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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.
A 64-year-old man was brought to the emergency department because of sudden-onset blurred vision in both eyes and diplopia, as well as a frontal headache that had begun earlier that day. On presentation, he was noted to have an altered mental status, and a history was obtained with help from his family. He reported having no fevers, chills, or focal weakness. His
Commentary
Source Information
From the Division of Cardiology, Emory University, Atlanta (R.F.); the Department of Medicine, University of California San Francisco, and San Francisco Veterans Affairs Medical Center — both in San Francisco (G.D.); and Ann Arbor Veterans Affairs Medical Center and the Department of Internal Medicine, University of Michigan Medical School — both in Ann Arbor (S.S., B.K.N.).
Address reprint requests to Dr. Fazel at the Division of Cardiology, Emory University School of Medicine, Bldg. A, Suite 1-N., 1256 Briarcliff Rd. NE, Atlanta, GA 30306, or at rfazel@emory.edu.
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