Medical Student Pandora's Box

A 4-year-old girl presented for evaluation of cutaneous nodules that had been present on the left side of her trunk since birth. Physical examination revealed numerous soft, nontender papules and nodules across the left upper abdomen and wrapping around to the back.

No abstract text is available yet for this article.

A 56-year-old woman, who had not received medical care for 30 years, presented to the emergency department with progressively worsening fatigue and confusion. On physical examination, she was disoriented but conversant. Vital signs were notable for hypothermia (temperature, 34°C [93°F]), a heart..

A 70-year-old woman with end-stage liver disease from hepatitis C was admitted to the hospital for confusion. Portosystemic encephalopathy was diagnosed, and the patient was treated with 20 g of lactulose every 6 hours. A few days after admission, abdominal pain with marked abdominal distention..

A 28-year-old man with a childhood history of spontaneous intracranial hemorrhage presented with a new onset of seizures and loss of consciousness. At the age of 10 years, he had undergone partial resection of a right-sided intracranial arteriovenous malformation, which resulted in left hemiplegia...

INTRODUCTION: Liberal and overaggressive use of vasopressors during the initial period of shock resuscitation may compromise organ perfusion and worsen outcome. When transiently applying the concept of permissive hypotension, it would be helpful to know at which arterial blood pressure terminal cardiovascular collapse occurs. METHODS: In this retrospective cohort study, we aimed to identify the arterial blood pressure associated with terminal cardiovascular collapse in 140 patients who died in the intensive care unit while being invasively monitored...