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Cleveland Clinic Journal of MedicineThe Clinical Picture: The Double-Tongue Sign

  • 85-year-old woman with Hx of stage 3 chronic kidney disease
  • New onset dyspnea and intermittent mild fever
  • Slight difficulty opening her mouth; no dental caries or cervical lymphadenopathy
  • Elevated CRP
  • Elevated BUN

Follow the case as it develops.

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