Interactive Medical Case

Graham T. McMahon, M.D., M.M.Sc., Editor, Joel T. Katz, M.D., Associate Editor, Bruce D. Levy, M.D., Associate Editor, Joseph Loscalzo, M.D., Ph.D., Associate Editor

Stalking the Diagnosis

Anand Vaidya, M.D., Charles A. Morris, M.D., M.P.H., and John J. Ross, M.D.

N Engl J Med 2010; 362:e16February 11, 2010

Case

A 58-year-old woman presented to her primary care physician after several days of dizziness, weakness, urinary frequency, fever, and dry mouth. A urinary dipstick test was positive for leukocyte esterase and nitrites, and a urine culture grew more than 10⁵ colony-forming units Escherichia coli per milliliter. She returned for scheduled follow-up . . .

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Each interactive case presents an evolving patient history and a series of questions and exercises designed to test your diagnostic and therapeutic skills. You will receive immediate feedback on your answers and treatment choices, along with the opportunity to compare your final score with those of your peers. Video, animation, and interactive content allow you to learn more about mechanisms, diagnostic tests, and treatments.

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