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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:1363-1370 May 18, 1995 Number 20
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Case 15-1995— A 70-year-old woman with atrial fibrillation and the rapid onset of hemorrhagic manifestations
D.B. Cines, and M. Laposata

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Presentation of Case

A 70-year-old woman was admitted to the hospital because of obtundation, aphasia, and a right hemiparesis.

She had a five-year history of treated hypertension. Four months before admission a lumpectomy was performed because of breast carcinoma, with normal findings on examination of axillary lymph nodes, and radiation therapy was begun. Forty-six days before admission the patient entered another hospital because of the onset of atrial fibrillation, and treatment with warfarin and quinidine was initiated. Four weeks before admission a complete blood count was normal except that the platelet count was 130,000 per cubic millimeter. The patient felt well until one . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Douglas Cines's Diagnosis

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Pathological Diagnoses

References



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