Skip to main content
Top
Published in: Journal of General Internal Medicine 11/2015

01-11-2015 | Clinical Practice: Exercises in Clinical Reasoning

Sutton’s Law: Keep Going Where The Money Is

Authors: Satoshi Watanuki, MD, Hitoshi Honda, MD, Nobuyoshi Minemura, MD, Reza Sedighi Manesh, MD, Didier Raoult, MD, PhD, Yasuharu Tokuda, MD, MPH

Published in: Journal of General Internal Medicine | Issue 11/2015

Login to get access

Excerpt

A 70-year-old Japanese man presented to a local clinic with a 3-year history of weight loss and a 2-month history of anorexia. His baseline weight was 60 kg, which had decreased to approximately 50 kg at the time of presentation. He denied fever, chills, night sweats, arthralgia, rash, diarrhea, and vomiting. His past medical history included hypertension. He was not taking any medications. The patient was a retired real estate manager. He did not drink alcohol and had quit smoking tobacco 40 years prior. He never used illegal drugs and was not sexually active. …
Literature
1.
go back to reference Coderre S, Mandin H, Harasym PH, Fick GH. Diagnostic reasoning strategies and diagnostic success. Med Educ. 2003;37:695–703.CrossRefPubMed Coderre S, Mandin H, Harasym PH, Fick GH. Diagnostic reasoning strategies and diagnostic success. Med Educ. 2003;37:695–703.CrossRefPubMed
2.
go back to reference Petersdorf RG, Beeson PB. Fever of unexplained origin: report of 100 cases. Medicine (Baltimore). 1961;40:1–30.CrossRef Petersdorf RG, Beeson PB. Fever of unexplained origin: report of 100 cases. Medicine (Baltimore). 1961;40:1–30.CrossRef
3.
go back to reference Whipple GH. A hitherto undescribed disease characterized anatomically by deposits of fat and fatty acids in the intestinal and mesenteric lymphatic tissues. Johns Hopkins Hosp Bull. 1907;18:382–391. Whipple GH. A hitherto undescribed disease characterized anatomically by deposits of fat and fatty acids in the intestinal and mesenteric lymphatic tissues. Johns Hopkins Hosp Bull. 1907;18:382–391.
5.
go back to reference Schneider T, Moos V, Loddenkemper C, et al. Whipple’s disease: new aspects of pathogenesis and treatment. Lancet Infect Dis. 2008;8:179–190.CrossRefPubMed Schneider T, Moos V, Loddenkemper C, et al. Whipple’s disease: new aspects of pathogenesis and treatment. Lancet Infect Dis. 2008;8:179–190.CrossRefPubMed
6.
go back to reference Fenollar F, Lagier JC, Raoult D. Tropheryma whipplei and Whipple’s disease. J Infect. 2014;69(2):103–112.CrossRefPubMed Fenollar F, Lagier JC, Raoult D. Tropheryma whipplei and Whipple’s disease. J Infect. 2014;69(2):103–112.CrossRefPubMed
Metadata
Title
Sutton’s Law: Keep Going Where The Money Is
Authors
Satoshi Watanuki, MD
Hitoshi Honda, MD
Nobuyoshi Minemura, MD
Reza Sedighi Manesh, MD
Didier Raoult, MD, PhD
Yasuharu Tokuda, MD, MPH
Publication date
01-11-2015
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 11/2015
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-015-3425-0

Other articles of this Issue 11/2015

Journal of General Internal Medicine 11/2015 Go to the issue

Healing Arts

Small Talk

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.