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{
    "pk": 9340,
    "title": "Vallecular Varix: A Perplexing Cause of Oral Cavity Bleeding",
    "subtitle": null,
    "abstract": "Often discovered only after an extensive work up for hemoptysis and hematemesis, vallecular varices are a rare cause of oral bleeding that increase patient morbidity due to delay of diagnosis.We describe an 89-year-old male who presented with a week of intermittent oral blood production. A vallecular varix was identified on fiberoptic laryngoscopy after studies for hematemesis and hemoptysis had been performed, including negative esophagogastroduodenoscopy and bronchoscopy. Awareness of this pathology and key points in the patient history can direct the clinician toward the correct diagnosis, expediting treatment and limiting invasive diagnostic procedures for pulmonary or gastric etiologies of bleeding.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "vallecula, varix, oral, bleeding, hemoptysis"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3w73562x",
    "frozenauthors": [
        {
            "first_name": "Marc",
            "middle_name": "A.",
            "last_name": "Polacco",
            "name_suffix": "",
            "institution": "Dartmouth-Hitchcock Medical Center, Department of Otolaryngology, Lebanon, New Hampshire",
            "department": "None"
        },
        {
            "first_name": "Jacob",
            "middle_name": "",
            "last_name": "Ossoff",
            "name_suffix": "",
            "institution": "Dartmouth-Hitchcock Medical Center, Department of Otolaryngology, Lebanon, New Hampshire",
            "department": "None"
        },
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Paydarfar",
            "name_suffix": "",
            "institution": "Dartmouth-Hitchcock Medical Center, Department of Otolaryngology, Lebanon, New Hampshire",
            "department": "None"
        }
    ],
    "date_submitted": "2015-09-06T18:46:33Z",
    "date_accepted": "2015-09-06T18:46:33Z",
    "date_published": "2015-12-08T22:04:21Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9340/galley/5259/download/"
        }
    ]
}