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Volume 330:644-645 March 3, 1994 Number 9
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Clinical Problem-Solving: The Pursuit of Certainty

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 by Pauker, S. G.
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To the Editor: In their Clinical Problem-Solving article "A Rewarding Pursuit of Certainty" (Oct. 7 issue),1 Drs. Pauker and Kopelman discuss the treatment of a patient brought into the emergency room in status epilepticus. Evaluation with computed tomography (CT) and magnetic resonance imaging revealed a solitary ring-enhancing lesion in the left occipital lobe. The attending physicians then expended considerable effort searching for a presumed primary neoplasm before performing a brain biopsy, in the belief that "it would be nice to find a site other than the patient's brain to biopsy." We found this diagnostic approach curious, because the treatment of . . . [Full Text of this Article]

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