Case 32-1972

Abstract
Presentation of CaseA 65-year-old woman was admitted to the hospital* because of progressive confusion.She had been well until five weeks previously, when there was the onset of fatigue. One week later a hacking cough developed, followed by a sharp pain in the anterior aspect of the chest, with burning discomfort in the right upper abdominal quadrant that radiated to the back and was not relieved by an antacid. One week before entry, because of persistent chest pain, she was admitted to another hospital, where a diagnosis of acute myocardial infarction was made, and jaundice was noted. The glutamic . . .
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