Medical Mystery Solved — Hard to Swallow | NEJM

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[nicholasreback]

Fascinating case. Glad she made it through okay.

[muhammadhusny]

Thank you for excellent case presentation ! It seems that resection of left Carotid body at childhood caused damage to left internal jugular vein that increased possibility to develop thrombus especially if triggered by adjacent organ infection ( Thromboxans induced thrombosis ), if I were at emergency for similar case I will refer to ENT at second visit

[Rocamuller]

@gocet I agree with you. Excellent audio-visual material and the way to explain is awesome. I will share your video and star following you right now. Dr Nadamuni my congratulations.

[Gocet]

Interesting. Well explained & aesthetic illustrations. Great work

[mohammmedalkory]

Good explanation and video direction good work 👍👍👍 keep on

[pardhubharath]

why so much stress on mononucleosis in a healthy, non-paediatric patient?

[ib-insh__i]

It’s ‘hard to swallow’ for me as well. Who in their right mind with proper knowledge of disease condition will evaluate a case like this . Denying proper investigations, treatment and later making it complicated .I don’t see any justification.

[cztober]

Terrible she had to go to the ER 4 times for a diagnosis

[mr_mhg]

It's a shame she had to be seen 4 times for this to be figured out. It was a mistake from the ED to discharge her after her first appearance