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… Continuar leyendo Unusual Cause of Abdominal Pain
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STUDENT DISCUSSION Min Yu,1* David E. Bruns,1 Jerry A. Katzmann,2 Lawrence M. Silverman,1 and David L. Murray2 1Division of Laboratory Medicine, Department of Pathology, University of Virginia, School of Medicine and Health System, Charlottesville, VA; 2Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. *Address correspondence to this author at: Division of Laboratory… Continuar leyendo Restricted IgG-Alpha-Heavy-Chain Bands
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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… Continuar leyendo A Comatose Patient with a Bluish Tongue
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SUMMARY A 3-year-old female presented to the emergency department with worsening myoclonic and atonic seizures. Several months before presentation, she was diagnosed with epilepsy and was treated with an antiepileptic medication (zonisamide, 10 g/L oral suspension, twice daily). STUDENT DISCUSSION Joesph R. Wiencek,1,2* Dennis J. Dietzen,3,4 Teresa Murray,2 Sheila Dawling,5 Jennifer M. Colby,2 and… Continuar leyendo Persistently Increased Alloisoleucine
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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,… Continuar leyendo An Infant Refugee with Anemia
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SUMMARY A 60-year-old female patient with a history of chronic pain and headache presented to the Pain Management Clinic for follow-up assessment of her prescribed medications, as well as to determine the patient’s suitability for enrollment in the medical cannabis program. STUDENT DISCUSSION Mark A. Cervinski1* and Paul J. Jannetto2 1Department of Pathology and… Continuar leyendo A Question of Opioid Diversion
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