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- Title
A Break in the Case: an Exercise in Clinical Reasoning.
- Authors
Siglin, Jonathan; Restrepo, Daniel
- Abstract
This article presents a case study of a patient who experienced recurrent falls, fractures, and other symptoms. The potential causes for the fractures are explored, including bone disorders, alcohol use, malabsorption, and medication side effects. The clinician suspects orthostatic hypotension as the underlying cause, considering autonomic neuropathies and medication-induced orthostasis. The importance of considering multiple factors and not solely attributing the symptoms to alcohol use is emphasized. The patient's examination confirms orthostatic hypotension, and further tests are recommended. The article concludes by suggesting appropriate management strategies for orthostatic hypotension. Another text discusses a case study of a patient with orthostatic hypotension and anemia. The patient was diagnosed with scurvy, a condition caused by vitamin C deficiency, and was successfully treated with high-dose oral vitamin C. The text highlights the importance of considering scurvy as a potential diagnosis and the need for appropriate testing and treatment.
- Subjects
ADRENAL insufficiency; ORTHOSTATIC hypotension; MEDICAL logic
- Publication
JGIM: Journal of General Internal Medicine, 2024, Vol 39, Issue 8, p1515
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-023-08572-y