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Clinical Problem-Solving
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Volume 344:1079-1082 April 5, 2001 Number 14
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Less is More
C. Christopher Smith, M.D., Jess Mandel, M.D., and Booker Bush, M.D.

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A 63-year-old woman presented to her physician with fatigue, weakness, anorexia, and an unintentional weight loss of 14.5 kg (32 lb) during the previous four months. She reported increased constipation in the past year, but not melena, hematochezia, or a change in stool caliber. She had intermittent nausea, but not vomiting, dysphagia, distention, or postprandial bloating. She reported no fevers, chills, chest pain, shortness of breath, cough, abdominal pain, dysuria, hematuria, tremor, heat intolerance, or risk factors for infection with the human immunodeficiency virus (HIV). She had a history of hypertension and type 2 diabetes mellitus (her glycosylated hemoglobin value . . . [Full Text of this Article]

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Source Information

Based on a presentation at the Beth Israel Deaconess Medical Center Morbidity and Mortality Conference, Boston, June 6, 2000.

From the Beth Israel Deaconess Medical Center, 1 Autumn St., Boston, MA 02115, where reprint requests should be directed to Dr. Smith.

References




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