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Clinical Problem-SolvingFree Preview

Telescoping the Diagnostic Process

List of authors.
  • Clement D. Lee, M.D.,
  • Evan Shirey, M.D.,
  • Brittany Guttadauria, M.D.,
  • and Chén C. Kenyon, M.D., M.S.H.P.

A 3-year-old boy presented with abdominal pain and vomiting. He had associated chills without fever, nonbloody and nonbilious emesis, constipation, reduced urinary output, and a decreased activity level.

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Funding and Disclosures

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From the Children’s Hospital of Philadelphia, Philadelphia.

Dr. Lee can be contacted at or at 10 Shattuck St., Boston, MA 02115.

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