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Previous Volume 350:1037-1042 March 4, 2004 Number 10 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 an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A previously healthy 16-year-old girl presented to her physician because of a two-day history of sore throat, fatigue, fever, headache, and vomiting; she had not had rhinorrhea or a cough. On examination, her temperature was 36.7°C, and she appeared fatigued. She had mild erythema and white plaques on her tonsillar pillars and mild tenderness of the anterior neck, without lymphadenopathy.

The signs . . . [Full Text of this Article]

Commentary

Source Information

From the Departments of Internal Medicine (S.J.B., S.S.) and Pediatrics (S.J.B.), University of Michigan; the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.); and the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center and University of Michigan Health System (S.S.) — all in Ann Arbor; and the Department of Medicine, University of California–San Francisco, San Francisco (S.A.F.).

Address reprint requests to Dr. Bliss at the University of Michigan Health System, Canton Health Center, 1051 N. Canton Center Rd., Canton, MI 48187, or at sbliss@umich.edu.

Related Letters:

A Pain in the Neck
Nielsen C., Bliss S. J., Flanders S. A., Saint S.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:2622-2623, Jun 17, 2004. Correspondence

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