Ch. 9 – 46 y/o man with neck pain

CHAPTER 9 – A 46 YEAR OLD MALE WITH NECK PAIN:

POUNDING A SQUARE PEG INTO A ROUND HOLE

A 46 year old man with neck pain

A 46 year old man with neck pain

OK. Here is a confession. I may have missed this case. Of course, looking back at the last 80,000 patients I have seen, it would seem that there was at least a few of these – though I do not recall anyone asking me, “remember that patient you saw yesterday?”

Anxiety is SO prevalent in the ED, and the retro-spectoscope so clear, it is hard to know for sure. I will guess that though this diagnosis is rare, it is now bumped up in all of our differentials.

Have you seen this patient? Have you missed it or nailed it? Join the discussion!

The story behind the story

Note: There is no additional deposition or trial testimony for this case

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