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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer US

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DOI

10.1007/bf00524760

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ISSN

1525-1497

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A HeartBreaking Case of Fever and Rash

Authors: Kara Bischoff Shilpa M Shah Gurpreet Dhaliwal Harry Hollander
Publish Date: 2014/04/01
Volume: 29, Issue: 9, Pages: 1310-1314
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Abstract

In this series a clinician extemporaneously discusses the diagnostic approach regular text to sequentially presented clinical information bold Additional commentary on the diagnostic reasoning process italic is interspersed throughout the discussionIn a young healthy person with fever and rash three disease categories deserve immediate consideration infectious noninfectious inflammatory and environmental or toxin mediated disease Important elements of the history include epidemiologic clues to severe infection such as seasonality geographic setting and recent travel sexual and dietary habits and exposure to ill contacts animals or insectsStudies demonstrate that physicians form hypotheses within the first 30 seconds of encountering a patient12Here the discussant takes a very limited amount of information and constructs a framework of disease categories that will govern his information

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Other Papers In This Journal:
  1. Comparison of Hospital Costs and Length of Stay for Community Internists, Hospitalists, and Academicians
  2. Health Literacy, Cognitive Abilities, and Mortality Among Elderly Persons
  3. Capsule Commentary on Olchanski et al., Abdominal Aortic Aneurysm Screening: How Many Life Years Lost from Underuse of the Medicare Screening Benefit?
  4. Trends in Primary Care Clinician Perceptions of a New Electronic Health Record
  5. Moving Forward in GME Reform: A 4 + 1 Model of Resident Ambulatory Training
  6. Does Motivation Matter? Analysis of a Randomized Trial of Proactive Outreach to VA Smokers
  7. A Symbol of Our Profession: White Coat Ceremony Address to the Class of 2014
  8. Patient Expectations as Predictors of Outcome In Patients with Acute Low Back Pain
  9. Effects of a Video on Organ Donation Consent Among Primary Care Patients: A Randomized Controlled Trial
  10. “Could this Be Something Serious?”
  11. Building a Career as a Delivery Science Researcher in a Changing Health Care Landscape
  12. Failing
  13. Comorbidities, Treatment and Survival
  14. Predictors of Mortality in Patients with Stable COPD
  15. Reflective Practice and Stress: Helpful, Harmful or Uninfluential in Critical Thinking
  16. Pre-Exposure Prophylaxis: A Narrative Review of Provider Behavior and Interventions to Increase PrEP Implementation in Primary Care
  17. Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review
  18. Awareness of Hepatitis C Diagnosis is Associated with Less Alcohol Use Among Persons Co-Infected with HIV
  19. Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home
  20. Providing Patients Web-based Data to Inform Physician Choice: If You Build It, Will They Come?
  21. Extended Evaluation of a Longitudinal Medical School Evidence-Based Medicine Curriculum
  22. The Relationship Between Multimorbidity and Patients’ Ratings of Communication
  23. Symptom Burden, Depression, and Spiritual Well-Being: A Comparison of Heart Failure and Advanced Cancer Patients
  24. Improving Medication Adherence: Keep Your Eyes on the Prize
  25. Improving Quality of US Health Care Hinges on Improving Language Services
  26. Retroperitoneal Hemorrhage from Kidney Angiomyolipoma
  27. Massachusetts Health Disparities: Key Lessons for the Nation
  28. Using Decision Tree Models to Depict Primary Care Physicians CRC Screening Decision Heuristics
  29. Collaboration and Authorship of High-Impact Randomized Clinical Trials
  30. Cyanotic Congenital Heart Disease (CCHD) with Symptomatic Erythrocytosis
  31. Capsule Commentary on Al-Khatib et al., Future Research Prioritization: Implantable Cardioverter Defibrillator Therapy in Older Patients
