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Previous Volume 353:2788-2796 December 29, 2005 Number 26 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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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 62-year-old man presents with a three-day history of progressive dyspnea, nonproductive cough, and low-grade fever. He had been hospitalized two years earlier for congestive heart failure. His blood pressure is 95/55 mm Hg, his heart rate 110 beats per minute, his temperature 37.9°C, and his oxygen saturation while breathing ambient air 86 percent. Chest auscultation reveals rales and rhonchi bilaterally. A . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

            History and Physical Examination

            Laboratory Testing

            Chest Radiography

            Echocardiography

            Pulmonary-Artery Catheterization

Stepwise Approach

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University School of Medicine, Nashville (L.B.W.); and the Departments of Medicine and Anesthesia and the Cardiovascular Research Institute, University of California, San Francisco, San Francisco (M.A.M.).

Address reprint requests to Dr. Ware at the Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, 1161 21st Ave. S., T1218 MCN, Nashville, TN 37232-2650.

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