Still Consider the Source

doi:10.1056/NEJMcps050056

Volume 353:1503-1507		October 6, 2005		Number 14

Still Consider the Source

Amr H. Sawalha, M.D., Sanjay Saint, M.D., M.P.H., Robert W. Ike, M.D., and Michael S. Bronze, M.D.

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 50-year-old man presented to the clinic with fever, chills,and generalized weakness that he had had for three weeks. Healso noticed pain and swelling in his right hand and left elbow,a weight loss of about 4.5 kg, and occasional pressure in theupper abdominal area. He said that he had not had nausea, vomiting,diarrhea, dyspnea, or dysuria.

Fever . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Internal Medicine, University of Michigan (A.H.S., S.S., R.W.I.); the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence (S.S.); and the Patient Safety Enhancement Program, Ann Arbor Veterans Affairs Medical Center and the University of Michigan Health System (S.S.) — all in Ann Arbor; and the Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (M.S.B.).

Address reprint requests to Dr. Sawalha at the Division of Rheumatology, University of Michigan, 3918 Taubman Center, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, or at amr-sawalha@omrf.ouhsc.edu.