July 22nd 2024
Participants with AF who used wearable devices reported higher anxiety levels and increased health care usage than nonusers, according to a new study.
Pulmonary Arteriovenous Malformations
September 14th 2005Having suffered progressive shortness of breath for 2 years, a 35-year-old man was eventually hospitalized. The patient's dyspnea had worsened over the past year, but he had neither chest pain nor palpitations. His primary care physician first noticed finger clubbing 8 months ago.
Cerebellar Hemorrhage in Woman With History of Hypertension
September 14th 2005A 65-year-old woman with a long history of hypertension treated with metoprolol and felodipine complained of dizziness, headache, nausea, and vomiting of acute onset. Her blood pressure was 220/110 mm Hg. She was drowsy and unable to stand or walk.
Pulmonary Embolism With Pulmonary Infarction
September 14th 2005A 72-year-old woman had complained of shortness of breath for the past week. A CT scan showed a large filling defect in the left main pulmonary artery (Figure A, thin arrows) that extended into both the upper and lower branches. Another filling defect (not shown here) was seen along the posterior wall of the right main pulmonary artery, extending into the lower branch. These defects are compatible with pulmonary emboli.
Disseminated Intravascular Coagulation
September 14th 2005An 80-year-old man with a history of congestive heart failure, coronary artery disease, cardiomyopathy, and thoracic and abdominal aneurysms was taken to the emergency department because of mental status changes, back pain, and ecchymotic areas over his body. The ecchymoses started on his back 5 days before admission and spread to his abdomen.
Tuberous Sclerosis in a 15-Year-Old Girl
September 14th 2005Tan-pink acneiform lesions on the face of a 15-year-old girl had not responded to topical acne therapy. A 1 × 0.5-cm, elevated subcutaneous nodule was noted on the right lateral knee. The lesions on her face and knee had been present for 11 years. The family history was noncontributory.
Wheezing Secondary to Obstructing Endobronchial Tumor
September 14th 2005With a 1-year history of episodic wheezing, a 62-year-old woman (a smoker for the past 30 years) was being treated for bronchial asthma, but bronchodilator therapy did not control her symptoms. She was hospitalized with worsening dyspnea and a 4.5-kg (10-lb) weight loss over the past 3 months. There was no hemoptysis.
A Better Way to Assess for Renal Insufficiency?
September 14th 2005A 72-year-old man with a history of rheumatic heart disease presented with pulmonary congestion and syncope. Results of the cardiac examination suggested mitral stenosis and atrial fibrillation with a controlled ventricular response. Two-dimensional echocardi-ography revealed a large, free-floating ball thrombus (T) in the dilated left atrium and demonstrated rheumatic and severely stenotic mitral valve leaflets.
Renal Artery Stenosis Complicating Essential Hypertension
September 14th 2005A 73-year-old man who had a history of long-standing essential hypertension, congestive heart failure, mild renal insufficiency, atrial fibrillation, and a mitral valve replacement presented with refractory hypertension. His medications included labetalol, irbesartan, and furosemide.
Pulmonary Embolism and Deep Venous Thrombosis
September 14th 2005For 2 months, a 31-year-old woman had had dyspnea and dull, continuous retrosternal pain. She was admitted to the hospital, and a helical CT scan of the thorax identified a saddle pulmonary embolism. An ultrasonogram revealed deep venous thrombosis (DVT) in the left leg. Intravenous heparin was given; the patient was discharged, and warfarin was prescribed.
Superior Mesenteric Vein Thrombosis
A 65-year-old woman with metastatic adenocarcinoma of the colon was undergoing chemotherapy following a colectomy and a hepatic wedge resection. The physical examination and laboratory data were unremarkable.