Medical Mystery Solved – A Treacherous Course | NEJM

Acute abdominal pain, fever, and hemoptysis in a male patient are evaluated to demonstrate the process of clinical problem-solving.

This Double Take video from the New England Journal of Medicine presents the case of a man with acute onset of nausea, vomiting, abdominal pain, fever, and hemoptysis. Based on a Clinical Problem-Solving article published in the Journal, the video explores the differential diagnosis based on the patient’s presenting symptoms and follows the evolution of the diagnosis as new findings arise from the diagnostic evaluation and the patient’s clinical course. For further reading, the article mentioned above, referenced in the video, is available at nejm.org/doi/full/10.1056/NEJMcps2020668 : A Treacherous Course (Jilg et al., in the March 4, 2021, issue of the Journal). The New England Journal of Medicine is the world’s leading general medical journal. Continuously published for over 200 years, the Journal publishes peer-reviewed research along with interactive clinical content for physicians, educators, and the global medical community at NEJM.org.