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Previous Volume 354:2376-2381 June 1, 2006 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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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 35-year-old man with advanced acquired immunodefiency syndrome (AIDS) presented to the emergency department after a witnessed syncopal event. He had noted light-headedness after walking from the bathroom to his chair. While speaking to his partner, he suddenly became unresponsive and lost motor tone, and his breathing appeared shallow and labored, prompting his partner to call 911. He regained consciousness after approximately . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Brigham and Women's Hospital (R.F.-F., S.B.M.), and the Department of Hematology–Oncology, Beth Israel Deaconess Medical Center (T.S.) — both in Boston.

Drs. Farzaneh-Far and Schwarzberg contributed equally to this article.

Address reprint requests to Dr. Schwarzberg at the Hematology–Oncology Fellowship Program, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, or at tschwar1@bidmc.harvard.edu.

This article has been cited by other articles:

• Jaitovich, A., Itskowitz, M., Farzaneh-Far, R., Schwarzberg, T. (2006). Thinking Outside the Box. NEJM 355: 851-852 [Full Text]