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Previous Volume 345:1483-1488 November 15, 2001 Number 20 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.

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Presentation of Case

An 81-year-old man was transferred to the hospital because of bradycardia, hypothermia, and increasing confusion.

A platelet count of 85,000 per cubic millimeter had been discovered five years before admission, but no cause had been determined. The patient also had a history of coronary artery disease with a reduced ejection fraction as well as chronic obstructive pulmonary disease and chronic cough.

Fourteen months before admission, the chronic cough worsened, and a thoracic radiograph revealed a mass in the left lung. A computed tomographic (CT) scan of the chest showed a pleura-based mass, 2.5 cm in diameter, in the left upper . . . [Full Text of this Article]

Differential Diagnosis

Thyroid Function

Assessment and Management of Adrenal Insufficiency

Diabetes Insipidus

Other Findings

Metastatic Disease to the Pituitary

Clinical Diagnosis

Dr. Steven K. Grinspoon's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

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