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Clinical Problem-Solving
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Volume 357:53-59 July 5, 2007 Number 1
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A Sinister Development — A 35-year-old woman presented to the emergency department with a 2-day history of progressive swelling and pain in her left leg, without antecedent trauma
Reza Fazel, M.D., James B. Froehlich, M.D., M.P.H., David M. Williams, M.D., Sanjay Saint, M.D., M.P.H., and Brahmajee K. Nallamothu, M.D., M.P.H.

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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 35-year-old woman presented to the emergency department with a 2-day history of progressive swelling and pain in her left leg, without antecedent trauma. Her pain worsened acutely during the morning before her arrival. She felt warm but reported no fever or chills. She also reported mild dyspnea during the previous day, with no associated chest discomfort. She reported no recent trauma . . . [Full Text of this Article]

Commentary


Source Information

From the Division of Cardiology, Emory University, Atlanta (R.F.); the Departments of Internal Medicine (J.B.F., S.S., B.K.N.) and Radiology (D.M.W.), University of Michigan, Ann Arbor; and the Health Services Research and Development Center of Excellence, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, MI (S.S., B.K.N.).

Address reprint requests to Dr. Fazel at the Division of Cardiology, Emory University, 1639 Pierce Dr., Suite 319, Atlanta, GA 30322, or at rfazel@emory.edu.


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