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Displaying assets from 1 to 30 out of 215

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    • JAMA 
    Description A 15-YEAR-OLD white girl presented with a history of acute, left upper quadrant abdominal pain that developed while she was performing gymnastics. She had no history of trauma or pancreatitis. An...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 1-YEAR-OLD BOY had a history of fever, poor feeding, lethargy, and irritability for 1 month. Computed tomographic scans of the head revealed a right infratentorial hyperdense irregular cystic...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 15-YEAR-OLD WHITE BOY was diagnosed as having cystic fibrosis (CF) at age 4 years after symptoms of projectile vomiting, bulky stools, and anemia. Of 32 alleles tested, his genotype is...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description Symptoms and radiographic findings of a right middle lobe pneumonia persisted despite multiple courses of antibiotics, including erythromycin, bactrim, and ciprofloxacin over the next 4 months. He...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description THE PATIENT was a 9-month-old boy who had abnormal findings on an initial newborn screen for hypothyroidism, but a second test showed a normal circulating free thyroxine concentration, with serum...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 3-MONTH-OLD BOY was seen for pallor and oily stools. Findings revealed a hemoglobin level of 46 g/L; platelet count, 442 109/L; and total lymphocyte count (TLC), 4.6 109/L with polymorphs at 0.26...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A FEBRILE 10-year-old girl was referred for evaluation of a diffuse febrile papulovesicular eruption present for 5 days consisting of rare sparse vesicles with a tiny erythematous halo and some...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description SKIN HYPEREXTENSIBILITY was present in a 10-year-old girl (Figure 1). After minor injuries, connective tissue fragility manifested as easy bruising; the wounds were widely gaping, and more than 20...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A GRAVIDA 2, para 1 mother at 23 weeks' gestation delivered vaginally on termination of pregnancy a 520 g stillborn female fetus (Figure 1) with multiple skeletal and central nervous system...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description Suction dilatation and curettage were done. A brownish-tan, irregularly shaped, membranous, spongy mass with multiple translucent, membranous cysts was removed (Figure 1 and Figure 2). During the...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A PREVIOUSLY healthy female infant developed vomiting, lethargy, poor oral intake, gray coloring, and decreased lower extremity movement at age 8 weeks. Respiratory acidosis prompted intubation. An...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description Autopsy findings included consolidation of the right lung and around the interlobar fissure on the left side (Figure 2). Combined heart-lung weight was 135 g. Clear serous pleural effusions were...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 3-YEAR-OLD girl had a history of recurrent cough, fever (up to 38.8C), dyspnea, and weight loss since age 15 months and a family history of tuberculosis. An intradermal tuberculin test (purified...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description globoid heart with deep trabeculations in both ventricular walls (Figure 2).
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A PREVIOUSLY healthy 12-year-old boy was seen with a 4-week history of a gradually worsening right frontal temporal headache. At the point of maximum discomfort, the patient had noticed a fixed...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 19-YEAR-OLD teenager had a painless deformity on his right forefoot that developed slowly for 4 years when it began to interfere with shoe wearing, causing him to seek medical attention. On...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A PREVIOUSLY healthy 6-year-old boy received lamotrigine after examination for seizures involving the left face and arms. Cranial computed tomography showed a probable brain tumor. Surgery was...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 10-YEAR-OLD GIRL was seen with a temperature of 102F and a 4-month history of abdominal distension without pain, nausea, or vomiting. Findings from physical examination demonstrated a large mass...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 12-YEAR-OLD male child had a history of swelling in the left knee joint since age 4 years. There was no pain or other constitutional symptoms. On physical examination the swelling was soft and...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 10-YEAR-OLD Iraqi child presented with a bilateral exophthalmos (Figure 1). An ophthalmologist had partially stitched up his eyelids to avoid subluxation of the globes. Exophthalmos began at age...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description The resected spleen weighed 300 g. It had a bosselated surface caused by the presence of numerous subcapsular whitish nodules, better seen when the organ was serially cross-sectioned. This revealed...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description The resected spleen weighed 300 g. It had a bosselated surface caused by the presence of numerous subcapsular whitish nodules, better seen when the organ was serially cross-sectioned. This revealed...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description AT 38 WEEKS of an uncomplicated gestation, a white male infant was born via a second cesarean section to a 26-year-old, gravida 4, para 1, white woman. The infant was the product of healthy,...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A repeated barium enema showed an "apple core" deformity (Figure 1). An extrinsically obstructed segment was resected from the splenic flexure. The specimen was 3.5 cm in diameter and 7.0 cm long....
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description AN 11-YEAR-OLD African American boy presented to his local physician with a complaint of painless swelling in the right calf. The lesion subsequently increased in size, and 2 months later he was...
    Article Title: Pathologic Case of the Month
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    • JAMA 
    Description Magnetic resonance imaging (MRI) revealed multiple intradural, intramedullary, and extramedullary masses throughout the spinal canal (Figure 1); the nerve roots of the cauda equina were also...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description Postmortem radiography showed enlargements of the costochondral junction in the chest and of the epiphyseal-metaphyseal junctions in long bones, with cupping and fraying of the distal ends and...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 3-MONTH-OLD BOY was seen for pallor and oily stools. Findings revealed a hemoglobin level of 46 g/L; platelet count, 442 109/L; and total lymphocyte count (TLC), 4.6 109/L with polymorphs at 0.26...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description A 10-YEAR-OLD Hispanic boy fell from a swing, had medial joint pain of the lower left extremity, and was unable to fully extend the knee. Plain radiography of the left lower extremity showed no...
    Article Title: Pathological Case of the Month
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    • JAMA 
    Description THE RIGHT eye of an otherwise healthy 6-year-old girl was red for several months without pain. She had neither a history of ocular trauma nor family history of iritis, glaucoma, or ocular tumors....
    Article Title: Pathological Case of the Month
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