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Clinical Problem-Solving
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Volume 328:336-339 February 4, 1993 Number 5
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Weak Reasoning: Diagnosis by Drug Reaction
Stephen G. Pauker, and Richard I. Kopelman

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A 40-year-old Haitian woman who had never smoked had respiratory distress at work and was taken to the emergency department by ambulance.

The first things that come to mind are the usual causes of respiratory distress, such as pneumonia, congestive heart failure, or a pulmonary embolus.

Two days before admission she noticed chest congestion, a cough productive of yellow sputum, and shortness of breath, which progressed until she could no longer talk. While receiving oxygen in the emergency department, she could communicate with difficulty, but she said that she had not previously had any similar symptoms, chest pain, or asthma. . . . [Full Text of this Article]

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From the Divisions of Clinical Decision Making and General Internal Medicine, New England Medical Center, Tufts University School of Medicine, Boston.

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Related Letters:

Clinical Problem-Solving: Diagnosis by Drug Reaction
Craner J., Jobe R. B., Pauker S. G., Kopelman R. I.
Extract | Full Text  
N Engl J Med 1993; 328:1790-1791, Jun 17, 1993. Correspondence

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