Presentation of Case. Dr. Taylor A. Lebeis: A 52-year-old woman who had undergone orthotopic heart transplantation because of dilated cardiomyopathy was admitted to this hospital with painful red lesions on the left arm and leg. Eight years before this admission, the patient had ongoing episodes of…
Presentation of Case. Dr. Erika J. Parisi (Medicine): A 38-year-old woman with a history of Crohn’s disease was admitted to this hospital because of abdominal pain and fever. The patient had been in her usual state of health until 3 years before the current admission, when nausea, vomiting,…
Presentation of Case. Dr. Alexander Melamed: A 24-year-old woman was seen in the emergency department of this hospital because of a pelvic mass. The patient had been well until 4 weeks before this presentation, when she began to notice an increased frequency of vaginal bleeding. At that time, an…
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information by sharing relevant background and reasoning with the reader (regular type). The authors’ commentary follows. Stage. A 29-year-old woman…
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