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NEJM—Case Records of the Massachusetts General Hospital, Clinical Cases

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https://www.readbyqxmd.com/read/28636859/case-19-2017-a-53-year-old-woman-with-leg-numbness-and-weakness
#1
William S David, Michael P Bowley, William A Mehan, John H Shin, Elizabeth R Gerstner, John C DeWitt
Presentation of Case. Dr. Kristyn M. Spera (Neurology): A 53-year-old woman with rheumatoid arthritis was admitted to this hospital because of progressive asymmetric hypoesthesia and weakness in the legs. The patient had been in her usual health until 4 months before this admission, when..
June 22, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28614676/case-18-2017-an-11-year-old-girl-with-difficulty-eating-after-a-choking-incident
#2
Jennifer J Thomas, Kathryn S Brigham, Sarah T Sally, Eric P Hazen, Kamryn T Eddy
Presentation of Case. Dr. Lazaro V. Zayas (Psychiatry): An 11-year-old girl was seen in an outpatient clinic of this hospital because of difficulty eating solid food and associated weight loss after an acute choking incident. The patient had been in her usual health until 14 days before this..
June 15, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28591527/case-17-2017
#3
Ryan W Carroll, Michelle L Katz, Elahna Paul, Harald Jüppner
Presentation of Case. Dr. Juliana Mariani (Pediatrics): A 14-year-old boy was seen in the emergency department of this hospital because of fear of choking while swallowing. The patient had been well until 2 days before admission, when he choked while eating a piece of chicken during dinner. He..
June 8, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28538116/case-16-2017-a-69-year-old-woman-with-urinary-incontinence
#4
Jason D Wright, John O Schorge, Aoife Kilcoyne, Rosemary H Tambouret
Presentation of Case. Dr. John O. Schorge: A 69-year-old woman was evaluated at the gynecologic oncology clinic of this hospital because of persistent urinary incontinence. Seven years before this evaluation, the patient had received a diagnosis of superficial bladder cancer (low grade), for which..
May 25, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28514603/case-15-2017-a-27-year-old-woman-with-anemia-thrombocytosis-and-skin-lesions-after-travel-abroad
#5
Michael K Mansour, Alyssa R Letourneau, Zachary S Wallace, Florian J Fintelmann, Ruth K Foreman
Presentation of Case. Dr. Alyssa R. Letourneau: A 27-year-old woman was evaluated in the infectious disease clinic of this hospital because of skin lesions, anemia, thrombocytosis, and an elevated blood alkaline phosphatase level. Eleven months before this presentation, the patient traveled abroad;..
May 18, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28489991/case-14-2017-a-20-year-old-man-with-pain-and-swelling-of-the-left-calf-and-a-purpuric-rash
#6
Eli M Miloslavsky, John H Stone, Andrea P Moy
Presentation of Case. Dr. Lauren R. Zeitels (Medicine): A 20-year-old man was seen in an outpatient clinic of this hospital because of pain and swelling of the left calf and a purpuric rash. The patient had been well until 3 weeks before presentation to this hospital, when sore throat,..
May 11, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28445665/case-13-2017-a-41-year-old-man-with-hearing-loss-seizures-weakness-and-cognitive-decline
#7
Haatem M Reda, William A Copen, Amel Karaa, Derek H Oakley
Presentation of Case. Dr. Haatem M. Reda: A 41-year-old man was seen in the neurology clinic of this hospital because of seizures, weakness, and cognitive decline. The patient had a history of migraine headaches, sensorineural hearing loss, and chronic proteinuria. He had been in his usual health..
April 27, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28423292/case-12-2017-a-34-year-old-man-with-nephropathy
#8
Meghan E Sise, Grace C Lo, Robert H Goldstein, Andrew S Allegretti, Ricard Masia
Presentation of Case. Dr. Daniel H. Katz (Medicine): A 34-year-old man with hearing impairment was admitted to this hospital because of worsening renal function. The patient had been well until approximately 11 weeks before this admission, when subjective fevers with sweats, fatigue, decreased..
April 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28402765/case-11-2017-a-61-year-old-woman-with-leg-swelling-back-pain-and-hydronephrosis
#9
Ephraim P Hochberg, Michael F Bierer, Karen M Winkfield, Yi-Bin Chen, Victorine V Muse, Abner Louissaint
Presentation of Case. Dr. Areej El-Jawahri (Hematology–Oncology): A 61-year-old woman was seen in the emergency department of this hospital because of leg swelling and back pain. The patient had been in her usual health until approximately 3 months before this presentation, when mild swelling of..
April 13, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28355500/case-10-2017-a-6-month-old-boy-with-gastrointestinal-bleeding-and-abdominal-pain
#10
Lauren M Allister, Ruth Lim, Allan M Goldstein, Jochen K Lennerz
Presentation of Case. Dr. Akash Gupta (Medicine and Pediatrics): A 6-month-old boy was seen in the emergency department of this hospital because of gastrointestinal bleeding and abdominal pain. The patient had been in his usual state of health until 2 days before presentation, when his parents..
