Posts Tagged ‘Case Records of the Massachusetts General Hospital’

HER2-Positive Breast Cancer

Posted by Sara Fazio • May 25th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 32-year-old woman noted a crease in her right breast. Imaging studies showed a suspicious mass, and a biopsy specimen revealed infiltrating ductal carcinoma, positive for HER2. Staging showed liver lesions consistent with metastases. Management decisions were made. HER2, a proto-oncogene encoding the HER2 tyrosine… Read More…

Fever and Rash

Posted by Sara Fazio • May 10th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 43-year-old woman with a history of atopic dermatitis was admitted to the hospital because of fever and a generalized painful, pruritic rash involving the entire body. Examination revealed vesicles, pustules, and erosions with scalloped borders. A diagnostic test result was received. The development of cutaneous pain… Read More…

Paresthesias and Anemia

Posted by Sara Fazio • April 25th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 62-year-old man was admitted to this hospital because of paresthesias, weight loss, jaundice, and anemia. Diagnostic test results were received. Paresthesias involve a sensation of tingling, numbness, crawling, or deadness, and they are felt mainly in distal parts of the extremities. Although they very rarely involve… Read More…

Vomiting and Unresponsiveness

Posted by Sara Fazio • April 20th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 10-month-old girl was seen in the emergency department because of vomiting and episodes of unresponsiveness, which had begun suddenly 7 hours earlier. She gradually became somnolent. Vital signs, a physical examination, and brain imaging were normal. The immediate approach to a child who presents… Read More…

A Man with Weakness and Rash

Posted by Sara Fazio • April 13th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old man from coastal New England was admitted to this hospital because of fever, weakness, rash, and renal failure. An initial measurement of creatine kinase was 20,437 U per liter. A diagnostic test was performed. The differential diagnosis of a maculopapular rash with an… Read More…

Elevated PSA

Posted by Sara Fazio • March 23rd, 2012

In the latest Case Record of the Massachusetts General Hospital, a 67-year-old man was seen in the cancer center of the hospital because of elevated prostate-specific antigen for 6 years. One of six transrectal prostate-biopsy specimens showed a tiny focus of well-differentiated adenocarcinoma. A diagnostic procedure was performed. At least 30% of clinically important prostate… Read More…

Statin-Associated Myopathy

Posted by Sara Fazio • March 9th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 79-year-old man was admitted to the hospital because of pain and weakness in the legs. He had multiple chronic medical problems and took numerous medications, with no recent changes. Examination revealed leg weakness and decreased reflexes. Videos showing needle-electrode examinations of resting and contracting muscles… Read More…

HIV-Associated Psychosis

Posted by Sara Fazio • February 17th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 39-year-old man with a recent diagnosis of HIV infection was admitted to this hospital with fever and bizarre, nihilistic delusions, including statements that he had died. A diagnostic procedure was performed. Psychosis is a symptom, not a diagnosis, and can be organized into primary and… Read More…

Hypokalemia

Posted by Sara Fazio • February 10th, 2012

In the latest Case Record of the Massachusetts General Hospital, a 37-year-old man was admitted to this hospital because of 12 hours of muscle pain and weakness, resulting in the inability to rise from bed. Brief episodes of similar symptoms had occurred during the past month. He reported blurred vision, gynecomastia, and weight loss. Potassium… Read More…

An Incorrect Surgery- Comment Now

Posted by Karen Buckley • November 11th, 2010

This week we publish a Case Records of the Massachusetts General Hospital about a 65-year-old woman who was admitted to the day-surgery unit of a hospital for release of a trigger finger of the left ring finger. A carpal-tunnel release was performed. After the procedure, the surgeon realized he had performed the wrong operation. Does… Read More…