William Yaakob, MD

KOSYAK CONSULTING

63 SADDLERS RUN

Articles

Young Woman With Right Upper Quadrant Pain

April 02, 2006

A 28-year-old woman complains of intermittentright upper quadrant pain.The patient is thin, and she is not inacute distress.

What Do These Images Reveal?

March 02, 2006

A 54-year-old woman presents with severe, throbbingpain in her right shoulder that began 3 daysearlier. She has no history of trauma or of problems withthis shoulder. She denies shortness of breath, fever,chills, and rash.

Woman With Weight Loss and Abdominal Pain and Fullness

March 02, 2006

A 35-year-old woman has been losing weight and has hadworsening abdominal pain and fullness for the past 2 months.She denies nausea, vomiting, and fever. Medical history issignificant only for asthma.

What Do These Images Reveal?

July 01, 2005

A 39-year-old African American man complains of mild dyspnea that has worsened steadily over the past 2 weeks and that is unrelated to activities or unusual exposures. He denies trauma, fever, and chest pain. His medical history is unremarkable.

Man With Recently Diagnosed Colon Cancer

March 02, 2005

A 56-year-old man comes to see you2 weeks after an emergency departmentvisit for GI bleeding, which resultedin a diagnosis of colon cancer.Endoscopy revealed a lesion in theproximal sigmoid colon that wasfound on biopsy to be a primary adenocarcinoma.A CT scan of the abdomenand pelvis that was performedto stage the lesion showed a liverlesion suggestive of metastatic diseasebut no evidence of extrahepaticdisease.

Photo Quiz: What Do These Images Reveal?

September 01, 2004

A 23-year-old woman presents with severe right kneepain that resulted from a collision with another playerduring a soccer game. The majority of the force of theblow was to the right knee. The medical history is noncontributory.

Anterior Talofibular Injury in a Young Basketball Player

June 01, 2003

A 29-year-old man presents with right ankle paincaused by a basketball injury he sustained 1 day earlier.He fell after he had jumped up and landed on anotherplayer’s foot. The patient’s foot was “turned in” during thefall; this position indicates an inversion injury. He says hehas injured his ankle before but never this severely. Therest of the medical history is noncontributory.

Abdominal Pain in Man With History of Melanoma

January 02, 2003

For the past several weeks, a 54-year-old man has had progressivelyworsening abdominal pain and general achiness.He has no nausea, vomiting, diarrhea, or fever and no historyof trauma.

Primary Pulmonary Tuberculosis: An Uncommon Presentation

December 01, 2002

A 53-year-old man has hadmalaise, intermittent cough, and occasionalfever and night sweats for 2weeks. He has also lost some weightduring this time but denies hemoptysisand sputum production; he hasnot traveled abroad recently. His onlysignificant medical condition is hypertension,which is well controlled withmedication.

Anxious Woman With Unexplained Weight Loss

December 01, 2002

A 42-year-old woman complains of anxiety, unexplained weight loss, and palpitationsthat started about 3 weeks earlier. She denies fever, trauma, and newstress. She has a history of several urinary tract infections for which imagingfailed to reveal any predisposing factors; all were successfully treated withmedication. The remainder of the history is unremarkable.