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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:493-500 August 17, 2000 Number 7
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Case 25-2000— A 69-Year-Old Woman with Pleuritic Pain and Pulmonary Arterial Obstruction
Jess Mandel, and Eugene J. Mark

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Presentation of Case

A 69-year-old woman was admitted to the hospital because of a pulmonary arterial obstruction.

The patient had been well until several months before admission, when an intermittent, nonproductive cough developed. Ten days before admission, she had left-sided subscapular pain after raking leaves. In the evening, the pain migrated to the region below the left breast. The next day, she had an episode of sudden, severe pleuritic pain below the left breast, with dizziness and sweating but without dyspnea or loss of consciousness. She went to another hospital, where she was told that her electrocardiogram was normal and where a chest . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jess Mandel's Diagnosis

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