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

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https://www.readbyqxmd.com/read/30485774/case-37-2018-a-23-year-old-woman-with-vision-loss
#1
Sashank Prasad, Lucy H Young, Marc Bouffard, Rajiv Gupta
Presentation of Case. Dr. Seth N. Levin (Neurology): A 23-year-old right-handed woman with a history of migraines was evaluated at this hospital for vertigo and vision loss affecting the right eye. Six days before admission, a right frontal headache and right retro-orbital pain developed; these..
November 29, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30428289/case-35-2018-a-68-year-old-woman-with-back-pain-and-a-remote-history-of-breast-cancer
#2
Aditya Bardia, Meline D Hovnanian, Elena F Brachtel, Valentina Nardi
Presentation of Case. Ms. Diane P. Doyle, M.S.N. (Medicine): A 68-year-old woman with a history of bilateral breast cancer was evaluated at the oncology clinic of this hospital for back and pelvic pain. Twenty-five years before the current evaluation, the patient was noted to have a small lump in..
November 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30462933/case-36-2018-a-29-year-old-man-with-an-incidentally-discovered-renal-mass
#3
Douglas M Dahl, Joseph F Simeone, Othon Iliopoulos, Philip J Saylor, Chin-Lee Wu
Presentation of Case. Dr. Keyan Salari (Urology): A 29-year-old man was seen at this hospital because of an incidentally discovered renal mass. The patient had been well until 6 weeks before this evaluation, when he identified a painless lump above his left testicle during a monthly..
November 22, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30354952/case-33-2018-a-57-year-old-man-with-confusion-fever-malaise-and-weight-loss
#4
Tomas G Neilan, Melissa C Price, Danita Y Sanborn, Justin F Gainor, Athena Chen
Presentation of Case. Dr. Joshua A. Cohen (Medicine): A 57-year-old man presented to this hospital with confusion, cough, fever, and unintentional weight loss. The patient had been in his usual state of health until approximately 7 weeks before this presentation, when malaise and anorexia..
October 25, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30304661/case-31-2018-a-37-year-old-man-with-a-self-inflicted-gunshot-wound
#5
Chana A Sacks, Shahmir Kamalian, Peter T Masiakos, George A Alba, Eva D Patalas
Presentation of Case. Dr. Jordan P. Bloom (Surgery): A 37-year-old man was admitted to the surgical intensive care unit (ICU) of this hospital because of a self-inflicted gunshot wound. The patient had been in his usual state of health until 2 days before admission. That evening, while he was at..
October 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30231229/case-29-2018-a-31-year-old-woman-with-infertility
#6
Christos Coutifaris, Aoife Kilcoyne, Adam S Feldman, Mary E Sabatini, Esther Oliva
Presentation of Case. Dr. Caitlin Sacha (Obstetrics and Gynecology): A 31-year-old woman with infertility was referred to the fertility center of this hospital by a surrogate parenting agency to discuss the possibility of family building with an oocyte donor and a gestational carrier. The patient..
September 20, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30157393/case-27-2018-a-3-year-old-boy-with-seizures
#7
Mark P Gorman, Grace Y Gombolay, William A Mehan, Ronald L Thibert
Presentation Of Case. Dr. Caitlin E. Naureckas Li (Pediatrics): A 3-year-old boy was admitted to this hospital during the summer because of a seizure. The patient had been well until 3 days before admission, when one episode of emesis occurred. The following evening, he was fussy, and on the third..
August 30, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30134139/case-26-2018-a-48-year-old-man-with-fever-chills-myalgias-and-rash
#8
Sarah E Turbett, William G Tsiaras, Shaunagh McDermott, George Eng
Presentation of Case. Dr. William G. Tsiaras: A 48-year-old man was evaluated at this hospital because of fever, chills, myalgias, diarrhea, and a diffuse rash. The patient had been in his usual state of good health until about 3 weeks before admission, in the late spring, when he noted the onset..
August 23, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30110592/case-25-2018-a-63-year-old-man-with-syncope
#9
Rory B Weiner, William J Hucker, Nandini M Meyersohn, David M Dudzinski, James R Stone
Presentation of Case. Dr. William J. Hucker: A 63-year-old man was evaluated at this hospital because of syncope. Approximately 13 years before admission, the patient had an out-of-hospital cardiac arrest and was found to have multivessel coronary artery disease. He underwent coronary-artery bypass..
August 16, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30089061/case-24-2018-a-71-year-old-man-with-acute-renal-failure-and-hematuria
#10
Ronald J Falk, Jad S Husseini, Andrew Z Fenves, Ivy A Rosales
Presentation of Case. Dr. Joshua Z. Drago (Medicine): A 71-year-old man was transferred to this hospital because of worsening renal function and hematuria. Three weeks before this admission, the patient’s wife became ill with chills, fatigue, and myalgias, and she thought she had influenza. A few..
