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Previous Volume 350:599-603 February 5, 2004 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 an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 60-year-old woman with a history of radiologically confirmed seronegative rheumatoid arthritis presented to the emergency department with a 10-day history of worsening dyspnea on exertion, nonproductive cough, and subjective fever and a 7-day history of pain in the right leg and buttock, which limited her mobility. There was no sputum production, orthopnea, paroxysmal nocturnal dyspnea, or pleuritic chest pain.

I would . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine (A.A.H.) and the Division of Pulmonary and Critical Care Medicine (D.E.M.), Mayo Clinic and Foundation, Rochester, Minn.; the Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (S.E.W.); the San Francisco Veterans Affairs Medical Center and the University of California, San Francisco School of Medicine, San Francisco (L.M.T.); and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence and the Department of Internal Medicine, University of Michigan — both in Ann Arbor (S.S.).

Address reprint requests to Dr. Saint at Box 0429, 300 NIB, Room 7E08, Ann Arbor, MI 48109-0429, or at saint@umich.edu.

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