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  Vol. 133 No. 7, July 2007 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case 1

Andrew M. Compton, BA; Michael Hoa, MD; Mousa Al-Abbadi, MD; John H. Krouse, MD, PhD
Wayne State University School of Medicine, Detroit, Michigan

Arch Otolaryngol Head Neck Surg. 2007;133(7):728.

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

A 34-year-old African American man presented to the ear, nose, and throat clinic with night sweats, subjective low-grade fevers, and a 9- to 14-kg weight loss that had occurred over the last several weeks. Examination of his head and neck revealed a 3-cm nontender mass, 2 cm to the left of the midline, that moved with swallowing. The results of the rest of the physical examination were unremarkable. The patient denied any pain, dysphagia, dysphonia, heat or cold intolerance, change in appetite, or palpitations.

The findings of basic laboratory studies, including total triiodothyronine, free thyroxine, and thyroid-stimulating hormone levels, were all within normal limits. The levels of alanine aminotransferase and aspartate aminotransferase were elevated at 214 and 98 U/L (to convert to microkatals per liter, multiply by 0.0167), respectively; however, levels of total and direct . . . [Full Text of this Article]


RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(7):730.
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