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Clinical Problem-Solving
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Volume 329:1103-1107 October 7, 1993 Number 15
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A Rewarding Pursuit of Certainty
Stephen G. Pauker, and Richard I. Kopelman

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A 53-year-old, previously healthy college professor was brought to the emergency room in status epilepticus. He had no history of seizures.

After giving intravenous medication to stop the seizures, I would obtain some medical and social history. Does the patient have hypertension or underlying vascular disease? Is he a drinker or a user of recreational drugs? These days we must always keep the possibility of human immunodeficiency virus (HIV) infection in mind.

Three weeks earlier he had seen his physician for new bifrontal headaches that were relieved with aspirin. His physical examination was normal at that time. On the day . . . [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: The Pursuit of Certainty
Mishark K., Harrison M., Pauker S. G., Kopelman R. I.
Extract | Full Text  
N Engl J Med 1994; 330:644-645, Mar 3, 1994. Correspondence

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