103. An Immigrant with Neck Swelling

  1. Christopher P. Holstege MD3,4,5,
  2. Alexander B. Baer MD3,6,
  3. Jesse M. Pines MD, MBA, MSCE7,8 and
  4. William J. Brady MD9,10,11
  1. Suzanne M. Shepherd MD, DTM&H1,2 and
  2. William H. Shoff MD1,2

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch103

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Shepherd, S. M. and Shoff, W. H. (2011) An Immigrant with Neck Swelling, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch103

Editor Information

  1. 3

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 4

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 5

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 6

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 7

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 8

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 9

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 10

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 11

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Penn Travel Medicine, Philadelphia, PA, USA

  2. 2

    Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 103, an immigrant - with neck swelling;
  • 45-year-old male immigrant, from Morocco - with neck discomfort and swelling;
  • area, draining - increasing in number of masses;
  • unexpected 30 pound weight loss - over the last year, and associated night sweats;
  • denial, of any other illnesses - living alone, employed as a taxi driver;
  • examination, unremarkable - except for neck examination;
  • multiple 2–6 cm, matted, soft - fluctuant, mildly tender masses along cervical chain;
  • illnesses, to be the most likely cause of patient's illness - (See page 174 for Answer)