Posts Tagged ‘vasculitis’

29-Year-Old Man with Headache and Diplopia

Posted by • March 14th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 29-year-old man was admitted to the hospital because of headache, vomiting, photophobia, diplopia, and stiff neck. He was born in Southeast Asia. Brain imaging showed diffuse leptomeningeal enhancement. Cultures were sterile. A diagnostic procedure was performed. Chronic meningitis differs in important ways from acute meningitis…. Read More…

A Woman with Gastrointestinal Symptoms, Anemia, and Acute Kidney Injury

Posted by • January 24th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 61-year-old woman was admitted to the hospital because of vomiting, diarrhea, anemia, and acute kidney injury. Physical examination was normal. Laboratory testing and a diagnostic procedure were performed. The causes of rapidly progressive glomerulonephritis consist of the following three large groups of diseases: anti-glomerular basement… Read More…

Unusual Case of Abdominal Pain

Posted by • January 3rd, 2014

In our latest Clinical Problem-Solving article, a  41-year-old man presented to the ED with abdominal pain. The pain was excruciating and sudden in onset, originating in his right lower quadrant and radiating to his right groin and flank. He reported nausea and one episode of nonbloody, nonbilious emesis. The initial evaluation of a patient with acute… Read More…

Arthritis and Rash

Posted by • March 29th, 2013

In the latest Case Record of the Massachusetts General Hospital, a 30-year-old man with a history of IV drug use was admitted to this hospital because of fever, myalgias, polyarthritis, and rash. Results of liver-function tests were notable for mildly elevated hepatic aminotransferase levels and a normal bilirubin level. Adulterants are compounds added to street drugs… Read More…