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Clinical cases: pathophysiology

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70 papers 1000+ followers For the frothers
By Hayden Alicajic Resident medical officer on a pursuit for all things critical care and anaesthetics
https://www.readbyqxmd.com/read/25317873/images-in-clinical-medicine-acute-neck-infection
#1
Penelope A Bryant, Jesuina Noronha
A fully immunized, previously well 11-month-old girl presented with a 4-day history of fever, coryza, and increasingly frequent respiratory grunting. On examination, she was febrile (temperature, 38.2°C), and had tachycardia and hypotension. She also had tachypnea, with mild stridor, and there was..
October 16, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25317874/case-records-of-the-massachusetts-general-hospital-case-32-2014-a-78-year-old-woman-with-chronic-sore-throat-and-a-tonsillar-mass
#2
Marlene L Durand, Derrick T Lin, Amy F Juliano, Peter M Sadow
Presentation of Case. Dr. Pritha Sen (Medicine): A 78-year-old woman with diabetes mellitus and rheumatoid arthritis was admitted to Massachusetts Eye and Ear Infirmary because of pain in the right side of the throat, odynophagia, and a right tonsillar mass. The patient had been in her usual health..
October 16, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25317890/images-in-clinical-medicine-tracheoesophageal-fistula-in-a-newborn
#3
Munevver Uluba, Sabriye Dayi
A full-term baby girl, born to a 24-year-old woman (gravida 1) at 36 weeks of gestation, had choking, cyanosis, and seizures after the first feeding, 2 hours after birth. The mother had had preeclampsia and oligohydramnios during pregnancy. A tracheoesophageal fistula was identified in the infant..
October 16, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25317891/interactive-medical-case-a-chilly-fever
#4
Amanda J Redig, Anand Vaidya, Christin Price, Joel T Katz, James H Maguire
New England Journal of Medicine, Volume 371, Issue 16, October 2014.
October 16, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25337753/case-records-of-the-massachusetts-general-hospital-case-33-2014-a-60-year-old-man-with-bone-pain
#5
Edwin Choy, Eyal C Attar, Kevin S Oh, Ambrose J Huang, Darcy A Kerr
Presentation of Case. Nurse Practitioner Mark S. Brezina (Hematology): A 60-year-old man was seen in the outpatient cancer center at this hospital because of bone pain and skeletal lesions on imaging. The patient had been well until approximately 2 months before this evaluation, when he had a..
October 23, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25337767/images-in-clinical-medicine-herpetic-whitlow
#6
Sara Izzo, Muneer Ahmed
A previously healthy 18-year-old woman presented with a 2-week history of fever, malaise, and a painful left middle finger. Physical examination revealed an area of erythematous, confluent vesicles on the middle phalanx of the finger and associated axillary lymphadenopathy. She was given a clinical..
October 23, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25251619/case-records-of-the-massachusetts-general-hospital-case-30-2014-a-29-year-old-man-with-diarrhea-nausea-and-weight-loss
#7
Daniel P Hunt, Dushyant V Sahani, Kathleen E Corey, Ricard Masia
Presentation of Case. Dr. Daniel L. Motola (Gastroenterology): A 29-year-old man was seen in the walk-in clinic at this hospital because of diarrhea and weight loss. The patient had been well until 1 year before the current presentation, when diarrhea with loose, unformed stools developed; the..
September 25, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25271606/images-in-clinical-medicine-chronic-obstructive-pyelonephritis
#8
Sergio Prieto-González, Montserrat Alemany
A 65-year-old woman presented to the hospital with a 4-month history of intermittent low-grade fever, asthenia, anorexia, and weight loss. Her medical history was limited to atrophic gastritis treated with intramuscular vitamin B12. Physical examination revealed a large, soft mass protruding from..
October 2, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25271616/case-18-2014-a-man-with-a-rash-myalgia-and-weakness
#9
LETTER
John H Stone
New England Journal of Medicine, Volume 371, Issue 14, Page 1361-1362, October 2014.
October 2, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25271620/images-in-clinical-medicine-evolving-infarction-in-the-anterior-circulation
#10
Dilan Athauda, Garryck Shernshih Tan
A 47-year-old woman with a history of migraine was admitted to the hospital with acute-onset headache on the left side of her head and mild weakness of her left arm. Computed tomography (CT) of the brain without the use of contrast material was performed 5 hours after symptom onset and showed..
