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A 64-year-old man was admitted to the hospital because of hyperadrenocorticism.
The patient had a history of angina pectoris and had undergone five-vessel coronary-artery bypass surgery nine years before admission. He had long-standing heartburn, and for two years had had intermittent upper abdominal pain that responded to ranitidine. The results of upper gastrointestinal endoscopy were normal. Six months before admission, he began to bruise easily; weakness, emotional lability, moon facies, and peripheral edema developed; and his weight increased by 5 kg. Three months before admission, a tremor developed in his hands. One month later, bouts of tachycardia and bradycardia occurred,
Differential Diagnosis
Clinical Diagnosis
Dr. Lawrence J. Brandt's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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