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JOURNAL ARTICLE
Elizabeth L Hohmann, Ashwin N Ananthakrishnan, Vikram Deshpande
A 37-year-old man with ulcerative colitis was admitted to the hospital because of abdominal cramping, diarrhea, hematochezia, fever to a peak temperature of 38.8 °C, and drenching night sweats. Several weeks earlier, he had performed home fecal transplantation.
August 14, 2014: New England Journal of Medicine
#22
JOURNAL ARTICLE
Michael Mannstadt, Angela E Lin, Long P Le
Presentation of Case. Dr. Joel B. Krier (Pediatrics): A 27-year-old man was seen in the outpatient endocrinology clinic at this hospital because of severe osteoporosis and multiple bone fractures. The patient had been born to a 23-year-old primigravida mother after 40 weeks of uncomplicated..
July 31, 2014: New England Journal of Medicine
#23
JOURNAL ARTICLE
Cybéle L Abad, Richard H Moseley, Christopher J Crnich, Sanjay Saint, Nasia Safdar
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage. A 30-year-old woman presented to..
August 7, 2014: New England Journal of Medicine
#24
JOURNAL ARTICLE
Jaime Toro, Saúl Reyes
A 47-year-old man presented with a 1-year history of progressive, repetitive, involuntary muscle twitching and cramps in his legs. He was having difficulty swallowing both solids and liquids, and he also noted excessive salivation and decreased volume of his voice. His medical history was otherwise..
July 31, 2014: New England Journal of Medicine
#25
JOURNAL ARTICLE
In Seok Moon, Won-Sang Lee
A 6-year-old girl presented with a 1-year history of pulsatile tinnitus in her right ear. Pure-tone audiometry showed normal hearing. Otoscopy showed a whitish pulsatile mass behind the tympanic membrane in the anteroinferior quadrant of the middle-ear cavity (see video). Computed tomography (CT)..
July 24, 2014: New England Journal of Medicine
#26
JOURNAL ARTICLE
P Elliott Miller, Brian A Houston
A 76-year-old woman was admitted to the hospital with shortness of breath. She had tachypnea and was breathing through pursed lips. The patient had a long history of advanced chronic obstructive pulmonary disease (COPD), with a forced expiratory volume in 1 second of 21% of the predicted value. The..
July 24, 2014: New England Journal of Medicine
#27
JOURNAL ARTICLE
Christine M Hay, Jo-Anne O Shepard, Emily P Hyle, Lyn M Duncan
Presentation of Case. Dr. Laura K. Byerly (Medicine): A 41-year-old man was admitted to this hospital in midsummer because of fever, rash, pancytopenia, and abnormal results of liver-function tests. The patient had been well until 6 days before admission, when fever with a peak temperature of 38..
July 24, 2014: New England Journal of Medicine
#28
JOURNAL ARTICLE
Orla Mc Cormack, John V Reynolds
A 67-year-old man presented to his general practitioner with a history of vague abdominal discomfort on the right side, intermittent diarrhea, and episodes of facial flushing every 2 to 3 days. He reported no history of ingestion of alcohol or other precipitants of flushing. Images obtained before..
July 17, 2014: New England Journal of Medicine
#29
JOURNAL ARTICLE
Thomas Troelsen, Ole Hilberg
A previously healthy 18-year-old man was admitted to the hospital with a 3-month history of coughing, expectoration of reddish sputum, weight loss, and fever; a small region of swelling had developed on his anterior chest wall in the preceding week. A computed tomographic (CT) scan of the chest..
July 10, 2014: New England Journal of Medicine
#30
JOURNAL ARTICLE
Nagagopal Venna, John L Niles, Michael H Lev, Matthew P Frosch
Presentation of Case. Dr. Robert L. Carruthers (Neurology): A 68-year-old man was admitted to this hospital because of diplopia of 2 days' duration. The patient had a history of granulomatosis with polyangiitis, with chronic renal insufficiency. He had been in his usual health until 2 days before..
July 10, 2014: New England Journal of Medicine
#31
JOURNAL ARTICLE
Casey M Rice, Siddhartha Yadav, Bobby Boyanton, Prajan Subedi, Jeffrey Band
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage. A 51-year-old woman was brought to..
July 3, 2014: New England Journal of Medicine
#32
JOURNAL ARTICLE
Maitri Shah
A 49-year-old woman with morbid obesity and hypertension presented with extensive areas of redness and weeping sores on her legs. She had an 8-year history of chronic venous stasis and lymphedema. The physical examination of the lower extremities showed chronic changes of dependent edema with..
June 26, 2014: New England Journal of Medicine
#33
JOURNAL ARTICLE
Kathleen M Finn, Leo C Ginns, Gregory K Robbins, Carol C Wu, John A Branda
Presentation of Case. Dr. Gregory K. Robbins: A 65-year-old man with a history of emphysema and inflammatory colitis was admitted to this hospital because of dyspnea, hypoxemia, and worsening lung disease. The patient had been well until approximately 3 years before admission, when herpes zoster..
June 26, 2014: New England Journal of Medicine
#34
JOURNAL ARTICLE
Omar A Mahroo, Elizabeth M Graham
A 34-year-old man presented to the eye emergency department with reduced vision in the right eye that had developed that morning. He was well, apart from episodes of dizziness and dyspnea after exercise during the previous 4 months. These episodes had started 1 week after the patient had undergone..
June 19, 2014: New England Journal of Medicine
#35
JOURNAL ARTICLE
Matthias Eikermann, George Velmahos, Suhny Abbara, Paul L Huang, Shawn P Fagan, Ronald E Hirschberg, John Y Kwon, Vania Nosé
Presentation of Case. Dr. John T. Nagurney (Emergency Medicine): A 34-year-old man was brought to the emergency department at this hospital because of multiple traumatic injuries that he sustained when a bomb exploded while he was watching the 2013 Boston Marathon. At the scene, the patient..
April 10, 2014: New England Journal of Medicine
#36
JOURNAL ARTICLE
Susan Burgin, John H Stone, Anuradha S Shenoy-Bhangle, Declan McGuone
Presentation of Case. Dr. Eli Miloslavsky (Medicine): A 32-year-old man was admitted to this hospital because of a rash, muscle pain, weakness, and respiratory failure. The patient had been well until 10 weeks before admission, when a violaceous rash developed involving the eyelids, elbows,..
June 12, 2014: New England Journal of Medicine
#37
JOURNAL ARTICLE
Mark P Gorman, Sandra P Rincon, Virginia M Pierce
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,..
June 19, 2014: New England Journal of Medicine
#38
JOURNAL ARTICLE
Lisa K Torres, Saadia A Faiz
A 29-year-old man presented with an acute onset of right pleuritic chest pain and a 3-month history of dyspnea, cough, and skin lesions. Physical examination revealed crackles in both lungs and multiple nonerythematous papules along the ink lines of a tattoo (Panel A). A chest radiograph (Panel B)..
June 5, 2014: New England Journal of Medicine
#39
JOURNAL ARTICLE
Neal Varughese, Angie Duong, Sukru Emre, Mina Xu, Alfred Ian Lee
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage. A 19-year-old woman presented to a..
October 3, 2013: New England Journal of Medicine
#40
JOURNAL ARTICLE
Christopher J Gibson, Kathryn A Britton, Amy Leigh Miller, Joseph Loscalzo
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage. A 55-year-old man with a history..
May 1, 2014: New England Journal of Medicine
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