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A 53-year-old man was admitted to the hospital because of acute renal failure, with cortical blindness and respiratory distress.
The patient had been well until five months earlier, when progressive epigastric pain developed. A physical examination performed 11 weeks before admission showed only mild, diffuse abdominal tenderness. A rectal examination showed normal findings, and a test for occult blood was negative. Hematologic and blood chemical values were normal, as were the levels of enzymes, carcinoembryonic antigen, and prostate-specific antigen. A test for antibodies to Helicobacter pylori was positive. The patient was unable to tolerate omeprazole or clarithromycin, and his condition
Differential Diagnosis
Clinical Diagnosis
Dr. David C. Harmon's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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