Clinical problem-solving. An intricate interplay

Veterans Affairs Ann Arbor Healthcare System, and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
New England Journal of Medicine (Impact Factor: 55.87). 10/2012; 367(14):1342-7. DOI: 10.1056/NEJMcps1011784
Source: PubMed


A 55-year-old man presented with sinus congestion, headaches, chills, mild nausea, fatigue, and a "foggy" sensation that had lasted approximately 1 week. He reported darker urine than usual and had noticed that his eyes were turning yellow.

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