Diagnostic Challenge from Cortlandt Forum

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Diagnostic Challenge

Cutaneous symptoms reveal an unintentionally obscured disease

Matthew S. Rice, LTC, MC, USA March 01, 2010

As a health-care professional, this patient sought informal options that led to a delay in...

An infrequent cause of chronic cough

Guada Respicio, MD February 10, 2010

A number of diagnostic possibilities are raised, including allergy, asthma, postnasal drip, and reflux.

Recurrent cellulitis following buttock augmentation

Erica Kass, MD, and Eugene Wong, MD November 12, 2009

The patient's pain and swelling failed to resolve despite previous hospitalization and IV cephalosporin therapy.

Physician ethics: An all-too-common dilemma

Christopher Zipp, DO, and Carman A. Ciervo, DO October 19, 2009

Should the shocking confession of a depressed patient become a discoverable part of the medical record?

Adult tonsillitis: Primary care at the heart of a medical diagnostic team

Ravi Ramaswamy, MD, and E. Robert Marks, MD September 15, 2009

Hoarseness and a chronic cough were symptoms of a rare but important cause of tonsillitis in adults.

Bradycardia and a pectoralis twitch in a pacemaker patient

Debra Kleinschmidt, PhD, PA, and Giovanni Ciuffo, MD September 11, 2009

Surgery is required for a woman whose right ventricle was perforated by the tip on the lead of her permanent pacemaker.

Genital ulcer in a vacationing patient

By Everett Schlam, MD March 13, 2009

A man returns from a trip with an unwanted souvenir.

Transient severe breathing difficulty while shoveling snow

By Benjamin M. Kaplan, MD, and Albert J. Miller, MD February 05, 2009

An elderly woman returns home from a balmy South Pacific vacation and finds very cold temperatures. While shoveling snow, she finds that she can't get air into her lungs. With no history of pulmonary or heart disease, what's wrong?

Worsening palpitations hold the clue to a rarely seen diagnosis

By Ronny Cohen, MD, Derek Mena, MD, Veronica Gomez, MD, Engel Bido, MD, Jose Mejia, MD January 15, 2009

Although the symptoms had become troublesome only recently, their underlying cause had been present for all of our middle-aged patient's life.

Uncovering the cause of post-stress test distress

By Christopher Brodkin, MD, Asad Rafiq, MD, Krisna Das, MD, and Margaret Telfer, MD November 17, 2008

Chest pains prompt admission to the hospital, where diagnostic testing triggers new symptoms.

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Statistically Significant

3.1

Annual percentage increase in new diagnoses of malignant melanoma from 1992 to 2004.

30

Percentage of people diagnosed with asthma who don't have the disease.

142,505 emergency department visits

31% of all antidepressant prescriptions

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