Posts Tagged ‘Case Records’

A 20-Year-Old Man with Ear Pain, Fever, and Headache

Posted by Sara Fazio • January 18th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 20-year-old man was transferred to the hospital because of recurrent ear pain for 8 months despite antibiotics, with new fever and headache. Imaging showed opacification of the middle ears and mastoid air cells and erosion of the right temporal bone. Intracranial bacterial infections can… 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…

Mastocytosis

Posted by Graham McMahon • March 25th, 2011

In this week’s Case Record of the Massachusetts General Hospital, A 37-year-old man was admitted to the hospital because of flushing and hypotension with near-syncope. Similar episodes had occurred with increasing frequency during the past 12 years. The symptoms were usually provoked by physical exertion, mental stress, or intense emotion, and lasted up to 12… Read More…

MI Complications

Posted by Graham McMahon • December 31st, 2010

In this week’s Case Record of the Massachusetts General Hospital, A 68-Year-Old Woman with Chest Pain during an Airplane Flight Case, a woman with a history of hypertension and hyperlipidemia was admitted to the hospital because of substernal chest pain. Rupture of the free wall of the left ventricle occurs in 1 to 4% of… Read More…

Thyroid Cancer

Posted by Graham McMahon • December 17th, 2010

In the latest Case Record of the Massachusetts General Hospital,  a 13-year-old girl was seen in the pediatric endocrinology clinic because of an enlarging neck mass. The thyroid gland was diffusely enlarged; levels of thyrotropin and antithyroglobulin antibodies were elevated. Ultrasonography revealed diffusely abnormal parenchyma with calcifications. Approximately 5% of thyroid nodules in adults are… Read More…

Thrombotic Thrombocytopenic Purpura

Posted by Graham McMahon • December 10th, 2010

In this week’s Case Record of the Massachusetts General Hospital, a 16-year-old girl with a history of lupus nephritis was seen in the emergency department because of altered mental status. She was somnolent and agitated and had no focal neurologic signs. Brain CT revealed no abnormalities. Laboratory studies revealed anemia and thrombocytopenia. A diagnosis of… Read More…

Wrong-Site Surgery

Posted by Graham McMahon • November 12th, 2010

In this week’s Case Record of the Massachusetts General Hospital, a 65-year-old woman was admitted to the day-surgery unit 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. Wrong-site surgery occurs in all surgical specialties but… Read More…

Eye Infections

Posted by Graham McMahon • October 29th, 2010

This week’s Case Record of the Massachusetts General Hospital presents, “A 22-Year-Old Woman with Blurred Vision and Renal Failure.” Serious eye infections must be diagnosed and treated promptly to avoid permanent loss of vision. The three main categories of vision-threatening eye infections that need to be considered are keratitis, uveitis, and endophthalmitis. Clinical Pearls • What… Read More…

Cat Bite

Posted by Graham McMahon • October 15th, 2010

In the latest Case Record of the Massachusetts General Hospital, a 29-year-old woman was admitted to the hospital because of fever after a cat bite. The patient had been well until 5 days before admission, when, while working as a veterinarian’s assistant at an animal hospital, she was bitten on the right thenar eminence by… Read More…

Myelodysplastic Syndrome

Posted by Graham McMahon • September 10th, 2010

This week’s Case Record, A 73-Year-Old Woman with Chronic Anemia, is presented by Drs. Eyal C. Attar and Robert P. Hasserjian of the Massachusetts General Hospital. The myelodysplastic syndromes are diseases of the elderly, with diagnosis at a median age of 70 years. AML develops in approximately one third of persons with a primary myelodysplastic… Read More…