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

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https://www.readbyqxmd.com/read/28930511/case-29-2017
#1
Lee Park, Sandra B Nelson, Sarah E Turbett
Presentation of Case. Dr. Miranda Theodore (Medicine): A 59-year-old woman was admitted to this hospital because of stiffness, swelling, and severe pain in her right thumb and both ankles. The patient had been well until 9 days before admission, when stiffness, swelling, and pain developed in the..
September 21, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28902581/case-28-2017-a-13-month-old-girl-with-pneumonia-and-a-33-year-old-woman-with-hip-pain
#2
Steven M Holland, Virginia M Pierce, Randheer Shailam, Krzysztof Glomski, Jocelyn R Farmer
Presentation of Case. Dr. Virginia M. Pierce: A 13-month-old girl was admitted to this hospital because of pneumonia. Nine days before admission, fever and vomiting developed in the child. The vomiting resolved after 2 days, but fever (with a maximum temperature of 39.7°C) continued, and the child..
September 14, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28854089/case-27-2017-a-32-year-old-man-with-acute-chest-pain
#3
Douglas E Drachman, David M Dudzinski, Matthew P Moy, Carlos Fernandez-Del Castillo, Jonathan H Chen
Presentation of Case. Dr. David M. Dudzinski: A 32-year-old man was evaluated in the emergency department of this hospital for the abrupt onset of postprandial chest pain. Several hours before presentation, the patient had eaten pizza in his apartment. Less than 1 hour later, while he was at rest..
August 31, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28834480/case-26-2017
#4
Alyssa R Letourneau, Melissa C Price, Marwan M Azar
Presentation of Case. Dr. Robert H. Goldstein (Medicine): A 63-year-old woman was admitted to the intensive care unit (ICU) of this hospital because of fever, hypotension, and hypoxemia. Five months before the current admission, weakness of the proximal muscles of the arms and dyspnea on exertion..
August 24, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28813220/case-25-2017
#5
Ann S LaCasce, Efren J Flores, Robert H Goldstein, Aliyah R Sohani
Presentation of Case. Dr. Max W. Adelman (Medicine): A 45-year-old man with Tourette’s syndrome and a ventriculoperitoneal shunt for the management of hydrocephalus was admitted to this hospital because of headache and fever. The patient had been well until 3 days before admission, when he awoke..
August 17, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28792868/case-24-2017-an-8-month-old-girl-with-fever-and-an-abdominal-mass
#6
Uzma Shah, Allan M Goldstein, Michael S Gee, Vikram Deshpande
Presentation of Case. Dr. Rajitha Venkatesh (Pediatrics): An 8-month-old girl was admitted to this hospital because of fever and an abdominal mass. The patient had been in her usual good health until approximately 6 days before admission, when she passed a large stool surrounded by clotted blood...
August 10, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28745994/case-23-2017-a-9-day-old-girl-with-vomiting-acidosis-and-azotemia
#7
Jason M Shapiro, Rene Balza, Navneet K Virk Hundal, Paul E Hesterberg, Lawrence R Zukerberg
Presentation of Case. Dr. Katherine L. Tuttle (Pediatrics): A 9-day-old girl was admitted to this hospital because of nonbilious vomiting, acidosis, and azotemia. The patient had been born at another hospital by induced vaginal delivery after 41 weeks 3 days of gestation. The pregnancy had been..
July 27, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28723324/case-22-2017-a-21-year-old-woman-with-fever-headache-and-myalgias
#8
Jacqueline T Chu, Rydhwana Hossain, Frederic J Silverblatt, Emily P Hyle, Sarah E Turbett
Presentation of Case. Dr. Nkemdilim Mgbojikwe (Medicine): A 21-year-old woman was admitted to this hospital during the winter because of fever, headache, and myalgias. The patient had been well until 4 days before this admission, when fever, chills, fatigue, malaise, retro-orbital headache, and..
July 20, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28700849/case-21-2017-a-28-year-old-pregnant-woman-with-endocervical-carcinoma
#9
John O Schorge, Andrea L Russo, Michael F Greene, Melissa A Woythaler, Esther Oliva
Presentation of Case. Dr. Mariam Naqvi (Obstetrics and Gynecology): A 28-year-old pregnant woman with Rh isoimmunization and endocervical carcinoma was seen in the maternal–fetal outpatient clinic of this hospital at 34.1 weeks of gestation. The patient was gravida 3, para 2001 (the first delivery..
July 13, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28657866/case-20-2017-a-48-year-old-man-with-weight-loss-confusion-skin-lesions-and-pancytopenia
#10
Shibani S Mukerji, R Gilberto Gonzalez, Rajesh T Gandhi, Stefan Kraft
Presentation of Case. Dr. Robert H. Goldstein (Medicine): A 48-year-old man was seen in the emergency department of this hospital because of confusion. The week before this presentation, the patient, who was a lawyer, had traveled alone to Mexico for vacation. His family reported that he seemed to..
June 29, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28636859/case-19-2017-a-53-year-old-woman-with-leg-numbness-and-weakness
#11
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
#12
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-a-14-year-old-boy-with-acute-fear-of-choking-while-swallowing
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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