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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 27-year-old man presented to his primary care physician six days after the onset of a nonproductive cough, sore throat, and a feeling of being "run down." During the preceding week, he had also noted fever and diffuse abdominal pain that was mild to moderate in intensity. Two days before presentation, he noticed dark-colored urine and that his eyes were
Commentary
Source Information
From the Department of Internal Medicine, University of Washington, Seattle (J.K.A., H.R., F.W.); the University of Washington School of Medicine, Seattle (C.S.); the Ann Arbor Veterans Affairs Health Services Research and Development Center of Excellence, Ann Arbor, Mich. (S.S.); and the University of Michigan Medical School, Ann Arbor (S.S.).
Address reprint requests to Dr. Amory at the Division of General Internal Medicine, University of Washington, Box 356429, 1959 NE Pacific St., Seattle, WA 98195, or at jamory@u.washington.edu.
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