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Clinical Problem-Solving
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Volume 331:42-45 July 7, 1994 Number 1
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Stopping Short of Certainty
Robert A. Kreisberg

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A 68-year-old man was evaluated for a two-year history of hypercalcemia, constipation, generalized weakness, and slowing of intellectual function. He had a 20-year history of recurrent nephrolithiasis. He had been treated for a peptic ulcer at the age of 60 and had had no symptoms of recurrent ulcer disease thereafter. He had also had mild hypertension treated with atenolol and stable renal insufficiency (blood urea nitrogen level, 46 mg per deciliter; serum creatinine level, 3.3 mg per deciliter) since the age of 66. Hypercalcemia was first detected when the patient was 60 years old, when he passed a kidney stone. . . . [Full Text of this Article]

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From the Department of Internal Medicine, University of Alabama, 1808 7th Ave. S., Birmingham, AL 35233.

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Related Letters:

Clinical Problem-Solving: Stopping Short of Certainty
Fisken R. A., Lieberman J. S., O'Connor J. J., Patrick H., Assali A., Beigel Y., Fainaru M., Siebels M., Kreisberg R. A.
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N Engl J Med 1994; 331:1456-1458, Nov 24, 1994. Correspondence

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