  32. Duty Hour Reform in a Shifting Medical Landscape
  33. “Learning by Doing”—Resident Perspectives on Developing Competency in High-Quality Discharge Care
  34. Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study
  35. Patient Care Outside of Office Visits
  36. Cefdinir-Induced Hepatotoxicity: Potential Hazards of Inappropriate Antibiotic Use
  37. A Successful Multifaceted Trial to Improve Hypertension Control in Primary Care: Why Did it Work?
  38. Predictors of Primary Care Management of Depression in the Veterans Affairs Healthcare System
  39. Concurrent Sweet’s Syndrome and Erythema Nodosum
  40. Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
  41. Do Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
  42. Structuring Payment to Medical Homes After the Affordable Care Act
  43. Longitudinal Patterns in Survival, Comorbidity, Healthcare Utilization and Quality of Care among Older Women Following Breast Cancer Diagnosis
  44. Mysterious Abdominal Pain
  45. Quantification of Authors’ Contributions and Eligibility for Authorship: Randomized Study in a General Medical Journal
  46. Tailoring Outreach Efforts to Increase Primary Care Use Among Homeless Veterans: Results of a Randomized Controlled Trial
  47. Capsule Commentary on Rana et al., Diabetes and Prior Coronary Heart Disease Are Not Necessarily Risk Equivalent for Future Coronary Heart Disease Events
  48. Anorexia Nervosa: Russell’s Sign with Concurrent Tetany
  49. The Effects of Guided Care on the Perceived Quality of Health Care for Multi-morbid Older Persons: 18-Month Outcomes from a Cluster-Randomized Controlled Trial
  50. Massive Paraesophageal Hernia Mimicking Pulmonary Embolus
  51. Reducing Health Disparities or Improving Minority Health? The End Determines the Means
  52. Medication Adherence After Myocardial Infarction: A Long Way Left To Go
  53. Brief Training of Student Clinicians in Shared Decision Making: A Single-Blind Randomized Controlled Trial
  54. From HMOs to ACOs: The Quest for the Holy Grail in U.S. Health Policy
  55. The Need for Higher Standards in Correctional Healthcare to Improve Public Health
  56. Assessing the Quality of Clinical Teachers
  57. Secondary Symptomatic Parvovirus B19 Infection in a Healthy Adult
  58. Conducting High-Value Secondary Dataset Analysis: An Introductory Guide and Resources
  59. Clinical Image: Clubbed with a Reminder to Test for HIV
  60. Disability and Decline in Physical Function Associated with Hospital Use at End of Life
  61. Are Physician Estimates of Asthma Severity Less Accurate in Black than in White Patients?
  62. Training Residents to Employ Self-efficacy-enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention
  63. Recognition of Depression in Older Medical Inpatients
  64. Understanding the Costs of Patient-Centered Medical Homes
  65. Choosing Wisely: Prevalence and Correlates of Low-Value Health Care Services in the United States
  66. Patients’ Satisfaction with and Preference for Telehealth Visits
  67. Capsule Commentary on Grant, et al., Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels
  68. Toward Safe Hospital Discharge: A Transitions in Care Curriculum for Medical Students
  69. Perspectives of Non-Hispanic Black and Latino Patients in Boston’s Urban Community Health Centers on their Experiences with Diabetes and Hypertension
  70. Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates
  71. Overcoming Poor Attendance to First Scheduled Colonoscopy: A Randomized Trial of Peer Coach or Brochure Support
  72. A Computerized Aid to Support Smoking Cessation Treatment for Hospital Patients
  73. VA and Medicare Utilization Among Dually Enrolled Veterans with Type 2 Diabetes: A Latent Class Analysis
  74. Trends in the Management of Headache
  75. Electronic Health Record-Based Patient Identification and Individualized Mailed Outreach for Primary Cardiovascular Disease Prevention: A Cluster Randomized Trial
  76. Having a Say: Agency and End-of-Life Decision-making in The Chaneysville Incident
  77. Evaluation of the Effectiveness of Making Weight Watchers Available to Tennessee Medicaid (TennCare) Recipients
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