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Previous Volume 352:2338-2342 June 2, 2005 Number 22 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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A 20-year-old man who had immigrated to the United States from Mexico three months earlier presented to the emergency department, reporting that he had had weight loss and pain in his hip and back on the right side. The patient did not speak English; the initial history was obtained with the use of the limited Spanish of team members and with the help of untrained interpreters. Two weeks before presentation, the patient slipped and fell while washing floors. Although he did not recall any pain immediately after the event, pain in the right side of his lower back and hip . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, University of Utah, Salt Lake City (S.D., C.T.); the Department of Veterans Affairs Health Services Research and Development Center of Excellence and the Department of Medicine, University of Michigan — both in Ann Arbor (S.S.); and the Department of Medicine, Legacy Good Samaritan and Emanuel Hospitals and the Department of Medicine, Oregon Health and Sciences University — both in Portland (S.R.J.).

Address reprint requests to Dr. Dames at the University of Utah Medical Center, Division of Rheumatology 4B200, School of Medicine, 30 N. 1900 E, Salt Lake City, UT 84132, or at shelby.dames@hsc.utah.edu.

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