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

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https://read.qxmd.com/read/30699318/case-4-2019-an-18-year-old-man-with-abdominal-pain-and-hematochezia
#1
Helen M Shields, Fabian J Scheid, Theodore T Pierce, Karin L Andersson, Mark F Conrad, Martin G Rosenthal, Scott D Martin
Presentation of Case. Dr. Fabian J. Scheid: An 18-year-old male professional athlete was admitted to this hospital because of fevers, abdominal pain, and hematochezia. The patient had been well until 20 days before this admission, when fevers and pain in the right lower quadrant developed during a..
January 31, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30673553/case-3-2019-a-70-year-old-woman-with-fever-headache-and-progressive-encephalopathy
#2
Kimon C Zachary, Regina C LaRocque, R Gilberto Gonzalez, John A Branda
Presentation of Case. Dr. John I. Hogan (Medicine): A 70-year-old woman with a history of migraines was admitted to this hospital in the fall because of fever, headache, and progressive encephalopathy. The patient had been in her usual state of health until 12 days before this admission, when..
January 24, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30650323/case-2-2019-a-36-year-old-man-with-rash-abdominal-pain-and-lymphadenopathy
#3
Steven T Chen, Alexis M Cahalane, Edward T Ryan, Ruth K Foreman
Presentation of Case. Dr. Katherine H. Schiavoni (Medicine): A 36-year-old man was admitted to this hospital because of abdominal pain, rash, and lymphadenopathy. The patient had been well until 4 years before admission, when swelling developed in the right side of the neck. One year later, he was..
January 17, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30625053/case-1-2019-a-34-year-old-veteran-with-multiple-somatic-symptoms
#4
Abigail L Donovan, Timothy J Petersen, Mireya F Nadal-Vicens, Yelena S Kamenker-Orlov
Presentation of Case. Dr. Timothy J. Petersen: A 34-year-old man was evaluated at this hospital because of headaches, cognitive changes, mood symptoms, flashbacks, chest pain, arm tingling, and gastrointestinal symptoms. The patient had served as a special operations combat medic in the U.S. Army..
January 10, 2019: New England Journal of Medicine
https://read.qxmd.com/read/30586519/case-40-2018-a-47-year-old-woman-with-recurrent-sinusitis-cough-and-bronchiectasis
#5
James E Mojica, Christopher J Richards, Jad S Husseini, Lida P Hariri
Presentation of Case. Dr. Christopher J. Richards: A 47-year-old woman was evaluated at the outpatient pulmonary clinic of this hospital because of recurrent sinusitis with progressive cough and bronchiectasis. Since her mid-20s, the patient had had recurrent episodes of sinus congestion, with two..
December 27, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30575493/case-39-2018-an-18-year-old-man-with-diplopia-and-proptosis-of-the-left-eye
#6
Daniel R Lefebvre, Katherine L Reinshagen, Michael K Yoon, John H Stone, Anna M Stagner
Presentation of Case. Dr. Mark A. Matza (Medicine): An 18-year-old man was evaluated at this hospital because of diplopia and proptosis of the left eye. The patient had been well until approximately 33 months before this evaluation, when eye pain and periorbital swelling developed on the right..
December 20, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30575474/case-38-2018-a-54-year-old-man-with-new-heart-failure
#7
Eric M Isselbacher, Nandini M Meyersohn, Amy A Sarma, Amy E Spooner, Kristen J Tomaszewski
Presentation of Case. Dr. Amy A. Sarma: A 54-year-old man was evaluated at this hospital because of new heart failure. One month before this evaluation, a nonproductive cough developed after the patient took a business trip to Tennessee. During the next week, the cough became productive of..
December 13, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30403952/case-34-2018-a-58-year-old-woman-with-paresthesia-and-weakness-of-the-left-foot-and-abdominal-wall
#8
Haatem M Reda, H Benjamin Harvey, Nagagopal Venna, John A Branda
Presentation of Case. Dr. Amrit Misra (Neurology): A 58-year-old woman was seen in the outpatient neurology clinic of this hospital in early autumn because of hypoesthesia, paresthesia, and weakness. The patient had been well until 10 weeks before this presentation, when back pain developed between..
November 8, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30332577/case-32-2018-a-36-year-old-pregnant-woman-with-newly-diagnosed-adenocarcinoma
#9
Janet E Murphy, Kimberly Shampain, Laura E Riley, Jeffrey W Clark, Kristen M Basnet
Presentation of Case. Dr. Malavika Prabhu (Obstetrics and Gynecology): A 36-year-old pregnant woman was evaluated at this hospital at 33 weeks of gestation because of newly diagnosed adenocarcinoma. Seven months before this admission, when the patient was at her initial routine prenatal visit,..
October 18, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30257156/case-30-2018-a-66-year-old-woman-with-chronic-abdominal-pain
#10
Anna K Rubin, Kristine S Burk, Kyle Staller, Hiroko Kunitake, Gregory K Robbins, Vikram Deshpande
Presentation of Case. Dr. Josephine Henderson-Frost (Medicine): A 66-year-old woman presented to a community health center affiliated with this hospital for an initial evaluation and to establish care with a primary care provider. The patient had been in her usual state of health until 5 months..
