Case 18-2026: A 53-year-old man with leg weakness, pain, and weight loss (Registro nro. 22765)

000 -Cabecera
Campo de control interno 01887nam a2200265 4500
001 - Número de control
control field ESSALUD
005 - Fecha y hora de la última transacción
Campo de control 20260805002443.0
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma eng
100 ## - Autor
Autor Geha, Rabih
Rol del Autor Autor
9 (RLIN) 53892
245 ## - Titulo
Titulo Case 18-2026: A 53-year-old man with leg weakness, pain, and weight loss
300 ## - Páginas
Paginación páginas: 2460-2469
520 ## - Resumen
Resumen A 53-year-old man presented to the emergency department of this hospital because of leg weakness, pain, and weight loss.<br/>Five months before the current presentation, the patient began to have profound thirst, frequent urination, and fatigue. He established care with a local primary care clinic for evaluation of these symptoms. At that time, the patient also reported atraumatic pain in the left hip that radiated to the thigh. The pain was most prominent when he ascended stairs. He had had an 11-kg weight loss during the preceding year, which he had ascribed to a poor appetite. A physical examination, including neurologic examination, was reportedly normal. The glycated hemoglobin level was greater than 14.0% (reference range, 4.3 to 5.6). Results of additional laboratory testing, including blood levels of electrolytes, aspartate aminotransferase, alanine aminotransferase, albumin, and bilirubin, along with results of kidney-function tests and a complete blood count, were normal. Treatment with metformin and dulaglutide was initiated.
650 ## - Temas - Descriptores
Temas - Descriptores MEDICINA CLINICA
9 (RLIN) 33681
650 ## - Temas - Descriptores
Temas - Descriptores ENFERMEDAD NEUROMUSCULAR
9 (RLIN) 53763
650 ## - Temas - Descriptores
Temas - Descriptores DIABETES
9 (RLIN) 1232
650 ## - Temas - Descriptores
Temas - Descriptores URGENCIAS
9 (RLIN) 32468
700 ## - Autor Personal
Autor Personal Omid-Fard, Nima
9 (RLIN) 53893
700 ## - Autor Personal
Autor Personal Slama, Michaël CC
9 (RLIN) 53894
700 ## - Autor Personal
Autor Personal Reda, Haatem M.
9 (RLIN) 53895
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22639
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM006
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-07-31
Catalogador SQB

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