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Clinical Problem-Solving
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Volume 335:46-48 July 4, 1996 Number 1
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The Illusion of Certainty
Arthur P. Wolinsky, M.D.

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A 42-year-old man saw a physician because he had had pain in both hips for several months. The pain was made worse by climbing stairs and ladders and was more severe on the left side. Ibuprofen provided no relief. He thought the problem might be bursitis; several months earlier he had had bursitis in his shoulder that had felt similar and was relieved by an injection of cortisone.

Physical examination revealed very strong femoral and pedal pulses and no vascular bruits. The range of motion of both hips was normal, and extending and flexing the hips caused minimal discomfort. The . . . [Full Text of this Article]

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From the Dithdridge House, 220 North Dithdridge St., Apt. 707, Pittsburgh, PA 15213, where reprint requests should be addressed to Dr. Wolinsky.

References


Related Letters:

Claudication with Normal Pulses
Panoskaltsis N., Kumar P. D., Michlowski T. J., Paniszyn C. C., Wolinsky A. P.
Extract | Full Text  
N Engl J Med 1996; 335:1686-1687, Nov 28, 1996. Correspondence

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