September 27, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30207921/case-28-2018-a-39-year-old-man-with-epistaxis-pain-and-erythema-of-the-forearm-and-pancytopenia
#11
Christiana A Iyasere, Ronald W Takvorian, F Joseph Simeone, Bradford J Siegele
Presentation of Case. Dr. Ingabire G. Balinda (Medicine): A 39-year-old man was admitted to this hospital because of epistaxis, pain and erythema of the right forearm, and pancytopenia. The patient had been in his usual state of good health until 6 months before admission, when episodes of..
September 13, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30485774/case-37-2018-a-23-year-old-woman-with-vision-loss
#12
Sashank Prasad, Lucy H Young, Marc Bouffard, Rajiv Gupta
Presentation of Case. Dr. Seth N. Levin (Neurology): A 23-year-old right-handed woman with a history of migraines was evaluated at this hospital for vertigo and vision loss affecting the right eye. Six days before admission, a right frontal headache and right retro-orbital pain developed; these..
November 29, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30428289/case-35-2018-a-68-year-old-woman-with-back-pain-and-a-remote-history-of-breast-cancer
#13
Aditya Bardia, Meline D Hovnanian, Elena F Brachtel, Valentina Nardi
Presentation of Case. Ms. Diane P. Doyle, M.S.N. (Medicine): A 68-year-old woman with a history of bilateral breast cancer was evaluated at the oncology clinic of this hospital for back and pelvic pain. Twenty-five years before the current evaluation, the patient was noted to have a small lump in..
November 15, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30462933/case-36-2018-a-29-year-old-man-with-an-incidentally-discovered-renal-mass
#14
Douglas M Dahl, Joseph F Simeone, Othon Iliopoulos, Philip J Saylor, Chin-Lee Wu
Presentation of Case. Dr. Keyan Salari (Urology): A 29-year-old man was seen at this hospital because of an incidentally discovered renal mass. The patient had been well until 6 weeks before this evaluation, when he identified a painless lump above his left testicle during a monthly..
November 22, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30354952/case-33-2018-a-57-year-old-man-with-confusion-fever-malaise-and-weight-loss
#15
Tomas G Neilan, Melissa C Price, Danita Y Sanborn, Justin F Gainor, Athena Chen
Presentation of Case. Dr. Joshua A. Cohen (Medicine): A 57-year-old man presented to this hospital with confusion, cough, fever, and unintentional weight loss. The patient had been in his usual state of health until approximately 7 weeks before this presentation, when malaise and anorexia..
October 25, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30304661/case-31-2018-a-37-year-old-man-with-a-self-inflicted-gunshot-wound
#16
Chana A Sacks, Shahmir Kamalian, Peter T Masiakos, George A Alba, Eva D Patalas
Presentation of Case. Dr. Jordan P. Bloom (Surgery): A 37-year-old man was admitted to the surgical intensive care unit (ICU) of this hospital because of a self-inflicted gunshot wound. The patient had been in his usual state of health until 2 days before admission. That evening, while he was at..
October 11, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30231229/case-29-2018-a-31-year-old-woman-with-infertility
#17
Christos Coutifaris, Aoife Kilcoyne, Adam S Feldman, Mary E Sabatini, Esther Oliva
Presentation of Case. Dr. Caitlin Sacha (Obstetrics and Gynecology): A 31-year-old woman with infertility was referred to the fertility center of this hospital by a surrogate parenting agency to discuss the possibility of family building with an oocyte donor and a gestational carrier. The patient..
September 20, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30157393/case-27-2018-a-3-year-old-boy-with-seizures
#18
Mark P Gorman, Grace Y Gombolay, William A Mehan, Ronald L Thibert
Presentation Of Case. Dr. Caitlin E. Naureckas Li (Pediatrics): A 3-year-old boy was admitted to this hospital during the summer because of a seizure. The patient had been well until 3 days before admission, when one episode of emesis occurred. The following evening, he was fussy, and on the third..
August 30, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30134139/case-26-2018-a-48-year-old-man-with-fever-chills-myalgias-and-rash
#19
Sarah E Turbett, William G Tsiaras, Shaunagh McDermott, George Eng
Presentation of Case. Dr. William G. Tsiaras: A 48-year-old man was evaluated at this hospital because of fever, chills, myalgias, diarrhea, and a diffuse rash. The patient had been in his usual state of good health until about 3 weeks before admission, in the late spring, when he noted the onset..
August 23, 2018: New England Journal of Medicine
https://read.qxmd.com/read/30110592/case-25-2018-a-63-year-old-man-with-syncope
#20
Rory B Weiner, William J Hucker, Nandini M Meyersohn, David M Dudzinski, James R Stone
Presentation of Case. Dr. William J. Hucker: A 63-year-old man was evaluated at this hospital because of syncope. Approximately 13 years before admission, the patient had an out-of-hospital cardiac arrest and was found to have multivessel coronary artery disease. He underwent coronary-artery bypass..
August 16, 2018: New England Journal of Medicine
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