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ImagesinClinicalMedicineSpontaneousRetropharyngealHematomaNoahDitkofsky,TarekHannaNEnglJMed;74:eDOI:0./NEJMicmA56-year-oldmanpresentedtotheemergencydepartmentwitha5-hourhistoryofthroatswellingandpainanddifficultybreathingthatwasexacerbatedbysupinepositioning;hehadnothadanyobviousante-cedenttrauma.Hismedicalhistoryincludedprostatecancer,hypertension,hyperlipidemia,deep-veinthrombosis,andstroke.Medicationsincludedwarfarin(presumablyfordeep-veinthrombosis),antihypertensiveagents,andastatin.Hewasafebrile,andthephysicalexaminationwasnotableforminorswellingoftheposteriororopharynx.Laboratorystudiesrevealedanormalwhite-cellcount,aninternationalnormalizedratioofmorethan,aprothrombintimeofmorethan20seconds,andanactivatedpartial-thromboplastintimeof27seconds.Radiographyoftheneckrevealedmarkedsoft-tissueswellingthatwascausingmasseffectontheairway(PanelA);thefindingsonasubsequent北京白癜风去哪治疗好北京哪里专业治疗白癜风的医院
