SUMMARY A 46-year-old man, originally from Iran, with no relevant medical history, was admitted with intermittent acute colic pain in the lower abdomen with nausea and vomiting over the past few weeks. STUDENT DISCUSSION Cilie C. van ‘t Klooster,* Jan J. Uil, Joep van der Leeuw, Elaine F. Eppens, and Susanne C. Marczinski …
SUMMARY A 26-year-old Caucasian man collapsed in the morning after having drunk several glasses of beer the night before. STUDENT DISCUSSION Annelienke M. van Hulst,1† Hendrick J.W. Lammers,2 W.A.C. (Kristine) Koekkoek,3* Charlotte A. Smulders,4 and David H.T. Tjan1 Departments of 1Intensive Care; 2Hospital Pharmacy; 3Internal Medicine; 4Pediatrics, Gelderse Vallei Hospital, Ede, The Netherlands. *Address correspondence to this author at: Willy Brandtlaan 10, 6716 …
SUMMARY An infant with a history of hypotonia, developmental delay, and inadequate nutrition was evaluated. The patient was the offspring of a consanguineous (first cousin) Syrian couple, born at term in Syria after an unremarkable pregnancy. His neonatal course was unremarkable. STUDENT DISCUSSION Lizbeth Mellin-Sanchez1 and Neal Sondheimer1,2* 1Division of Clinical and Biochemical Genetics, The …
SUMMARY A 72-year-old man presented to the emergency department with a 3-day history of slurred speech, altered mental status, and unstable gait. STUDENT DISCUSSION Paul E. Young, Anthony O. Okorodudu,* and Sean G. Yates Department of Pathology, University of Texas Medical Branch, Galveston, TX. *Address correspondence to this author at: Clinical Chemistry Division, Department of …
SUMMARY A 39-year-old woman was referred to a digestive and liver specialist after several weeks of her feeling tired, with complaints of abdominal pain, nausea, and vomiting, and with abnormal liver function tests. STUDENT DISCUSSION Eduardo Martínez-Morillo,1* María García-García,1 Clara Barneo-Caragol,1 Alejandra Fernández Fernández,1 and Francisco V. Álvarez1,2 1Department of Biochemistry and Laboratory Medicine, Hospital Universitario Central de …
SUMMARY A 25-year-old woman presented to the emergency department with a 1-day history of nausea, fatigue, exertional lightheadedness, and a syncopal event without witnessed seizure activity or urinary incontinence. STUDENT DISCUSSION Monica R. Hill, Mark R. Hopkins, and Claire E. Knezevic* Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD. *Address …
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