The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
PreviousPrevious
Volume 330:920-927 March 31, 1994 Number 13
NextNext

Case 13-1994— A 62-Year-Old Man with Epistaxis, Confusion, Renal Failure, and Bilateral Central-Retinal-Vein Thrombosis
Kenneth C. Anderson, and Jeffery Dzieczkowski

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-PubMed Citation
Presentation of Case

A 62-year-old man was admitted to the hospital because of bilateral epistaxis and orthostatic hypotension. He had a long history of hypertension treated with lisinopril. Gout of five years' duration was suppressed by allopurinol. A left renal-cell carcinoma had been managed by a radical nephrectomy five years before entry. Although the patient felt well, evaluation 7 1/2 weeks before admission showed + proteinuria and 2 red cells and 8 white cells per high-power field. Cytologic examination of a urine specimen was negative. The serum creatinine was 1.6 mg per deciliter (140 µmol per liter). The level of prostate-specific antigen was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Kenneth C. Anderson's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.