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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 74-year-old man was brought to the emergency department after being found confused and incapacitated at home. The patient lived in a residential hotel and had previously been healthy and socially active. Having not seen him for three days, his friends entered his room and found him on the floor, covered in stool. The patient was conversant but confused, recalling only a
Commentary
Source Information
From the Division of General Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston (A.K.J.); the Department of Medicine, University of California, San Francisco (K.G.S.); and the Veterans Affairs Health Services Research and Development Center of Excellence and Department of Medicine, University of Michigan, Ann Arbor (S.S.).
Address reprint requests to Dr. Jha at the Division of General Medicine, Brigham and Women's Hospital, 1620 Tremont St., Boston, MA 02120, or at ajha@hsph.harvard.edu.
Related Letters:
Forgotten but Not Gone
Itskowitz M. S., Jha A. K., Shojania K. G., Saint S.
Extract |
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N Engl J Med 2004;
351:1361, Sep 23, 2004.
Correspondence
This article has been cited by other articles:
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