{"id":3753,"date":"2018-07-24T14:47:56","date_gmt":"2018-07-24T14:47:56","guid":{"rendered":"https:\/\/inmedblogs.us\/nicholascomninellis\/?p=3753"},"modified":"2018-07-29T15:06:20","modified_gmt":"2018-07-29T15:06:20","slug":"how-would-you-manage-this-fascinoma-angola-day-20","status":"publish","type":"post","link":"https:\/\/inmedblogs.us\/nicholascomninellis\/2018\/07\/24\/how-would-you-manage-this-fascinoma-angola-day-20\/","title":{"rendered":"How Would You Manage This Fascinoma? – Angola Day 20"},"content":{"rendered":"

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Not every person coming for consultation has a significant illness. Indeed, Angola has a striking number of worried well afflicted with simple body aches and allergy symptoms. But roughly every other individual I examine presents with a strange diagnosis or very advanced pathology.<\/p>\n

 <\/p>\n

What is this fascinoma? A 35-year-old woman with a mass growing rapidly from her cervical spine. In just three weeks it appeared, accompanied by remarkably few symptoms; just some mild pain. The mass is mobile, fluctuant, slightly tender, and transilluminates. With ultrasound, a dense homogeneous substance is detected. Laboratory signs: WBC 9,400, ESR 105. Upon aspiration, minimal yellow fluid was drained. Graham stain was negative, as was AFB.<\/p>\n

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How would you manage this fascinoma? I would be grateful for your advice. Please message me at nicholas@inmed.us<\/a> and thank you!<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

  Not every person coming for consultation has a significant illness. Indeed, Angola has a striking number of worried well afflicted with simple body aches and allergy symptoms. But roughly every other individual I examine presents with a strange diagnosis or very advanced pathology.   What is this fascinoma? A 35-year-old woman with a mass […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[47],"tags":[],"class_list":["post-3753","post","type-post","status-publish","format-standard","hentry","category-2018-angola"],"_links":{"self":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/3753","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/comments?post=3753"}],"version-history":[{"count":0,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/posts\/3753\/revisions"}],"wp:attachment":[{"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/media?parent=3753"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/categories?post=3753"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/inmedblogs.us\/nicholascomninellis\/wp-json\/wp\/v2\/tags?post=3753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}