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Previous Volume 329:413-416 August 5, 1993 Number 6 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 33-year-old rancher and outdoorsman reported four days of fever, low back pain, arthralgia, and myalgia. Two days before admission to the hospital, headache, nausea, vomiting, and fever (temperature, 39.7 °C) developed.

One of the most important first steps in approaching a patient is to frame the problem -- that is, to define it in terms of either a diagnosis or a syndrome and then to think about it both pathophysiologically and probabilistically. With this patient, I would frame the problem as an acute undifferentiated fever syndrome. The chief problem is fever of a few days' duration. There is nothing . . . [Full Text of this Article]

Commentary

Source Information

From the University of Alabama at Birmingham, Birmingham, AL 35294-0012, where reprint requests should be addressed to Dr. Kreisberg.

References

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