We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Surgery Clinical Challenge |

Headache and Facial Swelling QUIZ

Andrew M. Ng, BS1; Paras H. Shah, MD2; David A. Leavitt, MD3
[+] Author Affiliations
1Hofstra North Shore–LIJ School of Medicine, Hempstead, New York
2Department of Urology, Smith Institute for Urology, North Shore–LIJ Health System, New Hyde Park, New York
3Department of Urology, Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan
JAMA Surg. 2016;151(5):483-484. doi:10.1001/jamasurg.2015.4722.
Text Size: A A A
Published online


A 49-year-old woman had headache, facial swelling, and elevated blood pressure. What is your diagnosis?

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Figure 1.

Computed tomographic scans of the abdomen and pelvis without contrast, showing obstructing calculi bilaterally at the ureteropelvic junctions (arrowheads) with resultant severe hydronephrosis and renal cortical thinning (A) and significant renal stone burden in the lower pole of the left kidney (B).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Percutaneous nephrolithotomy. Renal stones were embedded within the calyx of the left kidney. Grasping forceps inserted through the nephroscope were used to remove the stones from the kidney.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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 CreditTM 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 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections