Case Record of the MGH: A 65-year-old woman was evaluated for back pain and pancytopenia. A peripheral-blood smear was notable for nucleated red cells, large platelets, and immature granulocytes. A diagnosis was made. Full case details: nej.md/4bfXXBf #MedSky #Oncology
Case records of the Massachusetts General Hospital. Case 4-2015. A 49-year-old man with obtundation followed by agitation and acidosis.
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Jun 2018 – Oct 2025Where it's discussed
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Bluesky14 posts
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The social discussions reflect an appreciation for the educational value of detailed case records, with examples such as mentions of complex diagnoses like congestive heart failure and neurological symptoms, and phrases like 'discussing cases' and 'resolving without cheating,' which show an active engagement with medical learning and curiosity about diagnosis and treatment processes.
Most discussions acknowledge the value of case studies for learning but do not show strong agreement or disagreement with the specific publication.
Posts demonstrate moderate interest, referencing different cases and noting the importance of understanding complex medical cases.
Posts involve some analysis and sharing of personal perspectives, indicating a moderate level of engagement.
The discussions highlight that case records serve as educational tools and professional resources, suggesting a modest but meaningful impact on medical learning.
Abstract in brief
- The case involves a 49-year-old man at Massachusetts General Hospital who initially showed signs of decreased consciousness (obtundation), which was then followed by agitation and a state of acidosis, indicating an imbalance in the body's acid-base levels.
- The patient's symptoms suggest a possible underlying severe metabolic or neurological condition, prompting further medical investigation to identify the cause of his altered mental state and acid-base disturbance.
- The case aims to analyze the patient's clinical course, diagnostic findings, and potential treatment approaches for his complex presentation.]
Top posts
Most liked on X and BlueskyCase Record of the Massachusetts General Hospital: A 72-year-old woman with type 2 diabetes had somnolence after a urologic procedure for bladder cancer. She had respiratory acidosis and anion-gap metabolic acidosis. Read the full case details: nej.md/41ZB5Ts #MedSky #EndoSky #Oncology
Case Record of the MGH: A 29-year-old woman was admitted to the hospital because of sore throat and peritonsillar swelling and bleeding. Symptoms did not abate with antimicrobial therapy. A diagnosis was made. Read the full case details: nej.md/4kcOi1s #MedSky #Oncology
Case Record of the Massachusetts General Hospital: A 79-year-old woman was evaluated for cough and weight loss. Chest imaging and thoracentesis findings confirmed the presence of an exudative right pleural effusion. A diagnosis was made. Full case details: nej.md/4jjBPJy #MedSky #IDSky
Case Record of the Massachusetts General Hospital: A 93-year-old woman was evaluated by her primary care physician because of dyspnea. She had a history of aortic stenosis and atrial fibrillation and flutter. A diagnosis was made. Read the full case details: nej.md/4nnSjSb #MedSky
Case Record of the MGH: A 52-year-old man was evaluated in a hospital in Argentina for fever and hypoxemic respiratory failure. Imaging showed pulmonary opacities, and the hematocrit was 56.9%. A diagnosis was made. Read the full case details: nej.md/4j7HtgA #MedSky #IDSky
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Case Record of the MGH: An 82-year-old woman with a history of congestive heart failure was admitted to this hospital for volume overload. Ascites, pleural effusions, and hypoalbuminemia were present. A diagnosis was made. Full case details: nej.md/3WhpAmQ #MedSky
Case Record of the Massachusetts General Hospital: A 93-year-old woman was evaluated by her primary care physician because of dyspnea. She had a history of aortic stenosis and atrial fibrillation and flutter. A diagnosis was made. Read the full case details: nej.md/4nnSjSb #MedSky
Case Record of the MGH: A 19-year-old woman with a history of depression and anxiety symptoms was admitted to the hospital because of seizure, abnormal behavior, and disorganized thoughts. MRI of the head was normal. A diagnosis was made. Full case details: nej.md/453AyQF #MedSky
Case Records of the MGH: A 63-year-old woman was evaluated for dyspnea and edema. Soft-tissue thickening was noted in the retroperitoneum and mediastinum and around the heart and vessels. A diagnosis was made. Read the full case details: nej.md/3T6bX8v #MedSky #CardioSky
Case Record of the MGH: A 52-year-old man was evaluated in a hospital in Argentina for fever and hypoxemic respiratory failure. Imaging showed pulmonary opacities, and the hematocrit was 56.9%. A diagnosis was made. Read the full case details: nej.md/4j7HtgA #MedSky #IDSky
Case Record of the MGH: A 29-year-old woman was admitted to the hospital because of sore throat and peritonsillar swelling and bleeding. Symptoms did not abate with antimicrobial therapy. A diagnosis was made. Read the full case details: nej.md/4kcOi1s #MedSky #Oncology
Case Records of the MGH: A 70-year-old man was admitted to the hospital for weakness, anorexia, and weight loss. Rapidly progressive altered mental status developed shortly after admission. A diagnosis was made. Read the full case details: nej.md/4d3dJAa #MedSky #EndoSky #IDSky
Case Record of the Massachusetts General Hospital: A 79-year-old woman was evaluated for cough and weight loss. Chest imaging and thoracentesis findings confirmed the presence of an exudative right pleural effusion. A diagnosis was made. Full case details: nej.md/4jjBPJy #MedSky #IDSky
Case Records of the MGH: A 32-year-old woman was admitted with flank pain, fever, and hypoxemia. Imaging showed multifocal pulmonary opacities, pulmonary embolism, and renal vein thromboses. A diagnosis was made. Read the full case details: nej.md/4lDp12a #MedSky #CriticalCare
Case Record of the Massachusetts General Hospital: A 72-year-old woman with type 2 diabetes had somnolence after a urologic procedure for bladder cancer. She had respiratory acidosis and anion-gap metabolic acidosis. Read the full case details: nej.md/41ZB5Ts #MedSky #EndoSky #Oncology
Case Record of the MGH: A 65-year-old woman was evaluated for back pain and pancytopenia. A peripheral-blood smear was notable for nucleated red cells, large platelets, and immature granulocytes. A diagnosis was made. Full case details: nej.md/4bfXXBf #MedSky #Oncology
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