October 2, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25295504/case-records-of-the-massachusetts-general-hospital-case-31-2014-a-50-year-old-man-with-back-pain-fatigue-weight-loss-and-knee-swelling
#11
Mark C Fisher, John H Stone, William E Palmer
Presentation of Case. Dr. Henry R. Kramer (Medicine): A 50-year-old man with back pain, fatigue, weight loss, and knee swelling was admitted to this hospital because of abnormal findings on magnetic resonance imaging (MRI) of the spine performed at another hospital. The patient had been generally..
October 9, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25295510/images-in-clinical-medicine-hypoglossal-nerve-palsy-during-meningococcal-meningitis
#12
Mika Rockholt, Carlos Cervera
A previously healthy 48-year-old man was admitted to the hospital after a sudden fever and loss of consciousness. He had no history of recent travel outside Spain. Cranial computed tomography revealed dilatation of the ventricular system and diffuse cerebral edema, which had caused collapse of the..
October 9, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25229919/case-records-of-the-massachusetts-general-hospital-case-29-2014-a-60-year-old-woman-with-syncope
#13
Christopher Kabrhel, Joshua S Rempell, Laura L Avery, David M Dudzinski, Ido Weinberg
Presentation of Case. Dr. David Curley (Emergency Medicine): A 60-year-old woman was seen in the emergency department at this hospital after a syncopal episode. The patient had been well until the day of admission, when light-headedness and dyspnea suddenly developed while she was walking with her..
September 18, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25229918/images-in-clinical-medicine-superior-vena-cava-syndrome
#14
Bharat Kumar, Nael Aboul Hosn
A 59-year-old man with hypertension and Crohn's disease that was complicated by fistulas was found unconscious at home. He was being treated with infliximab administered through a central venous access device, which had been placed for long-term intermittent treatment. The patient had been treated..
September 18, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25229939/images-in-clinical-medicine-aortic-dissection
#15
Amritpal Singh Nat, Dinesh Subedi
An 81-year-old man with no documented medical history presented to the emergency department with suprapubic pain and urinary retention resulting from benign prostatic hyperplasia. He was incidentally found to have an elevated troponin I level, at 0.17 ng per milliliter (normal value,
September 18, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25207769/case-records-of-the-massachusetts-general-hospital-case-28-2014-a-39-year-old-man-with-a-rash-headache-fever-nausea-and-photophobia
#16
Read Pukkila-Worley, Valentina Nardi, John A Branda
Presentation of Case. Dr. Mark B. Geyer (Medicine): A 39-year-old man was admitted to this hospital because of a severe headache, nausea, and photophobia. The patient had been well until approximately 1 month before the current presentation, when a pruritic rash developed below the waist, most..
September 11, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25162906/images-in-clinical-medicine-mechanical-small-bowel-obstruction
#17
Jacob Antonsen, Jorgen Tilma
A 57-year-old woman was admitted to the emergency department with sudden-onset upper abdominal pain and vomiting. The patient's medical history was notable for type 1 diabetes and laparoscopic tubal sterilization. Computed tomography (CT) revealed small-bowel volvulus with dilated small bowel..
August 28, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25140976/images-in-clinical-medicine-posterior-mediastinal-mass
#18
Beenish Qureshi, Costantine Albany
A 30-year-old man presented with chest pressure, shortness of breath, severe dyspnea on exertion, dysphagia, odynophagia, and a weight loss of 30 lb (14 kg) over a 2-month period. He had undergone orchiectomy 3 years earlier for stage 1 testicular seminoma but had been lost to follow-up. Cardiac..
August 21, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25140963/case-records-of-the-massachusetts-general-hospital-case-26-2014-a-21-month-old-boy-with-lethargy-respiratory-distress-and-abdominal-distention
#19
Jean E Klig, Amita Sharma, Aaron B Skolnik
Presentation of Case. Dr. Daphne Morrison Ponce (Emergency Medicine): A 21-month-old boy was brought by ambulance to the emergency department at this hospital because of lethargy, respiratory distress, and abdominal distention. The patient had been well until the day before admission, when..
August 21, 2014: New England Journal of Medicine
https://www.readbyqxmd.com/read/25119625/images-in-clinical-medicine-morphologic-changes-in-erythrocytes-in-hypertriglyceridemia
#20
Emily A Coberly, Richard D Hammer
A 39-year-old woman with a history of gestational diabetes was admitted with epigastric pain from acute pancreatitis. She had no history of hyperlipidemia, but multiple blood samples were grossly lipemic, and serum triglyceride levels were markedly increased.
August 14, 2014: New England Journal of Medicine
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