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    <subfield code="a">Osborn, Rachel R. </subfield>
    <subfield code="e">Autor</subfield>
    <subfield code="9">53949</subfield>
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    <subfield code="a">Case 16-2026: A 14-Year-old girl with hypertension</subfield>
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    <subfield code="a">p&#xE1;ginas: 2256-2264</subfield>
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    <subfield code="a">A 14-year-old girl was admitted to this hospital because of hypertension. The patient had been in her usual state of health until 10 days before the current admission, when malaise, myalgias, and nausea developed, with five episodes of vomiting. The patient&#x2019;s parents took her to the emergency department of another hospital. On evaluation, the blood pressure was 125/85 mm Hg and the heart rate 120 beats per minute. The patient was actively vomiting and had dry mucous membranes. She appeared to be well developed and nourished. Laboratory test results are shown in Table 1. Intravenous fluids were administered. The symptoms abated slightly, and the patient was discharged home.</subfield>
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    <subfield code="a">Hausmann, Jonathan S.  </subfield>
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    <subfield code="a">Tan, Weizhen </subfield>
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    <subfield code="d">Massachusetts NEJM Group</subfield>
    <subfield code="o">NEJM008</subfield>
    <subfield code="t">The New England Journal of Medicine </subfield>
    <subfield code="w">ESSALUD</subfield>
    <subfield code="x">0028-4793</subfield>
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    <subfield code="e">2026-08-03</subfield>
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