More Stuffiness

Skin & Subcutaneous Tissue


Step 1: View Clinicals

{"ops":[{"insert":"A 67-year-old man presents with diplopia, blurred vision in his left eye, and an intermittent headache, all for around two weeks. Further questioning reveals recurrent left-sided nasal stuffiness with a blood-streaked mucus discharge for around six months.\n\nHe has refused to obtain medical attention thus far, and it was only today that his family members were able to persuade him to see a doctor. His medical, surgical, and family histories are otherwise unremarkable, and he is not on any medications.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-246_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Anterior rhinoscopy
2. Contrast MRI head + neck
3. F-18 FDG PET/CT
4. Cytokeratin-19 fragments (CYFRA 21-1) levels

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.