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Previous Volume 349:597-601 August 7, 2003 Number 6 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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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.

An 86-year-old man presented with abdominal discomfort and fever. His medical history was notable for long-standing hypertension, mild chronic renal insufficiency, coronary-artery bypass surgery, and abdominal-aortic-aneurysm repair seven years earlier, as well as gout, diverticulitis, and prostatitis. Two months before admission, he sought care for a low-grade fever and crampy periumbilical pain. The results of his physical examination were reported as unremarkable. . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Infectious Diseases, Beth Israel Deaconess Medical Center (S.K.); the Department of Medicine, Harvard Medical School (S.K., M.A.W.); and the Department of Medical Education, Brigham and Women's Hospital (M.A.W.) — all in Boston.

Address reprint requests to Dr. Wolf at 75 Francis St., Boston, MA 02115, or at mawolf@partners.org.

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