|
|
 | |||
|
|
|
|
| |||
 | |||||||||||||||||||||||||||||||||||||
 | |||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.
A 40-year-old man with no underlying lung disease has a 7-day history of mild shortness of breath with exertion, as well as cough that is now productive of purulent sputum. He reports no paroxysms of cough and no contact with ill persons in his community. He does not appear to be in distress. His temperature is 37°C, his pulse 84 beats per
The Clinical Problem
Pathobiology
Natural History
Strategies and Evidence
Diagnosis
Diagnostic Testing
Treatment
Antimicrobial Therapy
Other Therapy
Areas of Uncertainty
Guidelines
Summary and Recommendations
Source Information
From the Department of Internal Medicine, Virginia Commonwealth University, Richmond.
Address reprint requests to Dr. Wenzel at the Department of Internal Medicine, Virginia Commonwealth University, 1101 E. Broad St., P.O. Box 980663, Richmond, VA 23298, or at rwenzel@mcvh-vcu.edu.
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |
Previous
