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

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443 papers 1000+ followers
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https://www.readbyqxmd.com/read/27783909/case-33-2016
#1
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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/27653568/case-records-of-the-massachusetts-general-hospital-case-29-2016-a-53-year-old-woman-with-pain-and-a-mass-in-the-breast
#5
Katherine T Johnston, Pragya A Dang, Michelle C Specht, Alyssa R Letourneau, Thomas M Gudewicz
Presentation of Case. Dr. Alyssa R. Letourneau: A 53-year-old woman with systemic lupus erythematosus with associated nephritis and chronic renal insufficiency was seen in the gynecology clinic of this hospital because of pain and a lump in the left breast. The patient had been in her usual health..
September 22, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27626521/case-records-of-the-massachusetts-general-hospital-case-28-2016-a-31-year-old-woman-with-infertility
#6
Richard S Legro, Rocío M Hurtado, Aoife Kilcoyne, Drucilla J Roberts
Presentation of Case. Dr. Eden R. Cardozo (Obstetrics and Gynecology): A 31-year-old woman was seen in the outpatient fertility center of this hospital because of infertility. During the previous 1.5 years, the patient had been well but unable to conceive. During the year before this evaluation,..
September 15, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27602671/case-records-of-the-massachusetts-general-hospital-case-27-2016
#7
Farrin A Manian, Miriam B Barshak, Kathryn P Lowry, Kristen M Basnet, Christopher P Stowell
Presentation of Case. Dr. Danielle M. Panelli (Obstetrics and Gynecology): A 71-year-old woman with müllerian carcinoma was evaluated at this hospital during the fall because of fever, fatigue, and myalgias. The patient had been well until 1 year before this evaluation, when explosive diarrhea..
September 8, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27557305/case-records-of-the-massachusetts-general-hospital-case-26-2016-a-28-year-old-woman-with-back-pain-and-a-lesion-in-the-lumbar-spine
#8
Edwin Choy, Francis J Hornicek, Yen-Lin Chen, Daniel I Rosenthal, Darcy A Kerr
Presentation of Case. Dr. Joseph H. Schwab (Orthopedics): A 28-year-old woman was admitted to this hospital because of back pain and a lesion in the lumbar spine. The patient had been well until approximately 6 months before admission, when low back pain developed and then worsened and could not be..
August 25, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27532834/case-records-of-the-massachusetts-general-hospital-case-25-2016-a-33-year-old-man-with-rectal-pain-and-bleeding
#9
Jessica A Zeidman, Paul C Shellito, Benjamin T Davis, Lawrence R Zukerberg
Presentation of Case. Dr. Robert H. Goldstein (Medicine): A 33-year-old man was seen in the surgery clinic of this hospital because of painful bowel movements and rectal bleeding. The patient had been well until approximately 4 months before this presentation, when pain with defecation developed...
August 18, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27509105/case-records-of-the-massachusetts-general-hospital-case-24-2016-a-66-year-old-man-with-malaise-weakness-and-hypercalcemia
#10
Hasan Bazari, William E Palmer, Jason M Baron, Katrina Armstrong
Presentation of Case. Dr. Shruti Gupta (Medicine): A 66-year-old man was admitted to this hospital because of malaise, weakness, and hypercalcemia. Thirty-five hours before admission, the patient was seen in an outpatient clinic affiliated with this hospital for evaluation of multiple problems,..
August 11, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27464205/case-records-of-the-massachusetts-general-hospital-case-23-2016-a-46-year-old-man-with-somnolence-after-orthopedic-surgery
#11
Victor Chiappa, R Gilberto Gonzalez, Farrin A Manian, Vikram Deshpande
Presentation of Case. Dr. Nathan L. Scott (Medicine): A 46-year-old man with myxoid chondrosarcoma of the left femur was evaluated by the internal medicine consult service because he had worsening somnolence 1 day after he underwent proximal femoral replacement surgery. The patient had been well..
July 28, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27468063/case-records-of-the-massachusetts-general-hospital-case-22-2016-a-65-year-old-man-with-syncope-dyspnea-and-leg-edema
#12
Stephanie A Moore, Suhny Abbara, Gary S Mak, Eugene J Mark, James R Stone
Presentation of Case. Dr. David K. Rhee (Cardiology): A 65-year-old man was admitted to this hospital because of syncope, dyspnea, and leg edema. The patient had been in his usual health until approximately 1 month before admission, when cough occurred. One week later, his legs became swollen and..
