Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia
A 65-year-old woman was admitted to this hospital because of falls, weakness, dark urine, and difficulty swallowing. Her medical history was notable for nonischemic cardiomyopathy and embolic stroke affecting the left side of the body. The creatine kinase level was 20,793 U per liter (normal range,...
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| Veröffentlicht in: | The New England journal of medicine 2019-07, Vol.381 (3), p.275-283 |
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| container_title | The New England journal of medicine |
| container_volume | 381 |
| creator | Freeman, Mason W Singh, Ajay K Guidon, Amanda C Arvikar, Sheila L Goldstein, Robert H Clement, Nathan F |
| description | A 65-year-old woman was admitted to this hospital because of falls, weakness, dark urine, and difficulty swallowing. Her medical history was notable for nonischemic cardiomyopathy and embolic stroke affecting the left side of the body. The creatine kinase level was 20,793 U per liter (normal range, 40 to 150). Diagnostic tests were performed. |
| doi_str_mv | 10.1056/NEJMcpc1900589 |
| format | Article |
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Her medical history was notable for nonischemic cardiomyopathy and embolic stroke affecting the left side of the body. The creatine kinase level was 20,793 U per liter (normal range, 40 to 150). Diagnostic tests were performed.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc1900589</identifier><identifier>PMID: 31314973</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Blood clots ; Cardiomyopathy ; Case reports ; Creatine ; Creatine kinase ; Drug dosages ; Dysphagia ; Dyspnea ; Emergency services ; Enzymes ; Family medical history ; Gender identity ; Health care ; Hypertension ; Medical imaging ; NMR ; Nuclear magnetic resonance ; Patients ; Stroke ; Swallowing ; Transgender persons ; Urine ; Veins & arteries ; Womens health</subject><ispartof>The New England journal of medicine, 2019-07, Vol.381 (3), p.275-283</ispartof><rights>Copyright © 2019 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-fd917e3c8933928390c21930fbc8ab916809dd2a733bd221196f203833e737ae3</citedby><cites>FETCH-LOGICAL-c354t-fd917e3c8933928390c21930fbc8ab916809dd2a733bd221196f203833e737ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMcpc1900589$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2259502121?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>310,311,315,781,785,790,791,2760,2761,23935,23936,25145,26108,27929,27930,52387,54069,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31314973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Cabot, Richard C</contributor><contributor>Tran, Kathy M</contributor><contributor>Rosenberg, Eric S</contributor><contributor>Dudzinski, David M</contributor><contributor>Shepard, Jo-Anne O</contributor><contributor>Pierce, Virginia M</contributor><contributor>McDonald, Emily K</contributor><contributor>Ebeling, Sally H</contributor><contributor>Baggett, Meridale V</contributor><contributor>Sgroi, Dennis C</contributor><contributor>Tran, Kathy M.</contributor><contributor>Shepard, Jo-Anne O.</contributor><contributor>Ebeling, Sally H.</contributor><contributor>Dudzinski, David M.</contributor><contributor>Sgroi, Dennis C.</contributor><contributor>Pierce, Virginia M.</contributor><contributor>Baggett, Meridale V.</contributor><contributor>Rosenberg, Eric S.</contributor><contributor>McDonald, Emily K.</contributor><contributor>Cabot, Richard C.</contributor><creatorcontrib>Freeman, Mason W</creatorcontrib><creatorcontrib>Singh, Ajay K</creatorcontrib><creatorcontrib>Guidon, Amanda C</creatorcontrib><creatorcontrib>Arvikar, Sheila L</creatorcontrib><creatorcontrib>Goldstein, Robert H</creatorcontrib><creatorcontrib>Clement, Nathan F</creatorcontrib><title>Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>A 65-year-old woman was admitted to this hospital because of falls, weakness, dark urine, and difficulty swallowing. Her medical history was notable for nonischemic cardiomyopathy and embolic stroke affecting the left side of the body. The creatine kinase level was 20,793 U per liter (normal range, 40 to 150). Diagnostic tests were performed.</description><subject>Blood clots</subject><subject>Cardiomyopathy</subject><subject>Case reports</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Drug dosages</subject><subject>Dysphagia</subject><subject>Dyspnea</subject><subject>Emergency services</subject><subject>Enzymes</subject><subject>Family medical history</subject><subject>Gender identity</subject><subject>Health care</subject><subject>Hypertension</subject><subject>Medical imaging</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Stroke</subject><subject>Swallowing</subject><subject>Transgender persons</subject><subject>Urine</subject><subject>Veins & arteries</subject><subject>Womens 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Dysphagia</title><author>Freeman, Mason W ; Singh, Ajay K ; Guidon, Amanda C ; Arvikar, Sheila L ; Goldstein, Robert H ; Clement, Nathan F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-fd917e3c8933928390c21930fbc8ab916809dd2a733bd221196f203833e737ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Blood clots</topic><topic>Cardiomyopathy</topic><topic>Case reports</topic><topic>Creatine</topic><topic>Creatine kinase</topic><topic>Drug dosages</topic><topic>Dysphagia</topic><topic>Dyspnea</topic><topic>Emergency services</topic><topic>Enzymes</topic><topic>Family medical history</topic><topic>Gender identity</topic><topic>Health care</topic><topic>Hypertension</topic><topic>Medical imaging</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>Stroke</topic><topic>Swallowing</topic><topic>Transgender 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H</au><au>Clement, Nathan F</au><au>Cabot, Richard C</au><au>Tran, Kathy M</au><au>Rosenberg, Eric S</au><au>Dudzinski, David M</au><au>Shepard, Jo-Anne O</au><au>Pierce, Virginia M</au><au>McDonald, Emily K</au><au>Ebeling, Sally H</au><au>Baggett, Meridale V</au><au>Sgroi, Dennis C</au><au>Tran, Kathy M.</au><au>Shepard, Jo-Anne O.</au><au>Ebeling, Sally H.</au><au>Dudzinski, David M.</au><au>Sgroi, Dennis C.</au><au>Pierce, Virginia M.</au><au>Baggett, Meridale V.</au><au>Rosenberg, Eric S.</au><au>McDonald, Emily K.</au><au>Cabot, Richard C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2019-07-18</date><risdate>2019</risdate><volume>381</volume><issue>3</issue><spage>275</spage><epage>283</epage><pages>275-283</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>A 65-year-old woman was admitted to this hospital because of falls, weakness, dark urine, and difficulty swallowing. Her medical history was notable for nonischemic cardiomyopathy and embolic stroke affecting the left side of the body. The creatine kinase level was 20,793 U per liter (normal range, 40 to 150). Diagnostic tests were performed.</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>31314973</pmid><doi>10.1056/NEJMcpc1900589</doi><tpages>9</tpages></addata></record> |
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| ispartof | The New England journal of medicine, 2019-07, Vol.381 (3), p.275-283 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Blood clots Cardiomyopathy Case reports Creatine Creatine kinase Drug dosages Dysphagia Dyspnea Emergency services Enzymes Family medical history Gender identity Health care Hypertension Medical imaging NMR Nuclear magnetic resonance Patients Stroke Swallowing Transgender persons Urine Veins & arteries Womens health |
| title | Case 22-2019: A 65-Year-Old Woman with Weakness, Dark Urine, and Dysphagia |
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