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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 7/2015

01-07-2015 | Clinical Practice: Exercises in Clinical Reasoning

A Problematic Palsy: An Exercise in Clinical Reasoning

Authors: David J. Einstein, MD, Robert L. Trowbridge, MD, Joseph Rencic, MD

Published in: Journal of General Internal Medicine | Issue 7/2015

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Excerpt

A 29-year-old African American woman without significant past medical history presented to her primary care physician complaining of 1 week of fatigue, malaise, and generalized mild abdominal discomfort. She had nausea without vomiting. She denied localizing symptoms, changes in bowel habits, hematemesis, hematochezia, or melena. She denied fevers, chills, or sweats. She had anorexia, with a 2-pound weight loss over that week. She denied eating any unusual or undercooked foods. Her vital signs and exam were unremarkable, including a benign abdominal exam and heme-negative guaiac study. …
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Metadata
Title
A Problematic Palsy: An Exercise in Clinical Reasoning
Authors
David J. Einstein, MD
Robert L. Trowbridge, MD
Joseph Rencic, MD
Publication date
01-07-2015
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 7/2015
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-014-3160-y

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