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In this Journal feature, information about a real patient is presented in stages (boldface type) to expert clinicians from several specialties, who respond to the information, sharing their reasoning with the reader (regular type). The authors' commentary follows.
A 33-year-old man presented for evaluation of hemoptysis. He had been in his usual state of health until the day of presentation, when he had a transient cough productive of one tablespoon (approximately 15 ml) of bright red blood. He did not have associated chest pain or dyspnea. He reported that he had not had recent weight loss, fever, illness, or trauma
Commentary
Source Information
From the Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver (H.R.C., M.P.G.); the Departments of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School — both in Boston (S.E.W.); and the Department of Veterans Affairs Health Services Research and Development Field Program and Department of Medicine, University of Michigan — both in Ann Arbor (S.S.).
Address reprint requests to Dr. Collard at the University of Colorado Health Sciences Center, 4200 E. 9th Ave., Box C-272, Denver, CO 80262, or at hal.collard@uchsc.edu.
Related Letters:
Anatomy of a Diagnosis
Jaquiss R. D.B., Collard H. R., Weinberger S. E., Saint S.
Extract |
Full Text |
PDF
N Engl J Med 2003;
349:2465, Dec 18, 2003.
Correspondence
This article has been cited by other articles:
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