Article
Medicine, General & Internal
Puneeta Arya, Sjirk J. Westra, Oscar J. Benavidez, Marc D. Natter, Mandakolathur R. Murali
Summary: This passage describes the case of a 17-year-old boy who was admitted to the ICU with chest pain. He had developed symptoms such as fever, nausea, diarrhea, muscle aches, and chest pain 5 days prior.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Letter
Medicine, General & Internal
Marc D. Natter, Puneeta D. Arya, Mandakolathur R. Murali
Summary: This article describes a case of a 17-year-old boy with an undifferentiated autoimmune rheumatic disease, initially presenting with chest pain. The authors discuss the presence of anti-Smith antibodies and the absence of antibodies against double-stranded DNA (dsDNA) as factors that rule out a diagnosis of systemic lupus erythematosus (SLE), although both antibodies are specific but not sensitive to SLE. Additionally, the patient meets the criteria for a diagnosis of SLE.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Emergency Medicine
Katelyn Adams, Deeksha Borkar, Rahul Kaila
Summary: The differential diagnosis of bilious emesis and hematochezia in newborns is extensive and includes various diseases such as structural abnormalities, infectious colitis, and necrotizing enterocolitis. We report a case of an 8-day-old male infant who was diagnosed with goat's milk protein intolerance after ruling out other pathologies, representing the youngest patient with bilious emesis related to goat's milk intake.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Kevin R. Schwartz, Abigail L. Donovan, Bryan D. Hayes, Mai Uchida, Joy B. Rosen
Summary: A 13-year-old boy with depression and suicidal thoughts experienced a bout of hypertension, followed by hypotension despite having a normal heart rate. A diagnosis was made.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Editorial Material
Critical Care Medicine
Cristina de Manuel Gomez, Sonia Milkova Ivanova, Teresa del Rosal, Carmen Camara, Cesar Oterino Serrano, Maria Elena Perez Arenas, Ana Cecilia Morales Palacios, Carlos A. de la Torre Ramos
Summary: A 15-year-old boy presented with three episodes of self-limited hemoptysis. He had a history of necrotizing pneumonia, lung abscess, recurrent perianal abscesses, and suppurative otitis media. Tests ruled out chronic granulomatous disease, and his immunoglobulin levels and lymphocyte populations were normal.
Article
Pediatrics
Lydia A. Luu, Thomas A. Makin, Larry Borish, Emily A. Snavely, Jessica S. Meyer, Barrett J. Zlotoff, Steven L. Zeichner
Summary: A 7-year-old boy presented with fever, cough, congestion, abdominal pain, myalgias, and rash. His medical history and initial laboratory results did not point to a specific diagnosis, leading to further evaluation. During his hospitalization, the patient's physical examination changed and certain laboratory trends became clearer. With the help of specialists, a definitive diagnosis was reached and appropriate treatment was initiated.
Editorial Material
Medicine, General & Internal
Cheng-Hsien Tsai, Wei-Sheng Lin
Summary: Acute necrotizing encephalopathy is a devastating clinico-radiological syndrome characterized by rapid neurological deterioration following a febrile illness and bilateral thalamic involvement. The bithalamic swelling can lead to cerebrospinal fluid blockage at the foramen of Monro, resulting in mild ventricular dilatation. Diffusion imaging helps differentiate between the primary disease process and secondary edema caused by obstructive hydrocephalus.
Article
Medicine, General & Internal
Anne M. Neilan, Sheila Salvant Valentine, Amelia S. Knopf
Summary: A 16-year-old boy visited an infectious disease clinic for HIV prophylaxis, reporting multiple male sexual partners and requesting confidentiality. Management decisions were made in response.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Editorial Material
Medicine, General & Internal
Jing Tian, Teng Zhu, Yuanyuan Xiao
Summary: A 6-year-old boy with persistent fever, cough, eyelid swelling, vesiculobullous lesions on the palms and soles, vesicles and erosions on the face, trunk, and limbs, erosions on the lips and oral mucosa, and blisters on the anal mucosa. Laboratory testing revealed leukocytosis and lung auscultation revealed bilateral crackles. Further diagnosis is required.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Medicine, General & Internal
Kristian R. Olson, Katherine Nimkin, Ryan W. Carroll, Nikolas Stathatos, Zehra Ordulu
Summary: A 16-year-old boy presented with symptoms of headache, nausea, vomiting, and abdominal pain, which were caused by previous head trauma. He was diagnosed with hypertension.
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Editorial Material
Critical Care Medicine
Fazilcan Zirek, Birsel Sen Akova, Gizem Ozcan, Suat Fitoz, Nazan Cobanoglu
Summary: The 2-year-old boy was born prematurely via cesarean section to a diabetic mother, with a history of respiratory distress and cyanosis since birth. He was diagnosed with situs inversus totalis and pulmonary hypertension, and had multiple hospital admissions for respiratory distress, infections, and cyanosis before the age of 2.
Article
Medicine, General & Internal
Mary C. Ottolini, Randheer Shailam, Amita Sharma, Ivy A. Rosales
Summary: A 17-year-old girl was admitted to the hospital due to prolonged fever and cough. She had elevated creatinine levels and low hemoglobin levels.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Pediatrics
Kathryn S. Cain, Avinash K. Shetty, Lindsay Strowd, Omar Sangueza, Nicholas M. Potisek
Summary: A 15-year-old boy presented to multiple hospitals with suspected osteomyelitis-induced toe infection, but his condition worsened after diagnosis and treatment, eventually leading to the discovery of lung abnormalities.
Article
Medicine, General & Internal
Kerstin Zanger, Katherine Nimkin, Esther J. Israel, Angela R. Shih
Summary: A 14-year-old boy presented with symptoms of fatigue, fever, joint pain, abdominal cramping, and diarrhea. Diagnostic tests were performed.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Christopher C. Cheung, Edward P. Gerstenfeld
Summary: This case report discusses the diagnosis of scimitar syndrome in a 79-year-old woman who presented with worsening dyspnea on exertion and new-onset atrial fibrillation.
