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An Unusual Presentation of Thrombotic Thrombocytopenic Purpura

  We describe a patient with sudden and severe postoperative thrombocytopenia whose diagnosis was delayed. The patient was a 58-year-old black man with diabetes mellitus type 2, hypertension, and chronic kidney disease, who presented to our institution with 4 days of abdominal pain. He had a history of remote exploratory laparotomy for an abdominal gunshot […]

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The Hypermetabolic Mushroom

The Hypermetabolic Mushroom: Superior Vena Cava Syndrome   Presentation A 40-year-old man, who had had a successful heart transplant, later developed a very rare and unrelated cardiac problem. He presented with progressive symptoms of cough along with cyanosis and swelling of the face and arms. On examination, he had edema of the face and upper […]

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American Journal of Medicine Editor Joseph Alpert

The Risk of Stent Thrombosis after Coronary Arterial Stent Implantation

One of the most dreaded complications after percutaneous coronary arterial angioplasty is stent thrombosis. This serious untoward event usually results in acute myocardial infarction with high mortality. Stent thrombosis often occurs early, within 30 days of implantation, in patients who receive bare metal coronary arterial stents. However, patients undergoing drug-eluting stent implantation infrequently develop late […]

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