Abstract
A healthy 44-year-old woman presented to the Emergency Department at Sultan Qaboos University Hospital with a three-day-history of sore throat, difficulty swallowing, and neck stiffness. Her medical history was unremarkable. On examination, her vital signs were normal, and she was not in respiratory distress. Her pharynx was hyperemic and her neck was tender. She had restricted neck movements. Flexible nasopharyngoscopy revealed a swelling in the nasopharynx extending towards the oropharynx. Her remaining physical examination was unremarkable. Her white cell count was normal and C-reactive protein was 39. A contrast-enhanced computed tomography (CECT) scan and a magnetic resonance imaging (MRI) were performed. The findings of the CT and MRI scans are shown in Figure 1 and 2.
Publication details
- DOI
- 10.5001/omj.2017.83
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Al-Balushi, M., Varghese, A. M., Al Azri, F., & Al-Abri, R. (2017). It is Always Darkest Before Dawn. Oman Medical Journal. https://doi.org/10.5001/omj.2017.83
MLA 9
Al-Balushi, Mustafa, et al. "It is Always Darkest Before Dawn." Oman Medical Journal, 2017. https://doi.org/10.5001/omj.2017.83.
Chicago (author–date)
Al-Balushi, Mustafa, Ajoy Mathew Varghese, Faisal Al Azri, and Rashid Al-Abri. 2017. "It is Always Darkest Before Dawn." Oman Medical Journal. https://doi.org/10.5001/omj.2017.83.
Harvard
Al-Balushi, M., Varghese, A. M., Al Azri, F. and Al-Abri, R. (2017) 'It is Always Darkest Before Dawn', Oman Medical Journal. doi:10.5001/omj.2017.83.
Vancouver
Al-Balushi M, Varghese AM, Al Azri F, Al-Abri R. It is Always Darkest Before Dawn. Oman Medical Journal. 2017. doi:10.5001/omj.2017.83
IEEE
M. Al-Balushi, A. M. Varghese, F. Al Azri, and R. Al-Abri, "It is Always Darkest Before Dawn," Oman Medical Journal, 2017, doi: 10.5001/omj.2017.83.