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

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https://www.readbyqxmd.com/read/29342391/case-2-2018-a-41-year-old-woman-with-vision-disturbances-and-headache
#1
Dean M Cestari, Mary E Cunnane, Joseph F Rizzo, John H Stone
Presentation of Case. Dr. John H. Stone: A 41-year-old woman was evaluated in the rheumatology clinic of this hospital because of headaches and a 6-week history of intermittent, transient vision loss. Four years before the current presentation, a skin eruption on the right foot and a lesion on the..
January 18, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29320657/case-1-2018
#2
Kathryn A Hibbert, Jo-Anne O Shepard, Rebekah J Lane, Marwan M Azar
Presentation of Case. Dr. Raghu R. Chivukula (Medicine): A 39-year-old woman with a history of leukemia and double-unit cord-blood transplantation was admitted to this hospital because of dyspnea, hypoxemia, and the presence of infiltrates in both lungs. Thirty months before this admission, the..
January 11, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29281575/case-40-2017-a-32-year-old-woman-with-headache-abdominal-pain-anemia-and-thrombocytopenia
#3
David B Sykes, Rachel P Rosovsky, Aneesh B Singhal, R Gilberto Gonzalez, Andrea P Moy
Presentation of Case. Dr. Emer McGrath (Neurology): A 32-year-old woman was admitted to this hospital in the fall because of severe headache and loss of peripheral vision. The patient had been in her usual state of health until 4 weeks before admission to this hospital, when she underwent elective..
December 28, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29262281/case-39-2017-a-41-year-old-woman-with-recurrent-chest-pain
#4
Sarah V Tsiaras, Lucy M Safi, Brian B Ghoshhajra, Mark E Lindsay, Malissa J Wood
Presentation of Case. Dr. Mahesh K. Vidula (Medicine): A 41-year-old woman presented to this hospital with chest pain. Approximately 1 year before presentation, the patient had had transient tightness in the chest and shoulder on the left side that had prompted a referral to outpatient physical..
December 21, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29236641/case-38-2017-a-20-year-old-woman-with-seizures-and-progressive-dystonia
#5
Florian S Eichler, Kathryn J Swoboda, Ann L Hunt, Dean M Cestari, Otto Rapalino
Presentation of Case. Dr. Andrew J. Cole (Neurology): A 20-year-old woman was seen in the neurology clinic of this hospital because of seizures and progressive dystonia. The patient had been well until she was 3 years of age, when she began to have recurrent falls, difficulty walking, and seizures...
December 14, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29171813/case-37-2017-a-36-year-old-man-with-unintentional-opioid-overdose
#6
Ali S Raja, Emily S Miller, Efrén J Flores, Sarah E Wakeman, George Eng
Presentation of Case. Dr. Alister M. Martin (Emergency Medicine): A 36-year-old man with opioid-use disorder was seen in the emergency department of this hospital during the winter because of opioid overdose. Approximately 4 years before this evaluation, the patient had undergone an unspecified..
November 30, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29166229/case-36-2017-a-30-year-old-man-with-fatigue-rash-anemia-and-thrombocytopenia
#7
Gurpreet Dhaliwal, Amirkasra Mojtahed, Annemarie E Fogerty, Stephan Kadauke, Johnathan P Mack
Presentation of Case. Dr. Amy E. Yuan (Medicine): A 30-year-old man was admitted to this hospital during the summer because of fatigue, rash, fevers, anemia, and thrombocytopenia. Three years before this admission, the patient was involved in a motor vehicle accident that resulted in a large..
November 23, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29141163/case-35-2017-a-57-year-old-woman-with-hypoesthesia-and-weakness-in-the-legs-and-arms
#8
Michael P Bowley, William S David, Tracey A Cho, Anand S Dighe
Presentation of Case. Dr. Daniel B. Rubin (Neurology): A 57-year-old-woman was admitted to this hospital because of progressive hypoesthesia, paresthesia, and weakness in the arms and legs. The patient had been in her usual health until 18 months before this admission, when paresthesia developed in..
November 16, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29117489/case-34-2017-a-76-year-old-man-with-fever-weight-loss-and-weakness
#9
Jennifer L Lyons, Pamela W Schaefer, Tracey A Cho, Marwan M Azar
Presentation of Case. Dr. Benjamin R. Robbins (Psychiatry): A 76-year-old man was admitted to this hospital in the late summer because of weight loss, generalized weakness, and fever. The patient had been well until 3 weeks before admission, when he began to have decreased energy and poor appetite,..
November 9, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29069560/case-33-2017-22-month-old-conjoined-twins
#10
Brian M Cummings, Michael S Gee, Oscar J Benavidez, Erik S Shank, Branko Bojovic, Kevin A Raskin, Allan M Goldstein
Presentation of Case. Dr. Allan M. Goldstein: A pediatric surgeon at this hospital was contacted by a nonprofit organization to evaluate the possibility of surgical separation of conjoined twin girls. The twins were born by spontaneous vaginal delivery in East Africa. Because of the anticipated..
October 26, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29045211/case-32-2017-a-64-year-old-man-with-dyspnea-wheezing-headache-cough-and-night-sweats
#11
Kerri Palamara, Amulya Nagarur, Florian J Fintelmann, Minna J Kohler, Frank B Cortazar
Presentation of Case. Dr. Amulya Nagarur: A 64-year-old man was evaluated in the emergency department of this hospital because of dyspnea, wheezing, headaches, cough, and night sweats. Approximately 6 years before this presentation, the patient had received a diagnosis of fibromyalgia, which had..
October 19, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/29020588/case-31-2017-a-19-month-old-girl-with-failure-to-thrive
#12
Marjorie A Curran, Vandana L Madhavan, Paul A Caruso, David H Ebb, Erik A Williams
Presentation of Case. Dr. Rachelle E. Gupta (Pediatrics): A 19-month-old girl was admitted to this hospital because of failure to thrive. The patient had been born in Puerto Rico by induced vaginal delivery after 41 weeks of gestation. Her mother did not smoke, drink alcohol, or take any..
October 12, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28953442/case-30-2017-a-65-year-old-woman-with-altered-mental-status-bacteremia-and-acute-liver-failure
#13
Roby P Bhattacharyya, Efren J Flores, Marwan M Azar
Presentation of Case. Dr. Alexandra J. Coromilas (Medicine): A 65-year-old woman with autoimmune hepatitis and acute liver failure was transferred to this hospital for an evaluation for liver transplantation. The patient had been in her usual state of health until 6 years before this admission,..
September 28, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28930511/case-29-2017-a-59-year-old-woman-with-pain-and-swelling-in-the-right-hand-and-ankles
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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