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Symptoms to Diagnosis

A 71-year-old woman with shock and a high INR

Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031
Gregory W. Rutecki
Georgetown University,/Washington Hospital Center, Department of Internal Medicine, Washington, DC
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Raja Y. Zaghlol
Georgetown University,/Washington Hospital Center, Department of Internal Medicine, Washington, DC
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Michael E. Tierney
Sydney University Orange Health Service, New South Wales, Australia
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Louay Y. Zaghlol
School of Medicine, The University of Jordan, Amman, Jordan
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Ayman A. Zayed
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  • For correspondence: [email protected]
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Article Information

vol. 85 no. 4 303-312
DOI 
https://doi.org/10.3949/ccjm.85a.17031
PubMed 
29634469

Published By 
Cleveland Clinic Journal of Medicine
Print ISSN 
0891-1150
Online ISSN 
1939-2869
History 
  • Published online April 1, 2018.

Copyright & Usage 
Copyright © 2018 The Cleveland Clinic Foundation. All Rights Reserved.

Other Contributors 
  • Gregory W. Rutecki [MD], Georgetown University,/Washington Hospital Center, Department of Internal Medicine, Washington, DC

Author Information

    1. Raja Y. Zaghlol, MD
    1. Georgetown University,/Washington Hospital Center, Department of Internal Medicine, Washington, DC
    1. Michael E. Tierney, MD, BMedSc
    1. Sydney University Orange Health Service, New South Wales, Australia
    1. Louay Y. Zaghlol
    1. School of Medicine, The University of Jordan, Amman, Jordan
    1. Ayman A. Zayed, MD, MSc, FACE, FACP⇑
    1. Chief, Division of Endocrinology, Diabetes, and Metabolism, Department of Internal Medicine, School of Medicine, The University of Jordan, Jordan University Hospital, Amman, Jordan
    1. ADDRESS:
      Ayman A. Zayed, MD, MSc, FACE, FACP, PO Box 13046, Amman 11942, Jordan; baraaayman{at}gmail.com
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    Cleveland Clinic Journal of Medicine: 85 (4)
    Cleveland Clinic Journal of Medicine
    Vol. 85, Issue 4
    1 Apr 2018
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    A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, Michael E. Tierney, Louay Y. Zaghlol, Ayman A. Zayed
    Cleveland Clinic Journal of Medicine Apr 2018, 85 (4) 303-312; DOI: 10.3949/ccjm.85a.17031

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    A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, Michael E. Tierney, Louay Y. Zaghlol, Ayman A. Zayed
    Cleveland Clinic Journal of Medicine Apr 2018, 85 (4) 303-312; DOI: 10.3949/ccjm.85a.17031
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    • Article
      • INITIAL EVALUATION AND MANAGEMENT
      • DIFFERENTIAL DIAGNOSIS
      • CASE CONTINUED: CARDIOMEGALY, PERSISTENT HYPOTENSION
      • PROMPT MANAGEMENT OF ADRENAL CRISIS
      • CASE RESUMED: IMPROVEMENT WITH HYDROCORTISONE
      • ESTABLISHING THE DIAGNOSIS OF ADRENAL INSUFFICIENCY
      • CASE RESUMED: PATIENT DISCHARGED, LOST TO FOLLOW-UP
      • MINERALOCORTICOID VS CORTICOSTEROID DEFICIENCY
      • TAKE-HOME POINTS
      • REFERENCES
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    • Info & Metrics
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