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Clinical Problem-Solving
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Volume 333:45-48 July 6, 1995 Number 1
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Diverted by the Chief Complaint
Stephen G. Pauker, Richard I. Kopelman, and Ronald M. Lechan

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A 59-year-old building contractor reported facial flushing while working at a physician's home. His blood pressure was 185/120 mm Hg.

Facial flushing is fairly nonspecific, although the carcinoid syndrome comes to mind. The blood pressure of 185/120 mm Hg is more impressive. Were previous values this high?

The patient did not have a history of sustained hypertension, but on two occasions during the previous six months he had been told that his blood pressure was moderately elevated. During this same period, he had had episodes of feeling flushed, which occurred, on average, once a week and lasted from minutes to . . . [Full Text of this Article]

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Related Letters:

Clinical Problem-Solving: Diverted by the Chief Complaint
Aderka D., Good C. B., Sotos J. G., Sotos G. A., Haseeb M., Anderson K., Lomasky S. J., Pauker S. G., Kopelman R. I., Lechan R. M.
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N Engl J Med 1995; 333:1424-1426, Nov 23, 1995. Correspondence

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