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CASE & COMMENT: Is this ruptured kidney tumor malignant?
A 77-year-old woman presents with acute, severe left flank pain accompanied by lower abdominal cramps. She denies trauma, hematuria, history of stones, or symptoms of urinary tract infection. Hemoglobin is 7 g/dL, and a stat CT scan demonstrates left kidney rupture and retroperitoneal hemorrhage with the lower pole renal parenchymal fragments and extravasated contrast material within the mass lesion (see the CT image
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Updates in colon, cervical, breast, and prostate cancer screening
Although minor differences among organizations still exist, major guidelines for colon, cervical, and breast screening and for testing for early prostate cancer screening are quite similar. Even so, a large subset of the general population either continues to go unscreened or is screened inconsistently. For example, few men and women (fewer than 30%) reported the recent use of any colorectal screening test in 2000.
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A 37-year old man with a gunshot wound to the groin
A 37-year-old man was admitted to the emergency room with a gunshot injury in the groin region. While in the trauma bay, he underwent a retrograde urethrogram (RUG). A computed tomographic (CT) scan was then performed.
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An athletic young woman with acute back pain
A healthy, athletic 24-year-old woman presents with acute low back pain that began after she stepped forward with her back fully extended while playing Ultimate Frisbee earlier in the day. The pain is midline, sharp, without radiation, and rates a 10 on a scale of 1 to 10. She denies direct trauma, lower-extremity numbness or tingling, and bowel or bladder dysfunction.
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