In the latest Case Record of the Massachusetts General Hospital, a 35-year-old man was admitted to this hospital because of dyspnea, anemia, and renal failure. Two days earlier, dyspnea and decreased urine output had developed. Imaging revealed bilateral lung opacities, and bronchoscopy showed pulmonary hemorrhage. Diagnostic tests were performed. The term Goodpasture’s syndrome is applied… Read More…
A 48-year-old man came to the emergency department in early August with a 3-day history of influenza-like symptoms and profound dyspnea on exertion, which had started 3 days after his return to Boston from a vacation in California. Read this latest Clinical Problem-Solving case on NEJM.org. The hantavirus pulmonary syndrome came to national attention in… Read More…
In our latest Clinical Problem-Solving article, a 50-year-old woman presented with fatigue and shortness of breath. Dyspnea after moderate exertion had developed gradually, along with profound malaise and a nonproductive cough. In the 48 hours before admission, her shortness of breath had worsened. The clinicopathological syndrome of subacute cor pulmonale caused by tumor microemboli to… Read More…
In the latest Case Record of the Massachusetts General Hospital, a 62-year-old woman presented with dyspnea, anemia, and paraspinal masses. Examination revealed splenomegaly. Laboratory studies revealed microcytic anemia. A diagnostic test result was received. A common feature of all thalassemias is that clinical symptoms arise less from the deficit in hemoglobin production than from the accumulation… Read More…
A soldier returns from deployment in Iraq. A non-smoker without a history of asthma or other lung disease, he begins to notice that he’s no longer able to complete the army exercise regimen without becoming short of breath. The onset is insidious, but the impairment real: he isn’t even able to meet the fitness standard… Read More…
Learn interactively, get immediate feedback, and compare your performance with that of others when you try our latest Interactive Medical Case, “A Crazy Cause of Dyspnea”. An 18-year-old black woman presented with fever, ear pain, and dull discomfort on the right side of the chest that was unchanged with movement or inspiration. She had no… Read More…
