David Effron, MD




Young Woman With Atypical Presentation of Fitz-Hugh-Curtis Syndrome

February 18, 2011

A 22-year-old woman presented to her primary care physician’s office with right lower quadrant and suprapubic abdominal pain. She stated that the pain had begun earlier that day; she had no symptoms on awakening that morning.

Middle-Aged Woman With Numerous Skin Lesions

January 12, 2011

A 54-year-old woman presents for an initial consultation. She has multiple chronic disorders, including type 2 diabetes mellitus and hypertension, for which she takes various medications-none of which are new.

Teenager With Fever, Pharyngitis, and Generalized Rash

November 02, 2008

A previously healthy 16-year-old boy presents for evaluation of a slightly pruritic, nontender, generalized rash.

Middle-Aged Woman With Epistaxis, Facial Pain and Swelling, and Otalgia

February 01, 2008

For 2 weeks, a 49-year-old woman has had mild, intermittent epistaxis with left-sided facial pain, swelling, and otalgia; the severity of the bleeding has increased during the past 24 hours. She also has congestion of the left naris of 1 month's duration.

Middle-Aged Man with Polyuria and Penile Swelling and Pain

November 01, 2007

For 2 weeks, a previously healthy 40-year-old man has had excessive thirst and increased frequency of urination. He awakens at least 5 times every night to urinate. He reports no nausea, vomiting, change in bowel habits, chest pain, or dyspnea.

Breast Abscess in an Infant

March 01, 2007

A 15-day-old boy is brought for evaluation after his mother noted a "lump" in his left breast that morning. There is no history of illness or trauma. The infant's appetite and activities are normal, and he has no constitutional symptoms. He was delivered vaginally at full term and did not require a prolonged nursery stay or antibiotic therapy. Results of standard maternal screens were negative.

Baker Cyst in a Runner

January 01, 2007

For several days, a 38-year-old man has had an increasingly painful swelling behind the right knee. He runs several times a week. He has hypertension but no history of trauma or periods of inactivity, and no chest discomfort or shortness of breath. He drinks alcohol occasionally but does not use tobacco or illegal drugs.

Digital Clubbing in a Patient with Bronchogenic Carcinoma

January 01, 2007

A 45-year-old man presents with a 1- to2-week history of low-grade fever and nonproductivecough. He has a long history of cigarette and alcoholabuse. The office nurse expresses her concern about thepatients cyanotic nail beds and requests your immediateevaluation.