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Clinical Problem-Solving
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Volume 360:616-621 February 5, 2009 Number 6
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Needle in a Haystack
Roger Kapoor, M.D., M.B.A., Richard H. Moseley, M.D., John R. Kapoor, M.D., Ph.D., Lawrence M. Crapo, M.D., Ph.D., and Sanjay Saint, M.D., M.P.H.

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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 50-year-old woman reported multiple loose bowel movements associated with mild, cramping abdominal pain. She had been well until 2 months earlier, when her bowel habits changed from one formed stool per day to frequent loose stools of moderate volume. The abdominal pain was variable in intensity and was slightly relieved with defecation. She had no recent dietary changes and no family . . . [Full Text of this Article]

Commentary


Source Information

From the Department of Medicine, Stanford University School of Medicine, Stanford, CA (R.K., J.R.K., L.M.C.); the Ann Arbor Veterans Affairs Medical Center and the Department of Internal Medicine, University of Michigan Health System, Ann Arbor (R.H.M., S.S.); and the Division of Endocrinology, Santa Clara Valley Medical Center, Santa Clara, CA (L.M.C.).

Address reprint requests to Dr. Roger Kapoor at the Department of Medicine, Stanford University, 300 Pasteur Dr., Rm. S101, MC 5110, Stanford, CA 94305.



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