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Special Feature | Mar 2013

Image of the Month—Quiz Case

Harvey L. Bumpers, MD; Sheryl Gabram-Mendola, MD; Joel Okoli, MD; Monica Rizzo, MD

JAMA Surg. 2013;148(3):297. doi:10.1001/jamasurg.2013.316a.

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A 50-year-old African American female patient presented to the emergency department with a complaint of severe shortness of breath and a swollen right hand. On admission, she was unable to walk. She gave no past medical history of diabetes mellitus or of treatments for other pathologies. A physical examination was significant for severe edema in the right upper extremity accompanied by excoriation and necrosis of the skin and soft tissue of the limb and the right chest wall. A chest radiograph showed a massive pleural effusion with near complete collapse of the right lung. A photograph of the patient (Figure 1) and a computed tomographic scan of the chest (Figure 2) are shown.

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Figure 1. Photograph of a 50-year-old African American female patient at initial presentation.

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Figure 2. Computed tomographic scan of the chest of a 50-year-old African American female patient showing a massive pleural effusion with near complete collapse of the right lung.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit^TM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 Credit^TM.

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Bumpers HL, Gabram-Mendola S, Okoli J, Rizzo M. Image of the Month—Quiz Case. JAMA Surg. 2013;148(3):297. doi:10.1001/jamasurg.2013.316a.

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