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Previous Volume 329:38-42 July 1, 1993 Number 1 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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A 72-year-old man was sent to the emergency room by a visiting nurse, who had found him at home in respiratory distress. He had a two-week history of malaise, anorexia, dyspnea, and chest pain.

My primary concern is to determine the cause of the respiratory distress. The illness is subacute with a two-week prodrome. The antecedent malaise and the anorexia are consistent with a viral illness, but the dyspnea and chest pain also make me think about a cardiac process. At this time I don't have enough information. I want to know more about the nature of the chest pain, . . . [Full Text of this Article]

Commentary

Source Information

From the Veterans Affairs Medical Center, 1400 VFW Pky., West Roxbury, MA 02132, where reprint requests should be addressed to Dr. Thibault.

References

Related Letters:

Clinical Problem-Solving: One More Hypothesis
Walsh M., Hauben M., Thibault G. E.
Extract | Full Text  
N Engl J Med 1993; 329:1821, Dec 9, 1993. Correspondence

This article has been cited by other articles:

• Kassirer, J. P. (1995). Teaching Problem-Solving -- How Are We Doing?. NEJM 332: 1507-1509 [Full Text]  
• Walsh, M., Hauben, M., Thibault, G. E. (1993). Clinical Problem-Solving: One More Hypothesis. NEJM 329: 1821-1821 [Full Text]