July 21, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27410926/case-records-of-the-massachusetts-general-hospital-case-21-2016-a-32-year-old-man-in-an-unresponsive-state
#13
Andrew Z Fenves, Pamela W Schaefer, Jay Luther, Virginia M Pierce
Presentation of Case. Dr. Samuel M. Vanderhoek (Anesthesia, Critical Care, and Pain Medicine): A 32-year-old incarcerated man was admitted to this hospital after being found in an unresponsive state in his jail cell. Two days before this admission, the patient had had nausea and vomiting...
July 14, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27355538/case-records-of-the-massachusetts-general-hospital-case-20-2016-a-50-year-old-man-with-cloudy-vision-hearing-loss-and-unsteadiness
#14
Dean Eliott, George N Papaliodis, Marlene L Durand, Sarah E Turbett
Presentation of Case. Dr. Eric D. Gaier (Ophthalmology): A 50-year-old man with psoriatic arthritis and human immunodeficiency virus (HIV) infection was seen at the Massachusetts Eye and Ear Infirmary because of cloudy vision. The patient had been in his usual state of health until 3 days before..
June 30, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27332907/case-records-of-the-massachusetts-general-hospital-case-19-2016-a-65-year-old-man-with-end-stage-renal-disease-and-a-pruritic-rash
#15
Mayra E Lorenzo, Joi B Carter, Jeffrey A Barnes, Rosalynn M Nazarian
Presentation of Case. Dr. Daniel Y. Sugai (Dermatology): A 65-year-old man with end-stage renal disease was seen in the emergency department of this hospital because of a leg injury and a diffuse pruritic rash. The patient was in poor health, with end-stage renal disease that required hemodialysis...
June 23, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27305196/case-records-of-the-massachusetts-general-hospital-case-18-2016-a-52-year-old-woman-with-a-pleural-effusion
#16
Alaka Ray, William R Masch, Kai Saukkonen, Beth T Harrison
Presentation of Case. Dr. Kai Saukkonen: A 52-year-old woman was seen in the pulmonary clinic of this hospital for evaluation of a unilateral pleural effusion that had been seen on magnetic resonance imaging (MRI) of the breasts. The patient had undergone annual MRI of the breasts since she was 39..
June 16, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27276565/case-records-of-the-massachusetts-general-hospital-case-17-2016-a-60-year-old-woman-with-increasing-dyspnea
#17
Sydney B Montesi, John W Nance, R Scott Harris, Eugene J Mark
Presentation of Case. Dr. R. Scott Harris: A 60-year-old woman was seen in the outpatient pulmonary clinic of this hospital because of increasing dyspnea. The patient had been well until 2 years before the current evaluation, when episodes of mild, nonproductive coughing developed and occurred..
June 9, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27223150/case-records-of-the-massachusetts-general-hospital-case-16-2016-a-31-year-old-pregnant-woman-with-fever
#18
Dwight J Rouse, Thomas W Keimig, Laura E Riley, Alyssa R Letourneau, Mia Y Platt
Presentation of Case. Dr. Pietro Bortoletto (Obstetrics and Gynecology): A 31-year-old primigravid woman was seen in the labor and delivery unit of this hospital at 35 weeks of gestation because of fever. The patient was pregnant with dichorionic, diamniotic twins, and her gestation was complicated..
May 26, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27192675/case-records-of-the-massachusetts-general-hospital-case-15-2016-a-32-year-old-man-with-olfactory-hallucinations-and-paresthesias
#19
Michael Ronthal, Nagagopal Venna, George J Hunter, Matthew P Frosch
Presentation of Case. Dr. Ivana Vodopivec (Neurology): A 32-year-old man was seen in an outpatient clinic of this hospital because of olfactory hallucinations, intermittent numbness and paresthesias on the left side, and a mass in the right temporal lobe. The patient had been well until..
May 19, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27168437/case-records-of-the-massachusetts-general-hospital-case-14-2016-a-37-year-old-woman-with-adult-onset-psychosis
#20
Helen K Delichatsios, Maureen M Leonard, Alessio Fasano, Vania Nosé
Presentation of Case. Dr. Maureen M. Leonard: A 37-year-old woman was admitted to a psychiatric hospital for adult-onset psychosis. The patient had been healthy and studying for a doctoral degree when she began having symptoms of psychosis. Her first symptom was a belief that "people were talking..
May 12, 2016: New England Journal of Medicine
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