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Previous Volume 352:489-494 February 3, 2005 Number 5 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 20-year-old man was transferred to an academic medical center in Salt Lake City for further evaluation of diarrhea, abdominal pain, and fever. Two months before admission, he presented to a community hospital with dull, intermittent pain in the right lower quadrant. A colonoscopy performed at that time showed patchy erythema, edema, and ulcerations from the transverse colon to the cecum. The . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Internal Medicine, University of Utah, Salt Lake City (C.J.G., C.T., I.S.S.); and the Medical Service, Ann Arbor Department of Veterans Affairs Medical Center (R.H.M., S.S.); the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.); and the Department of Internal Medicine, University of Michigan Health System (R.H.M., S.S.) — all in Ann Arbor, Mich.

Address reprint requests to Dr. Goulet at the Division of Gastroenterology, University of Utah, Rm. 4R118, 30 North Medical, Salt Lake City, UT 84132, or at chrisgoulet_98@yahoo.com.

Related Letters:

The Unturned Stone
Bharadwaj J. S., Goulet C. J., Tonnerre C.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:2140-2141, May 19, 2005. Correspondence

This article has been cited by other articles:

• de Saussure, P. P. H. (2009). Review: Management of the returning traveler with diarrhea. Therapeutic Advances in Gastroenterology 2: 367-375 [Abstract]  
• Tsiodras, S., Samonis, G., Boumpas, D. T., Kontoyiannis, D. P. (2008). Fungal Infections Complicating Tumor Necrosis Factor {alpha} Blockade Therapy. Mayo Clin Proc. 83: 181-194 [Abstract] [Full Text]  
• Bharadwaj, J. S., Goulet, C. J., Tonnerre, C. (2005). The Unturned Stone. NEJM 352: 2140-2141 [Full Text]