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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1587-1594 May 29, 1997 Number 22
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Case 17-1997— A 67-Year-Old Woman with Vomiting, Bloody Diarrhea, and Azotemia
Julian L. Seifter, and Volker Nickeleit

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Presentation of Case

A 67-year-old woman was admitted to the hospital because of azotemia with nausea, vomiting, and bloody diarrhea.

The patient had been in excellent health until one week earlier, when she began to have nausea, vomiting, and diarrhea, with some stools appearing to consist entirely of blood. At the time, she was vacationing in Europe, where a physician gave her medications that she could not identify. Several days before admission, while still in Europe, the vomiting decreased, but the nausea persisted, with profound anorexia. Two days before admission, the diarrhea subsided, but she began to have progressive abdominal distention and crampy . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Julian L. Seifter's Diagnoses

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References



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