August 9, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30044928/case-23-2018-a-36-year-old-man-with-episodes-of-confusion-and-hypoglycemia
#11
Deborah J Wexler, Wendy Macias-Konstantopoulos, David G Forcione, Lillian Xiong, Christy E Cauley, Kirsten J Pierce
Presentation of Case. Ms. Sarah J. Grzybinski (Emergency Medicine): A 36-year-old man was admitted to this hospital because of episodes of altered mental status. The patient had been well until 6 years before admission, when his wife observed an episode of unusual behavior. During the episode, the..
July 26, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/30021092/case-22-2018-a-64-year-old-man-with-progressive-leg-weakness-recurrent-falls-and-anemia
#12
Susan E Bennett, William P Schmitt, Fatima C Stanford, Jason M Baron
Presentation of Case. Dr. Molly E. Wolf (Medicine): A 64-year-old man was admitted to this hospital because of progressive leg weakness, recurrent falls, and anemia. The patient had been in his usual state of health until 8 months before this admission, when fatigue on exertion and subjective leg..
July 19, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29996076/case-21-2018-a-61-year-old-man-with-grandiosity-impulsivity-and-decreased-sleep
#13
John B Taylor, Laura M Prager, Nadia V Quijije, Pamela W Schaefer
Presentation of Case. Dr. Samuel J. Boas (Psychiatry): A 61-year-old man was brought to the emergency department of this hospital by his family because of concerns about grandiosity, impulsivity, decreased sleep, and increased alcohol use. The patient had a history of alcohol-use disorder; he had..
July 12, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29949483/case-20-2018-a-64-year-old-man-with-fever-arthralgias-and-testicular-pain
#14
Chana A Sacks, Aoife Kilcoyne, Zachary S Wallace, Krzysztof Glomski
Presentation of Case. Dr. Jaime L. Schneider (Medicine): A 64-year-old man was admitted to this hospital with a 2-week history of fever, chills, arthralgias, abdominal and testicular pain, and leukocytosis. Twenty-five years before the current admission, while the patient was living in China, he..
June 28, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29924949/case-19-2018-a-15-year-old-girl-with-acute-kidney-injury
#15
Ann Y Kao, Pallavi Sagar, Jean E Klig, Amita Sharma, Kristen J Tomaszewski
Presentation of Case. Dr. Helen I. Healy (Pediatrics): A 15-year-old girl was admitted to this hospital during the summer because of acute kidney injury. The patient had been well until 8 days before admission, when painful cramping in the lower abdomen and bloody diarrhea developed. Bowel..
June 21, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29897853/case-18-2018-a-45-year-old-woman-with-hypertension-fatigue-and-altered-mental-status
#16
J Carl Pallais, Andrew Z Fenves, Michael T Lu, Krzysztof Glomski
Presentation of Case. Dr. Sally A. Ingham (Medicine): A 45-year-old woman was admitted to this hospital because of dyspnea on exertion, fatigue, and confusion. The patient had been in her usual state of health until 18 months before the current admission, when the blood pressure was noted to be..
June 14, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29847754/case-17-2018-a-40-year-old-woman-with-leg-swelling-and-abdominal-distention-and-pain
#17
Charles A Morris, Midhir J Patel, Andrew Z Fenves, Ricard Masia
Presentation of Case. Dr. Molly E. Wolf (Medicine): A 40-year-old woman was evaluated at this hospital because of progressive edema of the legs, as well as abdominal distention and pain. The patient had been in good health until approximately 10 months before this evaluation, when episodes of pain..
May 31, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29791814/case-16-2018-a-45-year-old-man-with-fever-thrombocytopenia-and-elevated-aminotransferase-levels
#18
Kimiyoshi J Kobayashi, Ana A Weil, John A Branda
Presentation of Case. Dr. Alyssa Sclafani (Medicine): A 45-year-old man presented to the emergency department of this hospital during the summer with fever, thrombocytopenia, and elevated aminotransferase levels. Three weeks before presentation, fever occurred (with temperatures as high as 40.0°C),..
May 24, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29768145/case-15-2018-an-83-year-old-woman-with-nausea-vomiting-and-confusion
#19
Melissa L P Mattison, Victorine V Muse, Leigh H Simmons, Christopher Newton-Cheh, Rory K Crotty
Presentation of Case. Dr. Andrew S. Hoekzema (Medicine): An 83-year-old woman was admitted to this hospital in the winter because of nausea, vomiting, diarrhea, and confusion. One week before admission, rhinorrhea, sore throat, and nonproductive cough developed. The patient felt feverish but did..
May 17, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29742372/case-14-2018-a-68-year-old-woman-with-a-rash-hyponatremia-and-uveitis
#20
Molly L Paras, Emily P Hyle, Ruth K Foreman, K C Coffey
Presentation of Case. Dr. AbdulRasheed A. Alabi (Medicine): A 68-year-old woman was admitted to this hospital during the winter because of a rash, hyponatremia, and anterior uveitis. One month before admission, the patient traveled abroad. She spent a week in Sweden visiting family members,..
May 10, 2018: New England Journal of Medicine
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