Vital Signs

摘要

The triage nurse had written: "Forty-five-year-old man, chief complaint: not feeling himself, blurry vision. Fell three days ago. No loss of consciousness. Skin intact." So here he was in the emergency department at 10 p.m. on a Sunday night. Why now? I wondered. Jadesh, my resident, went into the examination area to visit Mr. Sullivan. Twenty long minutes later, Jadesh returned. "I think the spleen is very enlarged," he said, a trace of awe in his voice.