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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 author's clinical recommendations.
During an evaluation for low back pain, a 67-year-old man is found to have gynecomastia on the right side that is nontender on palpation. Other than a body-mass index (the weight in kilograms divided by the square of the height in meters) of 32, the physical examination is normal. His medical history is notable only for hyperlipidemia; his only medication is a
The Clinical Problem
Strategies and Evidence
Diagnosis
Evaluation
Treatment
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Medicine, Cedars–Sinai Medical Center, Los Angeles.
Address reprint requests to Dr. Braunstein at the Department of Medicine, Rm. 2119 Plaza Level, Cedars–Sinai Medical Center, 8700 Beverly Blvd., Los Angeles, CA 90048, or at braunstein@cshs.org.
Related Letters:
Gynecomastia
Romao I., Klass E., Westenend P. J., Storm R., Oostenbroek R. J., Braunstein G. D.
Extract |
Full Text |
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N Engl J Med 2007;
357:2636-2637, Dec 20, 2007.
Correspondence
This article has been cited by other articles:
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