000			01887nam a2200265 4500
001			ESSALUD
005			20260805002443.0
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040			_aBMG
041			_aeng
100			_aGeha, Rabih _eAutor _953892
245			_aCase 18-2026: A 53-year-old man with leg weakness, pain, and weight loss
300			_apáginas: 2460-2469
520			_aA 53-year-old man presented to the emergency department of this hospital because of leg weakness, pain, and weight loss. 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			_aMEDICINA CLINICA _933681
650			_aENFERMEDAD NEUROMUSCULAR _953763
650			_aDIABETES _91232
650			_aURGENCIAS _932468
700			_aOmid-Fard, Nima _953893
700			_aSlama, Michaël CC _953894
700			_aReda, Haatem M. _953895
773	0		_022717 _922639 _dMassachusetts NEJM Group _oNEJM006 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-07-31 _zSQB
999			_c22765 _d22765