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Case Records of the Massachusetts General Hospital
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Volume 352:709-716 February 17, 2005 Number 7
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Case 5-2005 — A 53-Year-Old Man with Depression and Sudden Shortness of Breath
Paul D. Biddinger, M.D., Eric M. Isselbacher, M.D., Dali Fan, M.D., Ph.D., and Jo-Anne O. Shepard, M.D.

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Presentation of Case

Dr. Daniel Egan (Emergency Medicine, Massachusetts General Hospital and Brigham and Women's Hospital): A 53-year-old man came to the emergency department because of symptoms of depression.

The patient had been in good health until nine days earlier, when he was fired from his job. Since then, he had had a decrease in his energy level and appetite, was unable to concentrate, and had had difficulty sleeping. He had been spending all of his time in bed, where his wife had been feeding and bathing him. Because of the severity and persistence of his symptoms, his family brought him to the . . . [Full Text of this Article]

Differential Diagnosis

Medical Clearance of Psychiatric Patients

Acute Shortness of Breath

Discussion of Management

Final Diagnosis


Source Information

From the Department of Emergency Medicine (P.D.B.), the Cardiology Division, Department of Medicine (E.M.I., D.F.), and the Department of Radiology (J.O.S.), Massachusetts General Hospital; and the Departments of Surgery (P.D.B.), Medicine (E.M.I., D.F.), and Radiology (J.O.S.), Harvard Medical School.


Related Letters:

Case 5-2005: A Man with Depression and Shortness of Breath
Acosta S. C., Babich D. J., Gross R., Biddinger P. D., Isselbacher E. M.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:2248-2249, May 26, 2005. Correspondence

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