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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 61-Year-Old-Man With Massive Intravascular Hemolysis

Amit Uppal, MD; Kenneth Hymes, MD; David R. Schwartz, MD
Author and Funding Information

Affiliations: From the New York University Medical Center, New York, NY.

Correspondence to: Amit Uppal, MD, New York University, Pulmonary and Critial Care Medicine, 550 First Ave, NBV-7N24, New York, NY 10016; e-mail: uppalamit@yahoo.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(5):1424-1427. doi:10.1378/chest.09-0950
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Extract

A 61-year-old man with a history of hepatitis C infection and cirrhosis, type II diabetes mellitus, and coronary artery disease presented to the ED with a chief complaint of abdominal pain and hematuria. He reported a flu-like illness that had begun approximately 1 week prior to presentation. His symptoms included abdominal cramping, nausea, and diarrhea. On the day of presentation, hematuria and lethargy developed. There was no history of urinary problems, no unusual ingestions, and no family contacts with similar symptoms. In the ED, he was confused and complained of chest pain.

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