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Previous Volume 355:1487-1491 October 5, 2006 Number 14 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.

Urinary urgency and fever developed in a 55-year-old, bedridden woman with multiple sclerosis, a long-term indwelling Foley catheter, and multiple prior urinary tract infections. The patient had recently been transferred from an assisted-living facility to a skilled-nursing facility because of progressive disability. On the day of presentation, she reported urinary urgency and dysuria, despite a normally functioning urethral catheter; her temperature was . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Internal Medicine, University of Washington, Seattle (R.M.K., J.K.A.); the Clinical Epidemiology Program, Ottawa Health Research Institute, and the Department of Medicine, University of Ottawa — both in Ottawa (K.G.S.); and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence and University of Michigan Medical School — both in Ann Arbor (S.S.).

Address reprint requests to Dr. Kalus at the Division of General Internal Medicine, University of Washington, Box 359702, Seattle, WA 98104, or at rkalus@u.washington.edu.

Related Letters:

Lost in Transcription
Harris J., Kalus R. M., Shojania K. G., Saint S.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:311, Jan 18, 2007. Correspondence

This article has been cited by other articles:

• Harris, J., Kalus, R. M., Shojania, K. G., Saint, S. (2007). Lost in Transcription. NEJM 356: 311-311 [Full Text]