April 01, 2008
A detailed history, with an emphasis on any recent travel, is especially important when you are evaluating a patient who presents with a fever without a clear cause. The patient is a 20-year-old woman who presented to the emergency department complaining of nausea and vomiting for the past 5 days. The patient reported a decrease in appetite, loose bowel movements, and mild generalized abdominal pain after vomiting.