TY  - JOUR
T1  - A 44-year-old woman with severe pain at the end of life
AU  - Foley K
Y1  - 1999/05/26
N1  - 10.1001/jama.281.20.1937
JO  - JAMA
SP  - 1937
EP  - 1945
VL  - 281
IS  - 20
N2  - 
Mrs L experienced a flaccid left arm for 5 days prior to admission—the
first manifestation of metastatic lung cancer. She also noted some mild
weakness in the left leg accompanied by slurred speech and some
drooling. There was no associated headache, change in vision, fever, or
weight loss. She complained of mild shortness of breath and back pain.
Her medical history is complex and notable for a seizure disorder since
age 16 years, polycythemia vera, hemiplegic migraine, carcinoid,
colitis, pseudotumor cerebri, and distal pancreatectomy for islet cell
tumor.

SN  - 0098-7484
M3  - doi: 10.1001/jama.281.20.1937
UR  - http://dx.doi.org/10.1001/jama.281.20.1937
ER  -