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Obstetrics & Gynecology 2006;108:1232-1233
© 2006 by The American College of Obstetricians and Gynecologists
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STUMP THE PROFESSORS

The Honeymoon Is Over

Kristopher J. Kimball, MD and Jacob M. Estes, MD

From the University of Alabama at Birmingham, Birmingham, Alabama.

BACKGROUND: The importance of a broad differential diagnosis is highlighted by a complex patient case.

CASE: A young woman returned from her honeymoon complaining of activity-limiting pain. The evaluation revealed multiple constitutional symptoms, a breast mass, a large pelvic mass, pulmonary abnormalities, an external iliac venous thrombosis, and lytic bone lesions. Biopsies from several sites revealed no evidence of neoplasia.

CONCLUSION: Consideration of potential etiologies outside of one's practice specialty may be necessary to make a correct diagnosis.






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