In this week’s Case Record of the Massachusetts General Hospital, a 30-year-old man was seen in the emergency room because of the acute onset of diarrhea 2 days after his return from a trip to the Caribbean. He was afebrile, and the diarrhea was watery without blood. A diagnostic test was performed. Diarrhea is a… Read More…
In this week’s Case Record of the Massachusetts General Hospital, a 35-year-old woman with stable HIV infection was admitted to this hospital because of headache and altered mental status. Brain imaging revealed diffuse white-matter abnormalities. A diagnostic test was performed. HIV infection is associated with a spectrum of syndromes of cognitive dysfunction, which are subsumed… Read More…
In this week’s Case Record of the Massachusetts General Hospital, a 49-year-old woman presented with a 12-cm mass in the right breast, fixed to the chest wall. The overlying skin was erythematous and edematous. A core-biopsy specimen showed infiltrating ductal carcinoma. Of all breast cancers, only 1 to 6% are classified as inflammatory breast cancer…. Read More…
In this week’s Case Record of the Massachusetts General Hospital, a 67-year-old man was seen because of an elevated serum level of prostate-specific antigen 18 months after radical prostatectomy and external-beam radiation therapy for prostate cancer. A management decision was made. ADT, either by means of bilateral orchiectomies or the administration of a gonadotropin-releasing hormone… Read More…
In the latest Case Record of the Massachusetts General Hospital, a 19-year-old woman was seen in a clinic in South Africa because of headache, fatigue, sore throat, anorexia, and vaginal discharge. She had no history of STIs. Rapid testing for HIV-1 was negative. The initial symptoms resolved, but a painful genital ulcer developed. With less… Read More…
In this week’s Case Record of the Massachusetts General Hospital, a 9-month-old boy was admitted to the hospital because of fever, diarrhea, and acute liver failure. He had been well, and the results of routine newborn metabolic screening were normal. Examination showed an enlarged liver that was fatty on imaging studies. The Pediatric Acute Liver… Read More…
In this week’s Case Record of the Massachusetts General Hospital is a 4-year-old boy was admitted because of a 1-week history of back pain, with sleepiness, constipation, and refusal to walk. The serum calcium level was elevated. Initial radiographs and MRI studies were interpreted as normal. Diagnostic tests were performed. In contrast to adults with… Read More…
From the Case Records of the Massachusetts General Hospital, we present Case 8-2010: A 22-Year-Old Woman with Hypercalcemia and a Pelvic Mass. Germ-cell tumors account for about 75% of ovarian tumors in the first three decades; neoplasms of the surface epithelium and tumors of the sex-cord stroma each account for about 10%, and the final… Read More…
Three days after an elective cesarean section, a 35-year-old woman was transferred to Massachusetts General Hospital because of abdominal pain, fever and hypotension. The patient underwent 34 operations, and she remained in the ICU for 4 weeks and on the surgical service for 5 weeks. Learn more about her presentation and diagnosis by reading the… Read More…
