TY - JOUR
T1 - Clinical Problem-Solving
T2 - Stopping Short of Certainty
AU - Fisken, Roger A.
AU - Lieberman, Jamie S.
AU - O'connor, James J.
AU - Patrick, Herbert
AU - Assali, Abid
AU - Beigel, Yitzhak
AU - Fainaru, Menahem
AU - Siebels, Michael
AU - Kreisberg, Robert A.
PY - 1994/11/24
Y1 - 1994/11/24
N2 - To the Editor: In the Clinical Problem-Solving exercise on hypercalcemia (July 7 issue),1 I disagree with Dr. Kreisberg's comment, made more than once, that the diagnosis of primary hyperparathyroidism can be ruled out at an early stage. I submit that this is not the case at all. It is important in any differential diagnosis to bear in mind at the outset that common disorders occur commonly, and the initial diagnostic approach should be based on this principle. The clinical history recounted in the first paragraph is extremely suggestive of primary hyperparathyroidism; in contrast, steroid-responsive vitamin D-mediated hypercalcemia is extremely uncommon…
AB - To the Editor: In the Clinical Problem-Solving exercise on hypercalcemia (July 7 issue),1 I disagree with Dr. Kreisberg's comment, made more than once, that the diagnosis of primary hyperparathyroidism can be ruled out at an early stage. I submit that this is not the case at all. It is important in any differential diagnosis to bear in mind at the outset that common disorders occur commonly, and the initial diagnostic approach should be based on this principle. The clinical history recounted in the first paragraph is extremely suggestive of primary hyperparathyroidism; in contrast, steroid-responsive vitamin D-mediated hypercalcemia is extremely uncommon…
UR - http://www.scopus.com/inward/record.url?scp=1642458675&partnerID=8YFLogxK
U2 - 10.1056/NEJM199411243312115
DO - 10.1056/NEJM199411243312115
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C2 - 7969290
AN - SCOPUS:1642458675
SN - 0028-4793
VL - 331
SP - 1456
EP - 1458
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 21
ER -