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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 21-year-old man presented to the emergency department after a 2-day history of increasing pain in the right lower quadrant. The pain was dull and nonradiating, was not exacerbated by eating, and was unrelated to bowel movements. The patient's appetite was normal, and he had not had fever, chills, night sweats, weight loss, headache, nausea, diarrhea, or constipation. He had had exertional
Commentary
Source Information
From the Department of Medicine, Division of Infectious Disease, University of Colorado Health Sciences Center, Denver (K.B.R.); the Department of Medicine, National Jewish Medical and Research Center, Denver (W.J.J.); 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 American College of Physicians, Philadelphia (S.E.W.).
Address reprint requests to Dr. Robertson at the University of Colorado Health Sciences Center, 4200 E. 9th Ave., B168, Denver, CO, 80262, or at kathryn.robertson@uchsc.edu.
This article has been cited by other articles:
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