Thursday, May 22, 2014


I was triaging cases the other day and I came across this:

"Hip mass with bony mets, lesion right femur seen on CT, abdominal/pelvic swelling mass/lump."

It was a hypocellular bone core - not much going on, but I went ahead and ordered some stains to rule out occult metastatic cancer and unusual bugs. The results were what I expected: Negative.

When a clinician is looking for something, expecting a positive result, and I don't see anything I usually bounce it off of one of my partners.

"Check out the history. Wouldn't that suck? Abdominal/pelvic swelling mass/lump? That's a bizarre trio of symptoms."

"Sounds like she swallowed a watermelon/cantaloupe/honeydew melon."

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