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Previous Volume 352:64-69 January 6, 2005 Number 1 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.

An 18-year-old man presented with shortness of breath, a cough that was productive of clear sputum, and a two-week history of pleuritic chest pain. He also reported night sweats, fever, and fatigue, but no hemoptysis, weight loss, recent travel, or new environmental exposures.

The combination of progressive shortness of breath and pleuritic chest pain suggests either of two pathogenetic sequences. In one . . . [Full Text of this Article]

Commentary

Source Information

From the Departments of Internal Medicine (M.L., D.D., S.S.) and Pediatrics (M.L.), University of Michigan, Ann Arbor; the Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston (S.W.); and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence, and the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center and University of Michigan Health System (S.S.) — all in Ann Arbor.

Address reprint requests to Dr. Lukela at the Department of Internal Medicine, Division of General Medicine, 3119R Taubman Center, Ann Arbor, MI 48109-0376, or at mlukela@umich.edu.

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