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Previous Volume 352:1474-1479 April 7, 2005 Number 14 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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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 previously healthy 22-year-old man presented to an emergency department reporting that he had had three days of intermittent abdominal pain. Although the pain was initially mild and crampy and was relieved with bismuth subsalicylate, on the day he went to the hospital the patient awoke with severe, midepigastric pain and had two episodes of diarrhea. He reported that he had had . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, University of California, San Francisco, School of Medicine, San Francisco (N.J.L., L.S.W., G.D., R.M.W.); the San Francisco Veterans Affairs Medical Center, San Francisco (G.D.); and the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence, and the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center and University of Michigan Health System, Ann Arbor, and the Department of Internal Medicine, University of Michigan Medical School — all in Ann Arbor (S.S.).

Address reprint requests to Dr. Wachter at the Department of Medicine, Box 0120, Room M-994, University of California, San Francisco, San Francisco, CA 94143-0120, or at bobw@medicine.ucsf.edu.

Related Letters:

One Surprise after Another
Winters G. L., McManus B. M., Fett J. D., Leeper N. J., Ursell P., Wachter R. M.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:97-98, Jul 7, 2005. Correspondence

This article has been cited by other articles:

• Winters, G. L., McManus, B. M., Fett, J. D., Leeper, N. J., Ursell, P., Wachter, R. M. (2005). One Surprise after Another. NEJM 353: 97-98 [Full Text]