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Previous Volume 332:592-596 March 2, 1995 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 27-year-old woman with a history of seizures since childhood was brought to the emergency department because of sharp left anterior pleuritic chest pain, a productive cough, increasingly severe shortness of breath, nausea, and one episode of vomiting. She had no fever, chills, sweats, diarrhea, dysuria, edema, orthopnea, or weight change. She had been ill only one day.

The first thing I would worry about with the history of chest pain, productive cough, and shortness of breath is some sort of infection, possibly pneumonia. I would want to know about any recent seizure that might have predisposed her to aspiration . . . [Full Text of this Article]

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References

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Clinical Problem-Solving: Decision Making by Analogy
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Extract | Full Text  
N Engl J Med 1995; 333:127-129, Jul 13, 1995. Correspondence

This article has been cited by other articles:

• Meyer, C., Berczeller, P. H., Needles, C. F., Green, D., Parise, P., Berrettini, M., Kettler, R. E., Greenberg, D. L., Root, R. K. (1995). Clinical Problem-Solving: Decision Making by Analogy. NEJM 333: 127-129 [Full Text]  
• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]