FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 351:2429-2434 December 2, 2004 Number 23 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.

	Full Text PDF PDA Full Text Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

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

A 38-year-old woman presented to the emergency room for evaluation of shortness of breath and jaundice. The previous day, she had attended a wedding, where she felt well. Several hours after the wedding, a headache developed, she had mild dizziness, and she noticed that her urine was dark brown. The day after the wedding, she awoke with mild shortness of breath and . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver (W.J.J., H.R.C.); the Department of Medicine, San Francisco Veterans Affairs Medical Center and University of California, San Francisco, School of Medicine, San Francisco (G.D.); and Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence, the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center, and the University of Michigan Health System and the Department of Internal Medicine — all in Ann Arbor, Mich. (S.S.).

Address reprint requests to Dr. Janssen at the University of Colorado Health Sciences Center, 4200 E. 9th Ave., Box C-272, Denver, CO 80262, or at william.janssen@uchsc.edu.

Related Letters:

Why "Why" Matters
Grimsley E. W., Janssen W. J., Collard H. R., Dhaliwal G.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:1270-1271, Mar 24, 2005. Correspondence

This article has been cited by other articles:

• Korpi-Steiner, N. L., Hoyne, J. B., Hoyer, J. D., Saenger, A. K. (2008). Hemolytic Anemia Following Attempted Suicide. Clin. Chem. 54: 2071-2074 [Full Text]  
• Tang, H. (2007). Diagnostic greed: using pictures to highlight diagnostic errors. Postgrad. Med. J. 83: 209-210 [Full Text]  
• Grimsley, E. W., Janssen, W. J., Collard, H. R., Dhaliwal, G. (2005). Why "Why" Matters. NEJM 352: 1270-1271 [Full Text]