The Rational Clinical Examination
David L. Simel, Drummond Rennie
Robert L. Trowbridge, Nicole K. Rutkowski, Kaveh G. Shojania
"A 72-year-old woman with poorly controlled diabetes, coronary
artery disease, and hypertension presents to the emergency department
complaining of nausea and vomiting. As an emergency department resident,
you elicit the history that the patient felt well until 24 hours
ago, when she developed anorexia, followed rapidly by bilious emesis.
She describes mild upper abdominal discomfort but is unable to further localize
the pain. There have been no abnormal bowel movements, gastrointestinal
bleeding, or chest pain...."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $34.95
48 hours for $54.95