This Journal feature begins with a case vignette highlightinga common clinical problem. Evidence supporting various strategiesis then presented, followed by a review of formal guidelines,when they exist. The article ends with the authors' clinicalrecommendations.
A 65-year-old man with hypertension and degenerative joint diseasepresents to the emergency department with a three-day historyof a productive cough and fever. He has a temperature of 38.3°C(101°F), a blood pressure of 144/92 mm Hg, a respiratoryrate of 22 breaths per minute, a heart rate of 90 beats perminute, and oxygen saturation of 92 percent while breathing. . . [Full Text of this Article]
The Clinical Problem
Strategies and Evidence
Diagnosis and Treatment of Pneumonia
Risk Stratification and the Decision to Hospitalize
Criteria for Clinical Stability and Discharge
Guidelines
Areas of Uncertainty
Conclusions and Recommendations
Source Information
From the Department of Health Policy (E.A.H.) and the Divisions of General Internal Medicine (E.A.H.) and Pulmonary and Critical Care Medicine (A.S.T.), Department of Medicine, Mount Sinai School of Medicine, New York.
Address reprint requests to Dr. Halm at the Department of Health Policy, Box 1077, Mount Sinai School of Medicine, 1 Gustave L. Levy Pl., New York, NY 10029, or at ethan.halm@mountsinai.org.
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