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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 334:1116-1123 April 25, 1996 Number 17
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Case 13-1996— A 51-year-old man with the adult respiratory distress syndrome
J.L. Brusch, and E.J. Mark

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Presentation of Case

A 51-year-old man was admitted to the hospital because of the adult respiratory distress syndrome.

One week before admission, he began to have a dry cough, with myalgia and arthralgia. Three days later, he had shaking chills and coughed up yellow sputum. Two days before admission, the cough worsened, with the production of scanty sputum, a high temperature, and more chills. He sat upright because of dyspnea and had severe pain in the upper back. The day before admission to this hospital, he entered another hospital because of worsening dyspnea.

The patient was a businessman. Thirty years earlier he had . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John L. Brusch's Diagnoses

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