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Volume 328:1790-1791 June 17, 1993 Number 24
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Clinical Problem-Solving: Diagnosis by Drug Reaction

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 by Pauker, S. G.
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To the Editor: The Clinical Problem-Solving case "Weak Reasoning: Diagnosis by Drug Reaction" (Feb. 4 issue)1 underscores how essential a focused history is in the initial evaluation of an acutely ill patient. Given the amount of effort that went into arriving at the ultimate diagnosis of myasthenia gravis, it is ironic that this young woman with chest congestion, shortness of breath, and acute respiratory distress was not asked the simple question, What is your occupation? It would also have been useful to know whether she had come from work, home, or elsewhere. Although there was a brief mention near the . . . [Full Text of this Article]

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