Posts Tagged ‘Case Record of the Massachusetts General Hospital’

60-Year-Old Man with Bone Pain

Posted by • October 24th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old man was seen in the outpatient cancer center because of bone pain that had lasted for 2 months and the presence of lytic bone lesions on imaging studies. Biopsy specimens of bone marrow and bone lesions showed increased mast cells. A diagnostic procedure… Read More…

60 Year-Old Woman with Syncope

Posted by • September 19th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old woman was seen in the emergency department after a syncopal episode. Oxygen saturation was 71% while she was breathing ambient air. A focused cardiac ultrasound revealed right-sided heart strain and McConnell’s sign. Additional diagnostic procedures were performed. A FOCUS examination, also referred to as… Read More…

Take the Case Challenge!

Posted by • September 26th, 2013

A 29-year-old man was seen in an outpatient clinic because of abdominal pain, fever and weight loss. Read the case description for the next Case Record of the Massachusetts General Hospital. What is the diagnosis in this patient? a. Visceral Kaposi’s sarcoma b. Miliary tuberculosis c. Gastric lymphoma with hemorrhage d. Disseminated histoplasmosis e. Pneumocystis jirovecii pneumonia f. Cytomegalovirus infection Vote and comment… Read More…

Abdominal-Wall Necrosis

Posted by • September 14th, 2012

In the latest Case Record of the Massachusetts General Hospital, shock, abdominal-wall necrosis, and leukocytosis developed in a 30-year-old woman after a cesarean section and did not respond to antibiotics. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, and abdominal-wall débridement were performed. Necrotizing soft-tissue infection (also known as necrotizing fasciitis) is a rare but well-known postpartum complication. The… Read More…

Painful Muscle Spasms and Hyperreflexia

Posted by • August 31st, 2012

In the latest Case Record of the Massachusetts General Hospital, a 60-year-old woman was admitted to this hospital because of gradually progressive painful muscle spasms, weakness, and hyperreflexia in the legs. Brain and spine imaging revealed no parenchymal abnormalities. A diagnostic test was performed. Paraneoplastic syndromes, including the stiff person syndrome, are believed to be mediated… Read More…

Toxoplasmosis

Posted by • February 23rd, 2012

In this week’s Case Record of the Massachusetts General Hospital, a 45-year-old man with a history of alcoholism was admitted to the hospital because of cognitive decline and jaundice. He had a 3-month history of cough, blood-tinged sputum, and vomiting. Imaging showed a peripherally enhancing brain lesion. A diagnostic procedure was performed. Somnolence may result from… Read More…