Skip to main content
Device Global Header

Subscribe
or Renew

Advanced Search

This article is available to subscribers. Subscribe now. Already have an account? Sign in

PerspectiveCase Studies in Social MedicineFree Preview

The Power and Limits of Classification — A 32-Year-Old Man with Abdominal Pain

List of authors.
  • Daphna Stroumsa, M.D., M.P.H.,
  • Elizabeth F.S. Roberts, Ph.D.,
  • Hadrian Kinnear, B.A.,
  • and Lisa H. Harris, M.D., Ph.D.

A 32-year-old transgender man, presenting with severe lower abdominal pain and hypertension, is classified as a man who hasn’t taken his blood-pressure medications. When examined several hours later, he’s found to be pregnant, but no fetal heartbeat can be detected.

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Funding and Disclosures

Disclosure forms provided by the authors are available at NEJM.org.

The patient’s name has been changed to protect his privacy.

Author Affiliations

From the Institute for Healthcare Policy and Innovation (D.S.), the Departments of Obstetrics and Gynecology (D.S., L.H.H.) and Anthropology (E.F.S.R.), and the Medical Scientist Training Program (H.K.), University of Michigan, Ann Arbor.

Print Subscriber? Activate your online access.