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Previous Volume 340:374-378 February 4, 1999 Number 5 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 50-year-old man with alcoholism was brought to the emergency department by his wife because of altered mental status. According to her, the patient had been drinking his usual case of beer (approximately 9 liters) each night until 36 hours earlier, when he reported a frontal headache, which gradually increased in intensity and spread to the occipital area. A day later, the patient felt feverish and took aspirin at bedtime. On the morning of admission, he was difficult to arouse and, on awakening, was combative and confused. The patient's wife denied knowledge of recent head trauma, upper respiratory tract symptoms, . . . [Full Text of this Article]

Commentary

Source Information

From the Division of General Internal Medicine, University of Washington, and Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle (S. Saha); the Division of General Internal Medicine, University of Michigan, Ann Arbor (S. Saint); and the Department of Medicine, University of California at San Francisco, San Francisco (L.M.T.).

Address reprint requests to Dr. Saint at 3116P Taubman Center, University of Michigan Medical Center, 1500 E. Medical Center Dr., Ann Arbor, MI 48109-0376, or at saint@umich.edu.

References

Related Letters:

Clinical Problem-Solving: A Balancing Act
Ho T. B.L., Jefferson H. J., Rüttimann S., Saha S., Saint S., Tierney L. M.
Extract | Full Text  
N Engl J Med 1999; 341:129-130, Jul 8, 1999. Correspondence

This article has been cited by other articles:

• Ho, T. B.L., Jefferson, H. J., Ruttimann, S., Saha, S., Saint, S., Tierney, L. M. (1999). Clinical Problem-Solving: A Balancing Act. NEJM 341: 129-130 [Full Text]