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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:939-947 March 27, 1997 Number 13
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Case 10-1997— A 68-Year-Old Woman with Hepatic Encephalopathy
Carl L. Berg, and Fiona M. Graeme-Cook

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Presentation of Case

A 68-year-old woman was admitted to the hospital because of hepatic encephalopathy.

The patient had been well until several years earlier, when she began to gain weight and experience exertional dyspnea. Fourteen months before admission, her cholesterol level was 270 mg per deciliter (6.98 mmol per liter), and her high-density lipoprotein cholesterol level was 57 mg per deciliter (1.47 mmol per liter). A cardiac ultrasonographic examination showed normal left ventricular size and function. The results of liver-function tests were slightly abnormal. A dipyridamole–thallium stress test with exercise showed a 1-mm horizontal ST-segment depression in the apical and inferior leads; the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Carl L. Berg's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

References



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