Surgical Repair of Single Atrium in a 46-Year-Old Man.

Pelvic mass in 46-year old man.

operative anaesthetic care, we can obtain a better definition of the tumour mass preoperatively and accept the challenge of demanding surgical procedures. Retroperitoneal lipomata are uncommon and have an indolent presentation. Lipomas occurring in this site are a different proposition than those in other sites and require meticulous pre-operative evaluation and an exacting surgical approach if...

Rising PSA level in a 46-year-old man.

The Case: A 46-year-old man sought consultation for an abnormal prostate-specific antigen (PSA) level of 9 ng/mL and one prior negative biopsy. Five months ago, while traveling, he had presented to an urgent care facility with a 24-hour history of fever, chills, nausea, and vomiting. He required intravenous hydration, and a urinalysis suggested a urinary tract infection. Subsequent culture grew...

A 46-year-old man with recurrent embolic events

A 46-year-old male with advanced adenocarcinoma of the lung presented with venous thrombosis. Despite anticoagulants, he developed a stroke and bowel ischaemia. Echocardiography revealed mobile structures on the mitral valve and at the pulmonary artery origin (Fig. 1). Although treatment for endocarditis and pulmonary embolism was initiated, his condition deteriorated. However, blood cultures r...

A 46-year-old man with acute low-back pain.

46-year-old man with treatment-resistant hypertension.

© 2010 Mayo Foundation for Medical Education and Research A 46-year-old man presented for evaluation of treatment-resistant hypertension (HTN). He recalled being told that his systolic blood pressure was high when he was in high school; however, he did not begin taking antihypertensive medications until age 42 years. Despite multiple antihypertensive regimens, his HTN has been difficult to cont...