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On examination, he was found to be in mild respiratory distress, with a blood pressure of 156/68 mm Hg, a respiratory rate of 22, a pulse of 80 per minute, and a temperature of 38.3°C (100.9°F). The site of entry of a right subclavian dialysis catheter appeared unremarkable. There was edema of the left hand and an audible bruit over an arteriovenous shunt in the left forearm. The heart
Commentary
Source Information
From Cook County Hospital and Rush Medical College, Chicago.
Address reprint requests to Dr. Reilly at the Department of Medicine, Cook County Hospital, 1835 W. Harrison St., Chicago, IL 60612, or at breilly@cchil.org.
References
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