FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 338:379-383 February 5, 1998 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

A 51-year-old woman had had blurring of vision, polyuria, and anorexia for approximately six weeks. She had lost 9 kg (20 lb) in weight over the previous three months without the use of diet or exercise. Other symptoms included vaginal discharge and gum irritation. Her physician made a diagnosis of diabetes mellitus (on the basis of a random glucose measurement of 317 mg per deciliter [17.6 mmol per liter]) and candidal vaginitis. Other laboratory studies done at that time revealed a hematocrit of 41 percent, with a mean corpuscular volume of 74 fl.

This sounds like a case of diabetes . . . [Full Text of this Article]

Discussion

Source Information

From the Department of Medicine, University of Washington, Seattle (S. Saint, S. Saha), and the Department of Medicine, University of California, San Francisco (L.M.T.).

Address reprint requests to Dr. Saint at the Robert Wood Johnson Clinical Scholars Program, 1959 Pacific Ave. NE, H220-A Health Sciences Center, University of Washington, Box 357183, Seattle, WA 98195-7183.

References

Related Letters:

Clinical Problem-Solving: A Square Peg in a Round Hole
Whitehead W. H., Linder M., Mahler C., Silver P. A., Saint S., Saha S., Tierney L. M.
Extract | Full Text  
N Engl J Med 1998; 338:1926-1927, Jun 25, 1998. Correspondence

This article has been cited by other articles:

• Woywodt, A., Hellweg, S., Schwarz, A., Schaefer, R. M., Mengel, M. (2007). A wild zebra chase. Nephrol Dial Transplant 22: 3074-3077 [Full Text]  
• Tang, H. (2007). Diagnostic greed: using pictures to highlight diagnostic errors. Postgrad. Med. J. 83: 209-210 [Full Text]  
• Woywodt, A., Herrmann, A., Haller, H., Haubitz, M. (2004). Severe hypokalaemia: is one reason enough?. Nephrol Dial Transplant 19: 2914-2917 [Full Text]  
• Whitehead, W. H., Linder, M., Mahler, C., Silver, P. A., Saint, S., Saha, S., Tierney, L. M. (1998). Clinical Problem-Solving: A Square Peg in a Round Hole. NEJM 338: 1926-1927 [Full Text]