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Clinical Problem-Solving
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Volume 333:307-310 August 3, 1995 Number 5
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A Traumatic Experience
Patricia Thomas, M.D., and Nancy Ryan Lowitt, M.D.

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A 41-year-old woman collapsed at home and was taken to the hospital. In the emergency room, her blood pressure was 130/78 mm Hg, and her temperature was 36.5°C. No arrhythmia, murmur, or bruits were detected on cardiovascular examination. She was aphasic and had a left hemiparesis involving the face, arm, and leg.

The case presented is of a young woman who was brought to the emergency room with a persistent neurologic deficit that is most consistent with stroke. I would like to know her history at this point, particularly whether she smoked or used medications, including oral contraceptives and estrogen. . . . [Full Text of this Article]

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From the Division of Internal Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore.

Address reprint requests to Dr. Thomas at the Division of Internal Medicine, Johns Hopkins Outpatient Center, 601 N. Caroline St., Suite 7161, Baltimore, MD 21287-0941.

References


Related Letters:

Clinical Problem-Solving: Diagnosing Spousal Abuse
Pakzaban P., Holtz H. A., Thomas W. B., Sunman W., Jack C., Lye M., Hirsch E. O., Siegel J. E., Thomas P. A., Lowitt N. R.
Extract | Full Text  
N Engl J Med 1995; 333:1709-1711, Dec 21, 1995. Correspondence

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