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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 346:843-850 March 14, 2002 Number 11
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Case 8-2002 — A 56-Year-Old Woman with a Persistent Left-Sided Pleural Effusion
Deborah A. Quinn, M.D., and Eugene J. Mark, M.D.

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Presentation of Case

A 56-year-old woman was admitted to the hospital because of a persistent left-sided pleural effusion.

The patient had a history of rheumatoid arthritis, which had become disabling about two years before the current admission. She had otherwise been well until six months before admission, when she entered another hospital because of pleuritic left-sided chest pain. Analysis of a specimen of arterial blood obtained while the patient was breathing ambient air revealed that the partial pressure of oxygen was 66 mm Hg, the partial pressure of carbon dioxide 24 mm Hg, and the pH 7.46. The urine was normal, and cultures . . . [Full Text of this Article]

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Dr. Deborah A. Quinn's Diagnosis

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References


Related Letters:

Case 8-2002: Pleural Effusion
Trivedi N., Popkin J., Jiménez D., Díaz G., Pérez-Rodríguez E.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:147, Jul 11, 2002. Correspondence

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