A 30-Year-Old Pregnant Woman with Bradycardia

A 30-year-old pregnant woman with bradycardia.

A 52-year-old woman with headache and bradycardia.

Cardiac sarcoidosis should be suspected in young patients with cardiac symptoms, especially when there is concurrent personal or family history of sarcoidosis. While sarcoidosis is self-limiting in about 40% of cases, cardiac involvement portends a more ominous prognosis with higher mortality rates. The definitive diagnostic test for cardiac sarcoidosis is the endomyocardial biopsy, an invasive...

A 21-Year-Old Pregnant Woman with Hypertension and Proteinuria

A21-year-old pregnant woman, gravida 2 para 1, presented with hypertension and proteinuria at 20 weeks of gestation. She had a history of pre-eclampsia in her first pregnancy one year ago. During that pregnancy, at 39 weeks of gestation, she developed high blood pressure, proteinuria, and deranged liver function. She eventually delivered by emergency caesarean section following failed induction...

Clinical Reasoning: a 28-year-old pregnant woman with encephalopathy.

Zachary M. Grinspan, MD Joshua Z. Willey, MD Mark J. Tullman, MD Mitchell S.V. Elkind, MD, MS SECTION 1 A 28-year-old woman at 37 weeks’ gestation became increasingly confused and forgetful. She slept 12 hours daily, mistook her apartment for previous residences, and forgot her children’s names. Her husband helped her eat and walk. She presented to the obstetrical service fully dilated after 2 ...

A 52-year-old woman with asymptomatic annular erythematous plaques

A 52-year-old woman sought medical attention because of several annular erythematous lesions with central clearing on her body since seven months ago. No pruritus or burning sensations were noted. Her medical and family history was unremarkable. Her Fitzpatrick skin photo-type was II. On dermatological physical examination, there were several annular erythematous plaques with raised borders and...