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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.
A 19-year-old woman presents to the emergency department with light-headedness, severe abdominal pain, and intractable nausea and vomiting that began 12 hours earlier. The patient reports previous episodes of abdominal pain and swelling of her hands and feet that have been attributed possibly to food allergies, which have recently become more frequent. There is no associated urticaria. Her only medication is an
The Clinical Problem
Strategies and Evidence
Diagnosis
Management
Short-Term Treatment
Short-Term Prophylaxis
Long-Term Prophylaxis
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the University of California at San Diego and the Veterans Affairs Medical Center — both in San Diego.
Address reprint requests to Dr. Zuraw at Mail Drop 0732, Department of Medicine, 9500 Gilman Dr., La Jolla, CA 92093-0732, or at bzuraw@ucsd.edu.
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