue overlying the right maxilla was edematous, erythematous, and tender to palpation. Nasal endoscopy revealed purulence as well as a smooth mucosa-lined mass completely obstructing the right nasal cavity. The right eye was proptotic, injected, and chemotic, with restricted extraocular movements in all directions. Visual acuity was mildly impaired in the right eye. Lateral canthotomy with inferior cantholysis was . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case—Diagnosis
Arch Otolaryngol Head Neck Surg. 2005;131(3):272-273.
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