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Previous Volume 334:1403-1405 May 23, 1996 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: I stopped reading the Clinical Problem-Solving article by Keljo and Squires (Jan. 4 issue)¹ when I reached the second line of the second column, which gives the erythrocyte sedimentation rate as 38 mm per hour. I was dissatisfied with the reasoning of the discussant in the first paragraph. None of the proposed differential diagnoses seemed appropriate. I started again and constructed my own differential diagnosis. My summary of diagnostic signs and symptoms included shortness of breath during exercise without wheezing or cough, loss of weight, amenorrhea, hypotension with an increased pulse rate, and a previous vaccination. I . . . [Full Text of this Article]

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