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  Vol. 134 No. 5, May 2008 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2

Rosser Powitzky, MD; Rafael Garcia, MD; Christopher Taylor, MD
Oklahoma University Health Science Center Schoolof Medicine, Oklahoma City (Dr Powitzky); El Paso Ear, Nose, and Throat Associates, El Paso, Texas (Dr Garcia); and University of New Mexico Health Science Center, Albuquerque (Dr Taylor)

Arch Otolaryngol Head Neck Surg. 2008;134(5):555.

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

A 71-year-old woman with a medical history of schizophrenia and psoriasis came to our clinic for evaluation of 5 episodes of oral bleeding (about 10-50 mL each episode) that had occurred intermittently over the previous 3 days. Her medical and family histories were otherwise unremarkable. She complained of dysphagia, hoarseness, and right-sided hearing loss that had been present for approximately 1 week. Evaluation of the oral pharynx revealed a parapharyngeal bulge on the right side, with no signs of active bleeding. There were signs of eustachian tube dysfunction, including tympanic membrane retraction and a middle ear effusion on the right side. There were no cervical bruits or lymphadenopathy. Evaluation with flexible laryngoscopy demonstrated a right vocal cord paralysis. The findings of the rest of the examination were unremarkable.

A contrast-enhanced computed tomogram (CT) of the neck revealed a 4.0 x 3.5-cm . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2008;134(5):557-558.
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