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Bleeding Esophageal Varices

NEJM — 2010-02-03T17:00:00-05:00

A 52-year-old man with cirrhosis associated with alcohol abuse presented to the emergency department with hematemesis and lightheadedness, which had developed 3 hours earlier, after binge drinking. He had no history of decompensated liver disease . . .

Cutaneous Larva Migrans

NEJM — 2010-01-27T17:00:00-05:00

A 42-year-old man presented with a 1-week history of intensely pruritic eruption on the dorsum of his right foot. He had gone for a barefoot stroll on the beach a few days before the onset . . .

Hydropneumothorax

NEJM — 2010-01-20T17:00:00-05:00

A 47-year-old man with a history of cirrhosis associated with alcohol abuse presented with a 2-day history of shortness of breath. Before this symptom developed, he had been treated with repeated thoracentesis of the right . . .

Postoperative Tracheal Stenosis

NEJM — 2010-01-13T17:00:00-05:00

A 45-year-old woman presented for an assessment of breathlessness. She had been receiving inhaled bronchodilators and corticosteroids for years without improvement. Her medical history was notable for prolonged endotracheal intubation 8 years earlier. Examination revealed . . .

Necrolytic Migratory Erythema

NEJM — 2010-01-06T17:00:00-05:00

A 63-year-old woman with a 4 1/2-year history of diabetes mellitus presented with an ulcerating rash, primarily on the shins, groin, and face (Panel A); cheilitis (Panel B); and glossitis. Her symptoms had been worsening . . .

Radiation Pneumonitis after Radiotherapy for Breast Cancer

NEJM — 2009-12-30T17:00:00-05:00

A 58-year-old woman with a history of stage I cancer in the right breast (T1N0M0, according to the tumor–node–metastasis classification) presented with a 2-week history of shortness of breath and cough. Eight months before presentation, . . .

Coughing and Masks

NEJM — 2009-12-23T17:00:00-05:00

Coughing can transmit infectious agents, such as influenza virus, and it has been assumed that wearing a mask limits transmission of these agents. Schlieren optics can effectively visualize the dispersion of expelled air during . . .

Hernia through the Foramen Omentale

NEJM — 2009-12-16T17:00:00-05:00

An otherwise healthy 48-year-old woman with no medical history presented to the emergency room with colicky abdominal pain, vomiting, and diarrhea of 2 days' duration. The results of a physical examination were unremarkable, and . . .

Ileocecal Intussusception

NEJM — 2009-12-09T17:00:00-05:00

A 45-year-old man with no notable medical or surgical history presented with a 24-hour history of intense pain in the right side of the abdomen with associated nausea and vomiting. He reported having had similar . . .

Anterior Sternal Dislocation

NEJM — 2009-12-02T17:00:00-05:00

An 83-year-old man was admitted to the acute medical ward after having fallen down in his home. On admission he was confused and agitated. Physical examination revealed a swelling with bruising over his right . . .