Red Snapper or Crab?

doi:10.1056/NEJMcps032443

Volume 350:1443-1448		April 1, 2004		Number 14

Red Snapper or Crab?

Paul B. Cornia, M.D., Benjamin A. Lipsky, M.D., Gurpreet Dhaliwal, M.D., and Sanjay Saint, M.D., M.P.H.

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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PubMed Citation

In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 68-year-old man originally from the Philippines presentedwith a three-month history of increasing dyspnea on exertionand orthopnea. He also reported an unintentional weight lossof 7 kg (15 lb), night sweats, and abdominal bloating. He statedthat he had not had fever, chills, cough, vomiting, chest pain,or swelling of the legs.

The patient's dyspnea could be due to congestive . . . [Full Text of this Article]

Commentary

Source Information

From the Primary and Specialty Medical Care Service, Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine — both in Seattle (P.B.C., B.A.L.); the San Francisco Veterans Affairs Medical Center and the Department of Medicine, University of California at San Francisco School of Medicine — both in San Francisco (G.D.); and the Ann Arbor Veterans Affairs Medical Center and the Department of Internal Medicine and the Patient Safety Enhancement Program, University of Michigan Health System — both in Ann Arbor (S.S.).

Address reprint requests to Dr. Cornia at the Veterans Affairs Puget Sound Health Care System, 1660 S. Columbian Way (S-111-GIMC), Seattle, WA 98108-1597, or at paul.cornia@med.va.gov.