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

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https://www.readbyqxmd.com/read/30044928/case-23-2018-a-36-year-old-man-with-episodes-of-confusion-and-hypoglycemia
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/29694808/case-13-2018-a-53-year-old-man-with-cardiomyopathy-and-recurrent-ventricular-tachycardia
#11
Joshua C Ziperstein, Timothy W Churchill, Sandeep S Hedgire, G William Dec, James R Stone
Presentation of Case. Dr. Timothy W. Churchill: A 53-year-old man was admitted to this hospital because of shock and recurrent ventricular tachycardia after defibrillator placement for nonischemic cardiomyopathy. The patient had been in his usual state of health until 4 weeks before this admission,..
April 26, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29669228/case-12-2018-a-30-year-old-woman-with-cardiac-arrest
#12
Joshua N Goldstein, David M Dudzinski, Timothy B Erickson, Grace Linder
Presentation of Case. Dr. Emily C. Cleveland (Emergency Medicine): A 30-year-old woman was brought to the emergency department of this hospital because of cardiac arrest. On the morning of this presentation, the patient was found unresponsive in her bedroom. Her mother called emergency medical..
April 19, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29641962/case-11-2018-a-48-year-old-woman-with-recurrent-venous-thromboembolism-and-pulmonary-artery-aneurysm
#13
Harrison W Farber, Shaunagh McDermott, Alison S Witkin, Noreen P Kelly, Eli M Miloslavsky, James R Stone
Presentation of Case. Dr. Samir Zaidi (Medicine): A 48-year-old woman with a history of venous thromboembolism was seen in the pulmonary clinic of this hospital because of cough and decreased exercise tolerance. Fifteen months before this presentation, at another hospital, the patient received a..
April 12, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29590543/case-10-2018-an-84-year-old-man-with-painless-unilateral-testicular-swelling
#14
Ryan W Thompson, HeiShun Yu, Douglas M Dahl, Rocio M Hurtado, Dipti P Sajed
Presentation of Case. Dr. Michael S. Abers (Medicine): An 84-year-old man was evaluated at this hospital because of painless right testicular swelling. The patient had been in his usual state of health until 6 weeks before this evaluation, when he noted while showering that the right testicle was..
March 29, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29562158/case-9-2018-a-55-year-old-man-with-hiv-infection-and-a-mass-on-the-right-side-of-the-face
#15
Kevin L Ard, Hillary R Kelly, Rajesh T Gandhi, Abner Louissaint
Presentation of Case. Dr. Robert H. Goldstein (Medicine): A 55-year-old man with Crohn’s disease and a new diagnosis of human immunodeficiency virus type 1 (HIV-1) infection was seen in the infectious diseases clinic of this hospital because of a mass on the right side of the face. Fifteen days..
March 22, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29539275/case-8-2018-a-55-year-old-woman-with-shock-and-labile-blood-pressure
#16
Joseph Loscalzo, Nathalie Roy, Ravi V Shah, Joy N Tsai, Alexis M Cahalane, Johannes Steiner, James R Stone
Presentation of Case. Dr. Nathalie Roy: A 55-year-old woman was transferred to this hospital for evaluation and treatment of cardiogenic shock. Approximately 4 months before presentation, the patient was admitted to a hospital in her home state for "pounding" in her chest, nausea, and diaphoresis..
March 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29514022/case-7-2018-a-25-year-old-man-with-new-onset-seizures
#17
Erica C Camargo, Susie Y Huang, Amel Karaa, Matthew W Rosenbaum
Presentation of Case. Dr. Ethan I. Meltzer (Neurology): A 25-year-old man was admitted to this hospital because of new-onset seizures. The patient had been in his usual state of health until 2 days before admission, when episodes of twitching of the head and neck occurred. The first episode..
March 8, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29466149/case-6-2018-a-35-year-old-woman-with-headache-subjective-fever-and-anemia
#18
Steven J Knuesel, J Sawalla Guseh, Rebecca Karp Leaf, Andrea L Ciaranello, George M Eng
Presentation of Case. Dr. J. Sawalla Guseh II: A 35-year-old woman with a history of Crohn’s disease was admitted to this hospital with headache, subjective fever, and anemia. The patient had been in her usual state of health until 1 week before admission, when headache, fatigue, and myalgias..
February 22, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29443669/case-5-2018-a-63-year-old-man-with-confusion-after-stem-cell-transplantation
#19
Areej R El-Jawahri, Pamela W Schaefer, Joseph B El Khoury, Maria Martinez-Lage
Presentation of Case. Dr. Joshua A. Cohen (Medicine): A 63-year-old man was admitted to this hospital with confusion and weakness 5 months after he had undergone allogeneic stem-cell transplantation for chronic lymphocytic leukemia (CLL). The patient had been generally well until 2 years before..
February 15, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29414276/case-4-2018-a-newborn-with-thrombocytopenia-cataracts-and-hepatosplenomegaly
#20
Robert S Baltimore, Katherine Nimkin, Katherine A Sparger, Virginia M Pierce, Stanley A Plotkin
Presentation of Case. Dr. Madeleine I. Matthiesen (Medicine and Pediatrics): A newborn boy was transferred to the neonatal intensive care unit (ICU) of this hospital because of thrombocytopenia and abnormal results on an eye examination for red reflex and on a hearing screening. The patient was..
February 8, 2018: New England Journal of Medicine
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