A Bloody Mystery

doi:10.1056/NEJMcps066546

Volume 361:1887-1894		November 5, 2009		Number 19

A Bloody Mystery

Adam Cuker, M.D., Jean M. Connors, M.D., Joel T. Katz, M.D., Bruce D. Levy, M.D., and Joseph Loscalzo, M.D., Ph.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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PubMed Citation

In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 62-year-old woman presented to the urgent care clinic withgingival bleeding after periodontal scaling of her lower-rightsecond molar. She had undergone the procedure 5 hours beforearriving at the clinic, and bleeding had persisted despite theapplication of pressure and ice. The patient recalled a similarepisode that had occurred about 6 months earlier, also aftera periodontal procedure, in . . . [Full Text of this Article]

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Source Information

From the Clinical Pathological Conference Series, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston (J.M.C., J.T.K., B.D.L., J.L.); and the Department of Medicine, Division of Hematology/Oncology, University of Pennsylvania, Philadelphia (A.C.).

An Interactive Medical Case related to this Clinical Problem-Solving article is available at NEJM.org.

Address reprint requests to Dr. Loscalzo at the Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115, or to jloscalzo@partners.org.