March 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28328333/case-9-2017-a-27-year-old-woman-with-nausea-vomiting-confusion-and-hyponatremia
#11
Amulya Nagarur, Lloyd Axelrod, Anand S Dighe
Presentation of Case. Dr. Meaghan E. Colling (Medicine): A 27-year-old woman was admitted to this hospital because of nausea, vomiting, confusion, and hyponatremia. The patient had been well until 1 week before admission, when she had nausea and nonbloody, nonbilious emesis. She did not seek..
March 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28296602/case-8-2017-a-39-year-old-zimbabwean-man-with-a-severe-headache
#12
David R Boulware, A Tariro Makadzange
Presentation of Case. Dr. A. Tariro Makadzange: A 39-year-old man was admitted to a large, urban tertiary-care hospital in Zimbabwe (where a physician affiliated with this hospital works) because of a severe headache. The patient had been in his usual health until approximately 1 month before..
March 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28273029/case-7-2017-a-73-year-old-man-with-confusion-and-recurrent-epistaxis
#13
Robert L Fogerty, Jeffrey L Greenwald, Shaunagh McDermott, Angela E Lin, James R Stone
Presentation of Case. Dr. Jeffrey L. Greenwald: A 73-year-old man with multiple chronic medical illnesses was admitted to this hospital because of confusion and irritability. Two days before this admission, increasing weakness, lethargy, chills, and diarrhea developed. The patient became less..
March 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28225681/case-6-2017-a-57-year-old-woman-with-fatigue-sweats-weight-loss-headache-and-skin-lesions
#14
Paul A Monach, John H Stone, Amita Sharma, Rosalynn M Nazarian
Presentation of Case. Dr. Kevin J. Heaton (Medicine): A 57-year-old woman was seen in the outpatient rheumatology clinic of this hospital because of fatigue, night sweats, weight loss, headache, diffuse abdominal pain, and skin lesions. The patient had been well until approximately 24 months before..
February 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28199810/case-5-2017-a-19-year-old-man-with-hematuria-and-a-retroperitoneal-mass
#15
Michael L Blute, Jeremy S Abramson, Kevin C Cronin, Valentina Nardi
Presentation of Case. Dr. Jed-Sian Cheng (Urology): A 19-year-old man was seen in the urology outpatient clinic of this hospital because of a retroperitoneal mass and a history of transient hematuria. The patient had been in excellent health until approximately 1 month before this evaluation, when,..
February 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28177866/case-4-2017-a-2-month-old-girl-with-growth-retardation-and-respiratory-failure
#16
T Bernard Kinane, Angela E Lin, Manuella Lahoud-Rahme, Sjirk J Westra, Eugene J Mark
Presentation of Case. Dr. Megan P. Lambert (Pediatrics): A 2-month-old girl was admitted to the pediatric intensive care unit (ICU) of this hospital because of respiratory failure, growth retardation, and failure to thrive. The patient was born by vaginal delivery to a primigravida mother at..
February 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28121502/case-3-2017-a-62-year-old-man-with-cardiac-sarcoidosis-and-new-diplopia-and-weakness
#17
Martin A Samuels, R Gilberto Gonzalez, Azure T Makadzange, E Tessa Hedley-Whyte
Presentation of Case. Dr. L. Nicolas Gonzalez Castro (Neurology): A 62-year-old man with sarcoidosis and heart disease was admitted to this hospital because of new-onset diplopia and weakness. The patient was in his usual health until approximately 2 weeks before admission, when nausea, dizziness,..
January 26, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28099829/case-2-2017-an-18-year-old-woman-with-acute-liver-failure
#18
Kristian R Olson, Amir H Davarpanah, Esperance A Schaefer, Nahel Elias, Joseph Misdraji
Presentation of Case. Dr. Carolyn A. Boscia (Medicine and Pediatrics): An 18-year-old woman was seen in the emergency department of this hospital 11 weeks after the birth of her first child because of acute liver failure. The patient had been well until 1 week before this presentation, when..
January 19, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28076711/case-1-2017-a-70-year-old-woman-with-gradually-progressive-loss-of-language
#19
M-Marsel Mesulam, Bradford C Dickerson, Janet C Sherman, Daisy Hochberg, R Gilberto Gonzalez, Keith A Johnson, Matthew P Frosch
Presentation of Case. Dr. Bradford C. Dickerson: A 70-year-old woman was seen in the memory disorders clinic of this hospital because of progressive cognitive difficulties involving word finding. She was interviewed with the assistance of her daughter. The patient had reportedly been well until..
January 12, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28029921/case-40-2016-a-14-month-old-girl-with-recurrent-vomiting
#20
Jess L Kaplan, Sandra P Rincon, Ann-Christine Duhaime
Presentation of Case. Dr. Alessio Morley-Fletcher (Pediatrics): A girl 14 months 19 days of age was admitted to a community hospital affiliated with this hospital because of episodes of recurrent vomiting. The patient had been well until she was 11 months 12 days of age, when intermittent vomiting..
December 29, 2016: New England Journal of Medicine
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