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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 67-year-old overweight man was seen by his physician because of a two-month history of shortness of breath, a nonproductive cough, and bilateral swelling of the lower extremities. He also reported a tight sensation in the neck, occasional wheezing, and an increase in dyspnea after meals. The patient noted the onset of symptoms soon after a hunting trip in November. He had
Commentary
Source Information
From the Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, N.C.
Related Letters:
Undercover and Overlooked
Lowenthal M. N., Lowenthal A., Wang A., Bashore T. M.
Extract |
Full Text |
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N Engl J Med 2004;
351:2881, Dec 30, 2004.
Correspondence
This article has been cited by other articles:
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