Case records Massachusets general hospital

New England Journal of Medicine, Volume 380, Issue 21, Page 2052-2059, May 2019.

OBJECTIVE: To retrospectively analyse the incidence of high-grade squamous intraepithelial lesions (HSILs) and squamous cell carcinoma (SCC) in women of different ages with high-risk (HR) human papillomavirus (HPV) but with normal cytology test results stratified by age and HPV genotype. METHODS: In total, 1858 women with HR-HPV infection but with a normal smear who received a colposcopy and biopsy between 2015 and 2016 at our institution were included. The pathological results were retrospectively analysed after stratifying by age and HPV genotype...

Presentation of Case. Dr. Brian C. Zanoni (Infectious Disease): A 28-year-old pregnant woman (gravida 3, para 0020) was admitted to this hospital in the summer because of fever, chills, headache, and fatigue. The patient had been well until approximately 5 days before admission, at 28 weeks of..

Presentation of Case. Dr. Katie Pricola Fehnel (Neurosurgery): A 27-year-old man was brought to the emergency department of this hospital because of sudden onset of pain in his right eye. The patient had been cutting weeds outdoors using a power string trimmer when a nail was thrown up by the..

Presentation of Case. Dr. Meredith Eicken (Medicine–Pediatrics): A 49-year-old man was admitted to this hospital after being found outdoors in early autumn with obtundation, followed by increasing agitation. On the afternoon of admission, the patient was found leaning up against a wall,..

Presentation of Case. Dr. Kathy Chuang (Neurology): A 60-year-old woman was admitted to this hospital in midwinter because of abdominal pain, dyspnea, and diplopia. The patient had a history of asthma and gastroesophageal reflux disease. She had been well until the day before admission, when she..

Presentation of Case. Dr. Albert Yeh (Medicine): A 25-year-old man was admitted to this hospital because of abdominal pain, syncope, and hypotension. The patient had been well on the day of admission until, while lifting heavy boxes with a friend, he suddenly felt "a warm feeling" diffusely and had..

Presentation of Case. Dr. Mark A. Goldstein (Pediatrics): A 16-year-old boy was seen in the adolescent medicine outpatient clinic of this hospital in late spring because of coughing spells. The patient had been well until approximately 3 weeks before the current presentation, when cough and nasal..

A 25-year-old man presented with oral ulcers and odynophagia. On examination, there were scattered pink papules and plaques on the trunk, thighs, and buttocks and multiple raised, erythematous nodules on both shins. A diagnostic procedure was performed.

Presentation of Case. Dr. Bradford C. Dickerson: A 31-year-old right-handed man was seen in an outpatient neurology clinic of this hospital because of personality changes and progressive neurologic decline. The patient had been well until 3 years before this presentation, when his wife noticed that..

Presentation of Case. Dr. Emily K. Gray (Psychiatry): A 15-year-old girl with Graves’ disease was admitted to this hospital because of psychotic symptoms. The patient had been well until approximately 3 months before the current admission, when intermittent dizziness, palpitations, near syncope,..

Presentation of Case. Dr. Anant Mandawat (Medicine): A 28-year-old woman was seen in the emergency department of this hospital because of headache, fever, and a rash. The patient had been well until the morning of the day of admission, when she awoke with a severe generalized headache. The headache..

Presentation of Case. Dr. Anne L. Piantadosi (Infectious Diseases): A 27-year-old woman was seen in the emergency department of this hospital during the summer because of arthralgias and a rash. The patient had been well until 5 days before this evaluation, when arthralgias in her fingers, hands,..

Presentation of Case. Dr. Christopher J. Mutrie (Thoracic Surgery): A 58-year-old woman was seen in the outpatient pulmonary clinic of this hospital because of shortness of breath on exertion. The patient had been well until approximately 8 months before this presentation, when she noted shortness..

Presentation of Case. Dr. Katharine R. Clapham (Medicine): A 71-year-old man with congestive heart failure and ischemic cardiomyopathy was admitted to this hospital because of sudden chest pain, diaphoresis, and shortness of breath. The patient had hypertension, hyperlipidemia, diabetes mellitus,..

Presentation of Case. Dr. Soheyla D. Gharib: A 37-year-old American man living in Vietnam was transferred to this hospital because of fever and bacteremia. The patient, who lived and worked in a city in Vietnam, had been well until approximately 1 month before the current admission, when episodes..

Presentation of Case. Dr. Diane Tseng (Medicine): A 20-year-old man was admitted to this hospital because of fever and a pericardial effusion. The patient had been well until 5 weeks before this admission, when sore throat, subjective fever, malaise, and diffuse myalgias developed. On evaluation by..

Presentation of Case. Dr. Robin M. Jones (Neurology): A 19-year-old woman was admitted to the pediatric intensive care unit of this hospital in the autumn because of headache, fever, photophobia, neck stiffness, and mental-status changes. The patient had been well until 7 days before admission,..

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..

Presentation of Case. Dr. Leigh H. Simmons: An 87-year-old man with multiple chronic medical problems was seen in an outpatient clinic of this hospital because of sore throat and fatigue. The patient had been in his usual health until several weeks before presentation, when hoarseness, sore throat,..