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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 63-year-old man presented to the emergency department because of shortness of breath that had begun the evening before, after he had gone to bed, and worsened progressively during the night. He had had no fevers, chills, cough, hemoptysis, chest pain, or peripheral edema, and there was no history of congestive heart failure. Five months earlier, a pulmonary embolus was diagnosed; the
Commentary
Source Information
From the Renal Division, Department of Medicine, Brigham and Women's Hospital (K.R.P.); and the Nephrology Division, Department of Medicine, Massachusetts General Hospital (M.W.) — both in Boston.
Address reprint requests to Dr. Wolf at Massachusetts General Hospital, 55 Fruit St., Bartlett-917, Boston, MA 02114, or at mswolf@partners.org.
This article has been cited by other articles:
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