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Clinical Problem-Solving
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Volume 338:1684-1687 June 4, 1998 Number 23
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Through Thick and Thin
David R. Yu, M.D., Redonda Miller, M.D., and Paul F. Bray, M.D.

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A 58-year-old woman was admitted to the hospital because of chest pain. The night before admission, the patient awoke with crushing, nonpleuritic chest pain radiating down her left arm, with associated presyncope and diaphoresis. The pain was like cardiac chest pain that she had experienced previously. She had no dyspnea, fever, chills, or cough. She had long-standing hypertension and diabetes mellitus in association with corticosteroid therapy for idiopathic thrombocytopenic purpura, as well as a family history of premature coronary artery disease. She had had two normal pregnancies and one spontaneous abortion. Five months before this admission, she had been admitted . . . [Full Text of this Article]

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From the Department of Medicine, Johns Hopkins Hospital, Baltimore.

Address reprint requests to Dr. Bray at 720 Rutland Ave., Ross 1015, Baltimore, MD 21205.

References


Related Letters:

Diagnosis of Pulmonary Embolism
Schwartz M. A., Zimhony O., Moll S., Ortel T. L., Pechlaner C., Gritsch W., Wiedermann C., Yu D. R., Miller R., Bray P. F.
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N Engl J Med 1998; 339:1084-1085, Oct 8, 1998. Correspondence

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