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Pulmonary and Critical Care Pearls |

A 49-Year-Old Woman With Hepatitis, Confusion, and Abnormal Chest Radiograph Findings*

Patrick Weyer, MD; Oscar W. Cummings, MD; Kenneth S. Knox, MD, FCCP
Author and Funding Information

*From the Department of Medicine, Pulmonary Division (Drs. Weyer and Knox), and Department of Pathology (Dr. Cummings), Indiana University School of Medicine, Indianapolis, IN.

Correspondence to: Kenneth S. Knox, MD, FCCP, VA Medical Center, Indiana University School of Medicine, 1481 West Tenth St, 111P-IU, Indianapolis, IN 46202; e-mail: kknox1@iupui.edu



Chest. 2005;128(4):3076-3079. doi:10.1378/chest.128.4.3076
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A 49-year-old woman with a 10-year history of hepatitis C was admitted to Indiana University Hospitals after several weeks of fatigue, nausea, vomiting, and confusion. Dehydration was noted on two visits to the emergency department (ED) in the 2 weeks prior to hospital admission, and her symptoms responded satisfactorily, but transiently, to IV fluids. During the second ED visit, as part of a metabolic evaluation for confusion, a normal ammonia level was found, serum sodium was 128 mmol/L, and total serum calcium was 11.9 mg/dL.

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