Published in:
01-11-2018 | Clinical Practice: Exercises in Clinical Reasoning
Putting Schemas to the Test: An Exercise in Clinical Reasoning
Authors:
Daniel J. Minter, MD, Reza Manesh, MD, Patricia Cornett, MD, Rabih M. Geha, MD
Published in:
Journal of General Internal Medicine
|
Issue 11/2018
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Excerpt
A 70-year-old previously healthy man presented to the emergency department with 6 weeks of fatigue, fevers, and chills. He had abdominal fullness, early satiety, and 20-pound weight loss over the preceding 8 months. He did not have headache, night sweats, cough, dyspnea, diarrhea, dysuria, or rash. His family noticed yellowing of his skin and eyes over the previous week. He had immigrated from Vietnam to the USA 30 years prior. He lived in Northern California and had traveled to Minnesota 1 month earlier. He previously worked as a landscaper and had been retired for 10 years. He denied tobacco, alcohol, or recreational drug use. …