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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:1028-1033 September 30, 1993 Number 14
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Case 39-1993— An 83-Year-Old Woman with Hypertension, Sudden Severe Back Pain, and Anuria
Timothy E. Guiney, and John T. Fallon

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Presentation of Case

An 83-year-old woman was admitted to the hospital because of severe upper-back pain, hypertension, and anuria.

There was a history of hypertension that dated back 34 years and was treated in recent years with propranolol, atenolol, and hydrochlorothiazide-triamterene at various times. She had smoked half a pack of cigarettes daily for unknown years. Ten years before admission the patient began to have transient cerebral ischemic attacks that were characterized by weakness and numbness of the left hand and arm. Two years thereafter a right cerebrovascular accident was treated at another hospital, with a satisfactory recovery.

Three months later she was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Timothy E. Guiney's Diagnoses

Pathological Discussion

Anatomical Diagnosis

Addendum

References



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