Case of the month

Readers must use their clinical acumen to arrive at the correct answer. Each case is also posted on the Journal’s web site (http://www.elsevier.com/ajmselect). Several possible answers may be consistent with the case presentation; use your best judgment. Please send your answer (one per respondent) to The Green Journal at editors@amjmed.org or via FAX to (415) 447-2799. Indicate the case to which you are responding, and include your complete address. The correct answer will appear in the next issue of the Journal. The first five persons who submit correct answers will receive a free 1-year subscription to the Journal. Because of the volume of answers we receive, neither correct nor incorrect answers can be acknowledged individually. Colleagues of Dr. Chadha at the Jersey City Medical Center in New Jersey are not eligible for this month’s case. This will be the last Case of the Month in The Green Journal. Next month we will begin a new series, Images of Osler, cases from the Medical Grand Rounds of the Osler Medical Service at Johns Hopkins University.