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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:567-573 February 20, 1997 Number 8
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Case 6-1997— A 69-Year-Old Man with a Complex Medical History and Severe Abdominal Pain
Jonathan P. Gertler, and Suzanne B. Keel

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Presentation of Case

A 69-year-old man was admitted to the hospital because of severe abdominal pain.

The patient had become anorectic two days before admission. On the next day he had diffuse, dull abdominal pain with nausea and "dry heaves." That evening he passed a formed brown stool, followed by flatus. He came to the hospital.

The patient was a retired boilermaker with a complex medical history of repeated bouts of deep venous thrombosis beginning at the age of 25 years. He also had a history of hypertension, hyperlipidemia, and exposure to asbestos. A stroke and silent anterior and inferior myocardial infarctions had . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jonathan P. Gertler's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Addendum

References




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