Thanks Dr Peter Ritchie for forwarding this article about an interesting case.
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Key points:
- Rarer diagnoses are often encountered in daily ED practice hidden amongst common symptoms
- attention to details that do not fit usual patterns (eg. in this case abnormal renal function that was not accountable by dehydration, abnormal liver function tests; band forms on full blood count) may re-direct the clinician to new differentials and help stall diagnosis momentum