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Dr. Jenica N. Upshaw (Medicine): An 81-year-old man was admitted to the hospital because of cough, weight loss, odynophagia, and failure to thrive.
The patient had been in his usual state of health, with diabetes mellitus, until approximately 15 months earlier, when intermittent cough developed and he gradually began to lose weight. Seven months before admission, he lost his job, after which his oral intake decreased and his family noted that he appeared depressed and slept most of each day. During the next 2 months, his cough increased and was productive of dark-yellow sputum. Five months before the current admission,
Differential Diagnosis
Clinical Diagnosis
Dr. Valerie E. Stone's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Medicine (V.E.S., B.C.B.), the Gastrointestinal Unit (B.C.B.), the Department of Radiology (V.V.M.), and the Department of Pathology (J.A.F.), Massachusetts General Hospital; and the Departments of Medicine (V.E.S., B.C.B.), Radiology (V.V.M.), and Pathology (J.A.F.), Harvard Medical School.
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