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JOURNAL ARTICLE
Andrew Walkty, John Embil
An 18-year-old man presented to the emergency department with a 1-week history of sore throat, fever, and malaise and a 3-day history of pleuritic chest pain and productive cough. He reported no history of intravenous drug use, recent travel, or known sick contacts. On examination, he was febrile..
March 21, 2019: New England Journal of Medicine
#2
JOURNAL ARTICLE
Sandra Rodrigues-Barros, Sonia Parreira
A 24-year-old woman who had a 10-year history of intermittent episodes of redness and photophobia in both eyes presented to the ophthalmology clinic with visual changes. On examination, the visual acuity was 20/30 in the right eye and 20/25 in the left eye. Slit-lamp examination revealed..
March 1, 2018: New England Journal of Medicine
#3
JOURNAL ARTICLE
Michele Marchini, Elisabetta Giglio
A 71-year-old man presented to the nephrology department for the evaluation of chronic kidney disease, which had developed during the past 20 years. The patient had received a diagnosis of tuberous sclerosis complex, or Bourneville’s disease, in his late 20s. The physical examination revealed..
May 18, 2017: New England Journal of Medicine
#4
JOURNAL ARTICLE
Makoto Saito, Shuji Hatakeyama
A previously healthy 36-year-old man presented with a 1-month history of fever and pain in both shoulders and knees, which had been preceded by a sore throat 2 weeks before the onset of fever. Laboratory studies were notable for a white-cell count of 13,800 per cubic millimeter (85% neutrophils), a..
December 22, 2016: New England Journal of Medicine
#5
JOURNAL ARTICLE
Shyh-Shyong Sim, Jen-Tang Sun
A 46-year-old woman was brought to the emergency department because of agitation. On arrival, she had a fever (temperature, 38.6°C) and tachycardia (heart rate, 169 beats per minute). The patient was agitated and had ocular flutter (Video 1) as well as rigidity in the legs and myoclonus in the arms..
November 3, 2016: New England Journal of Medicine
#6
JOURNAL ARTICLE
Koushik Tripathy, Yog Raj Sharma
No abstract text is available yet for this article.
December 7, 2016: BMJ: British Medical Journal
#7
JOURNAL ARTICLE
Rachel J Marchalik, Suraj Venna
An 87-year-old man presented for treatment of a stye on his left upper eyelid. Despite conservative interventions, the stye had persisted and the skin had become noticeably darker over several weeks (Panels A and B). He reported itching but no pain or bleeding. His risk factors for skin cancer..
July 7, 2016: New England Journal of Medicine
#8
JOURNAL ARTICLE
Kazuhiko Morii, Takeharu Yamamoto
A 48-year-old woman scheduled to receive a laparoscopic cholecystectomy underwent a preoperative evaluation that disclosed conjugated hyperbilirubinemia. The serum total bilirubin level was 4.6 mg per deciliter (79 μmol per liter; reference range, 0.2 to 1.2 mg per liter [3 to 21 μmol per liter]),..
July 7, 2016: New England Journal of Medicine
#9
JOURNAL ARTICLE
Osama M Mustafa, Patricio M Aduriz-Lorenzo
A 49-year-old man with a history of diabetes mellitus reported having blurry vision in the right eye 3 days after being admitted to the hospital for investigation of elevated levels of creatinine, liver enzymes, and bilirubin following 9 days of generalized weakness. He had been receiving treatment..
June 30, 2016: New England Journal of Medicine
#10
JOURNAL ARTICLE
Marcio W Lauria, Mario J Saad
A 27-year-old woman presented with a 2-year history of acanthosis nigricans (Panels A and B), hirsutism, and amenorrhea. Laboratory tests revealed elevated levels of insulin (>200 μU per milliliter [1389 pmol per liter]) (normal range, 2 to 13 μU per milliliter [14 to 90 pmol per liter]) and..
June 16, 2016: New England Journal of Medicine
#11
JOURNAL ARTICLE
Hamzeh M Halawani, Mohamed Khalife
A 48-year-old man who was known to have granulomatosis with polyangiitis was admitted to the hospital for evaluation of an elevated blood creatinine level of 9.5 mg per deciliter (840 μmol per liter; normal range in men, 0.5 to 1.2 mg per deciliter [40 to 110 μmol per liter]). Urinalysis was..
June 2, 2016: New England Journal of Medicine
#12
JOURNAL ARTICLE
André M Mansoor, Peter D Sullivan
A 52-year-old man was admitted to the hospital with weakness that had progressed over a period of several weeks. Cranial-nerve examination revealed involuntary unilateral ptosis that coincided with voluntary contraction of the lower facial muscles, a form of synkinesis known as the Marin-Amat..
June 2, 2016: New England Journal of Medicine
#13
JOURNAL ARTICLE
Leslie Martin, Forrest Rackard
A 35-year-old man with a history of sickle cell disease presented with a sickle cell crisis and headaches. Noncontrast computed tomography (CT) of the head revealed a thickened calvaria with perpendicular proliferation of the trabeculae, a finding termed the hair-on-end sign (Panels A and B). The..
May 12, 2016: New England Journal of Medicine
#14
JOURNAL ARTICLE
Mathew Tate, Simon Dubrey
No abstract text is available yet for this article.
April 29, 2016: BMJ: British Medical Journal
#15
JOURNAL ARTICLE
Alison Edwards, Preethi Nalla, L D Premawardhana
No abstract text is available yet for this article.
April 7, 2016: BMJ: British Medical Journal
#16
JOURNAL ARTICLE
Selina J Chavda, Claire Dearden
No abstract text is available yet for this article.
March 3, 2016: BMJ: British Medical Journal
#17
JOURNAL ARTICLE
Jennifer van Griethuysen, Simon W Dubrey
No abstract text is available yet for this article.
March 1, 2016: BMJ: British Medical Journal
#18
JOURNAL ARTICLE
James Lowe, David C Howlett
No abstract text is available yet for this article.
February 19, 2016: BMJ: British Medical Journal
#19
JOURNAL ARTICLE
Elena Varoni, Sem Decani
A 73-year-old man was referred to this clinic by his primary care physician, who noted an unusual red lesion that had been moving across the dorsum of the man’s tongue for approximately 3 months. The patient was a former smoker who was being treated for essential hypertension, hypercholesterolemia,..
February 18, 2016: New England Journal of Medicine
#20
JOURNAL ARTICLE
Qasim Akram, Hector Chinoy
A 74-year-old man presented with a 3-month history of headache, jaw claudication, and worsening scalp ulceration. He reported no visual loss or polymyalgia rheumatica. Examination revealed areas of scalp necrosis (Panel A). Both temporal arteries were difficult to palpate but were nontender. His..
February 11, 2016: New England Journal of Medicine
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