FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 349:2253-2257 December 4, 2003 Number 23 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.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

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 63-year-old man presented to the emergency department for an evaluation of acute, mild rectal bleeding. He reported a two-week history of exertional dyspnea and generalized weakness, as well as mild pain and fullness in the left upper quadrant of the abdomen, with a weight loss of 13.5 kg (30 lb) over a period of one year. He said that he did . . . [Full Text of this Article]

Commentary

Source Information

From the Departments of Medicine (A.H.S., M.S.B., S.B.) and Pathology (W.K.), University of Oklahoma Health Sciences Center; and the Veterans Affairs Medical Center (M.S.B.) — both in Oklahoma City; and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.); the Department of Internal Medicine, University of Michigan (S.S.); and the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center and the University of Michigan Health System (S.S.) — all in Ann Arbor.

Address reprint requests to Dr. Sawalha at the Department of Internal Medicine, University of Oklahoma Health Sciences Center, 825 NE 13th St. (OMRF) MS#24, Oklahoma City, OK 73104, or at amr-sawalha@omrf.ouhsc.edu.

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.