Case 16-1968

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Abstract
Presentation of Case First admission. A forty-two-year-old woman was admitted to the hospital because of fatigue and weakness.She had been chronically fatigued for ten years. On examination ten years previously the blood pressure was 160 systolic, 100 diastolic; reserpine was administered. Seven years before admission she underwent an operation for cystic mastitis; postoperatively, there was hemorrhage from the wound, and 2 units of blood were administered, without adverse reaction. The white-cell count was 4850. A year later she entered another hospital because of increasing fatigue and headaches. The heart was normal in size; a Grade 2 apical systolic . . .
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