Published: 30 December 2019
Author(s): Marcus Villander Barros de Oliveira Sá, Flávio José Siqueira Pacheco, Francisco José Trindade Barretto
Issue: January 2020
Section: Internal Medicine Flashcard

A 72-year-old man with hypertension came to our hospital with a history of severe posterior chest pain 3 months ago and worsened 1 week before admission. He denied a history of recent trauma but was admitted with dengue infection 3 months ago and was diagnosed with Gleason 3 + 4 prostatic adenocarcinoma in the same period. The patient was taking chlorthalidone, enalapril, bicalutamide, and morphine for pain relief. On admission examination, pain on palpation of the thoracic and lumbar spine was noticed.

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