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

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https://www.readbyqxmd.com/read/28328333/case-9-2017
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/28002705/case-39-2016-a-74-year-old-man-with-rectal-bleeding-and-a-history-of-prostate-cancer
#11
Theodore S Hong, Phillip J Gray, Jill N Allen, Paul C Shellito, Kathryn P Lowry, Lawrence R Zukerberg
Presentation of Case. Dr. Theodore S. Hong: A 74-year-old man with a history of prostate cancer that had been treated with brachytherapy was seen in an outpatient clinic of this hospital because of rectal bleeding of 6 months’ duration. The patient had been well until approximately 6 months before..
December 22, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27974037/case-38-2016-a-52-year-old-woman-with-recurrent-oligodendroglioma
#12
Andrew S Chi, Daniel P Cahill, Mykol Larvie, David N Louis
Presentation of Case. Dr. Andrew S. Chi: A 52-year-old woman with a history of oligodendroglioma was seen in the outpatient neuro-oncology clinic of this hospital for routine follow-up. Twelve years earlier, the patient presented with a generalized tonic–clonic seizure 4 days after she had..
December 15, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27959687/case-37-2016-an-86-year-old-woman-with-leukocytosis-and-splenomegaly
#13
Amir T Fathi, Timothy A Graubert, Naveen M Kulkarni, Frank C Kuo, Robert P Hasserjian
Presentation of Case. Dr. Diane R. Pearl (Medicine): An 86-year-old woman was seen in the outpatient clinic of the cancer center at this hospital because of fatigue, night sweats, leukocytosis, and splenomegaly. The patient had a history of hypothyroidism and Lyme disease but was otherwise well..
December 8, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27959737/case-36-2016-a-50-year-old-man-with-acute-liver-injury
#14
Lawrence S Friedman, Stephen R Lee, Sandra B Nelson, Ricard Masia
Presentation of Case. Dr. Nneka N. Ufere (Medicine): A 50-year-old man was admitted to this hospital because of elevated levels of serum aminotransferases, hyperbilirubinemia, anemia, and acute kidney injury. The patient had been well until 6 days before admission, when fatigue and malaise..
November 24, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27959609/case-35-2016-a-62-year-old-man-with-dysphagia
#15
Eunice L Kwak, Theodore S Hong, David G Forcione, Avinash Kambadakone, Jochen K Lennerz
Presentation of Case. Dr. Eunice L. Kwak: A 62-year-old man was seen in the outpatient oncology clinic of this hospital because of metastatic esophageal adenocarcinoma. Approximately 2 months before this presentation, the patient noted discomfort in his throat that he described as a "golf ball."..
November 17, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27959664/case-34-2016-a-17-year-old-boy-with-myopia-and-craniofacial-and-skeletal-abnormalities
#16
David A Sweetser, Angela E Lin, Maria J Troulis, Teresa C Chen, Sjirk J Westra
Presentation of Case. Dr. Angela E. Lin: A 17-year-old boy was referred to the medical genetics clinic of this hospital because of high myopia (i.e. severe nearsightedness) and craniofacial and other skeletal abnormalities. As a child, the patient had had difficulty with articulation and had..
November 10, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27783909/case-33-2016-a-30-year-old-woman-with-severe-lower-abdominal-pain-and-chills
#17
Leigh H Simmons, Alan J Goldstein, David M Boruta, Jennifer N Stall
Presentation of Case. Dr. Katelyn M. Dorney (Obstetrics and Gynecology): A 30-year-old woman presented to the emergency department of this hospital with chills and sudden worsening of abdominal pain in both lower quadrants. The patient was in her usual good health until 10 days before admission,..
October 27, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27797319/case-32-2016-a-20-year-old-man-with-gynecomastia
#18
Shannon M MacDonald, Otto Rapalino, Nicole A Sherry, Adam B Cohen, David H Ebb, Nancy J Tarbell, Derek H Oakley
Presentation of Case. Dr. Laura E. Dichtel (Endocrinology): A 20-year-old man was evaluated at this hospital because of gynecomastia. The patient came to the hospital for a routine annual examination to establish adult care. He reported a 3-year history of bilateral breast enlargement, with no..
October 20, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27732818/case-records-of-the-massachusetts-general-hospital-case-31-2016-a-53-year-old-man-with-diplopia-polydipsia-and-polyuria
#19
Thomas N Byrne, John H Stone, Shiv S Pillai, Otto Rapalino, Vikram Deshpande
Presentation of Case. Dr. Thomas N. Byrne: A 53-year-old man was seen in the neurology, neurosurgery, and neuroendocrinology clinics of this hospital because of diplopia, polydipsia, and polyuria. The patient had been well until approximately 1 year before this evaluation, when nasal congestion and..
October 13, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27682037/case-records-of-the-massachusetts-general-hospital-case-30-2016-a-63-year-old-woman-with-bipolar-disorder-cancer-and-worsening-depression
#20
Kelly E Irwin, Oliver Freudenreich, Jeffrey Peppercorn, Alphonse G Taghian, Phoebe E Freer, Thomas M Gudewicz
Presentation of Case. Dr. Daniel J. Daunis (Psychiatry): A 63-year-old woman with bipolar disorder, worsening depression, and multiple other medical conditions, including lung cancer and breast cancer, was admitted to the inpatient psychiatry service of this hospital for electroconvulsive therapy..
September 29, 2016: New England Journal of Medicine
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