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Previous Volume 355:500-505 August 3, 2006 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 60-year-old man presented to the emergency department for evaluation of rectal bleeding, syncope, and pain in the right leg. Five days earlier, diffuse abdominal pain that worsened with movement had developed in association with nausea, anorexia, and malaise. He had not traveled recently or ingested any unusual foods, and he had no history of fever, weight loss, or change in bowel . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine (A.K.M., M.T.F.) and the Divisions of Vascular Surgery (B.L.J.) and Gastroenterology (P.G.B.), University of South Florida College of Medicine, Tampa.

Address reprint requests to Dr. Flannery at the University of South Florida College of Medicine, Department of Internal Medicine, 4 Columbia Dr., Suite 630, Tampa, FL 33606, or at robert_k_mohanty@yahoo.com.

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