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Correspondence
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Volume 328:1200 April 22, 1993 Number 16
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Clinical Problem-Solving: Things Are Seldom What They Seem

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To the Editor: In a recent piece in the Journal's Clinical Problem-Solving series (Dec. 3 issue),1 a patient is presented who initially appears to have alcoholic hepatitis, but is ultimately given a diagnosis of hepatoma. Although the discussion is excellent, the title and the final line of the essay -- "In clinical medicine . . . `Things are seldom what they seem"' -- generalize inappropriately from the case report.

Unlike the situation in this particular case, in clinical medicine things are usually just what they seem. Nevertheless, even when cases are quite straightforward, the trend in contemporary medicine is to . . . [Full Text of this Article]

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