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Clinical Problem-Solving
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Volume 338:46-50 January 1, 1998 Number 1
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A Hidden Agenda
Michael Landor, M.D.

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A 35-year-old man presented to the hospital in December 1996 with a 10-day history of fever (temperature as high as 40°C [104°F]) and 1-day history of nausea, vomiting, and mild abdominal pain in the right upper quadrant. He denied having headache, rash, diarrhea, or neurologic, respiratory tract, musculoskeletal, or genitourinary tract symptoms. Evaluation by a physician eight days earlier had not revealed the source of the fever. The patient appeared healthy, with no pallor, jaundice, or stigmata of liver insufficiency. Except for the presence of mild tenderness in the right upper quadrant of the abdomen and moderate hypotonia of the . . . [Full Text of this Article]

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From Albert Einstein College of Medicine and the Department of Medicine, Catholic Medical Center of Brooklyn and Queens, New York.

Address reprint requests to Dr. Landor at the Department of Medicine, St. John Queens Hospital, 92-02 Queens Blvd., Elmhurst, NY 11373.

References


Related Letters:

Clinical Problem-Solving: Refusing HIV Testing
Lambert D. R., Greenlaw J., Sweitzer B., Svenson J., Gluckman S. J., Roca B., Simón E., Landor M.
Extract | Full Text  
N Engl J Med 1998; 338:1544-1546, May 21, 1998. Correspondence

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