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Published in: Journal of General Internal Medicine 11/2018

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.
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Metadata
Title
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
Publication date
01-11-2018
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 11/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4599-z

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