Medical Mystery Solved - Hard to Swallow | NEJM

[@nicholasreback255]

Fascinating case. Glad she made it through okay.

[@muhammadhusny6276]

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.

[@williambanzhof9739]

EXCELLENT! Thanks for presenting!

[@ranjith8920]

In india she would have been on antibiotics on her first visit. Fortunately or unfortunately

[@Gocet]

Interesting. Well explained & aesthetic illustrations. Great work

[@mohammmedalkory2617]

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

[@dr5589]

Poor initial management in the ER!

[@MariaSafiraNeves]

Is this person okay now?

[@ib-insh__i5091]

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.

[@roxylalondes]

Seriously, that's ringing alarm bells for me

[@井上一郎-t1q]

Interesting.

[@cztober3085]

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

[@mr_mhg91]

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

[@strek0655]

ENT consultant here. I would not say it was a mistake to discharge her at her first consultation. Given the information provided by the video I would have done the same. However on the second visit and beyond I agree there is a lack of focus.

[@pardhubharath1050]

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

[@OLISAPRICE]

😎 Video