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Interactive Medical Case

Graham T. McMahon, M.D., M.M.Sc., Editor, Joel T. Katz, M.D., Associate Editor, Bruce D. Levy, M.D., Associate Editor, Joseph Loscalzo, M.D., Ph.D., Associate Editor

A Crisis in Late Pregnancy

John J. Ross, M.D., Akshay S. Desai, M.D., William A. Chutkow, M.D., Katherine E. Economy, M.D., and G. William Dec, Jr., M.D.

N Engl J Med 2009; 361:e45November 12, 2009

Case

A 31-year-old woman in the 37th week of pregnancy presented to the emergency room of another hospital with sudden onset of severe bitemporal headache and shortness of breath. She was in respiratory distress, which was made worse by lying flat, and reported that she felt as if she was drowning. Until the onset of these symptoms, her pregnancy had been uncomplicated, with normal . . .

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About Interactive Medical Cases

Each interactive case presents an evolving patient history and a series of questions and exercises designed to test your diagnostic and therapeutic skills. You will receive immediate feedback on your answers and treatment choices, along with the opportunity to compare your final score with those of your peers. Video, animation, and interactive content allow you to learn more about mechanisms, diagnostic tests, and treatments.

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Pilot Phase: For a limited time, the Interactive Medical Cases will be in a pilot phase, during which this content and service will be available free. Your feedback is welcome and will be used to improve the interface and functionality of future Interactive Medical Cases.

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No potential conflict of interest relevant to this case was reported.