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CLINICIAN'S CORNER
A 65-Year-Old Woman With Acute Cough Illness and an Important Engagement
Ralph Gonzales, MD, MSPH, Discussant
JAMA. 2003;289:2701-2708.
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INTRODUCTION
DR REYNOLDS: Mrs W is a 65-year-old woman who recently switched to a commercial Medicare insurance plan and who presents for an urgent visit with symptoms of an upper respiratory tract infection [URI]. She works in the family business and lives with her husband; they have 3 grown children.
Because her new insurance plan did not cover her former physician, Mrs W made an appointment with a new physician in a large, university-affiliated group practice. Before her initial appointment, however, she became ill and requested an urgent visit. Seen the same day, she complained of 24 hours of sore throat, cough occasionally productive of small amounts of green sputum, and subjective fevers and chills. She also had mild shortness of breath, but no pleuritic chest pain. She had not taken her temperature at home. She denied ear pain, sinus pressure, headache, orthopnea, or . . . [Full Text of this Article]
MRS W: HER VIEW (INTERVIEWED THE DAY OF HER VISIT WITH DR C)
DR C: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR GONZALES
Epidemiology of ARIs Evaluating Adults With Acute Cough Illness
TREATMENT OPTIONS
Hastening Illness Recovery Reducing Cough Severity and Duration Treating Mrs W
SOCIETAL ISSUES
Why Do Physicians Prescribe Antibiotics for Viral Respiratory Infections? The Downside of Unnecessary Antibiotic Use Communicating ARI Management Plans
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Gonzales is Associate Professor of Medicine, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco.
RELATED LETTER
Patients With Viral Infections Who Demand Antibiotics
Robert Matz
JAMA. 2003;290(14):1851.
EXTRACT
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RELATED ARTICLE
Coughs, Colds, and Antibiotics
Janet Torpy, Cassio Lynm, and Richard M. Glass
JAMA. 2003;289(20):2750.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Information Leaflet and Antibiotic Prescribing Strategies for Acute Lower Respiratory Tract Infection: A Randomized Controlled Trial
Little et al.
JAMA 2005;293:3029-3035.
ABSTRACT
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Patients With Viral Infections Who Demand Antibiotics
Hall
JAMA 2003;290:1851-1851.
FULL TEXT
Patients With Viral Infections Who Demand Antibiotics
Matz
JAMA 2003;290:1851-1851.
FULL TEXT
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