Clinical judgment is important

Clinical Judgment

of Medicine and other periodicals over the past decade. Dr. Feinstein's aim is nothing less than to induce doctors to think in new ways. He hopes that one result of his proposed revolution in clinical thinking will restore to clinical medicine the status it has lost owing to the explosive growth of molecular biology. He traces at length the growth and change of clinical investigation in this co...

Why is WASID an important clinical trial?

Accessible online at: www.karger.com/ned Fifty years ago, coumarins (i.e. warfarin and other oral vitamin K antagonists) were first given for secondary prevention of ischemic stroke and were widely prescribed for this purpose during the subsequent decades despite the paucity of good evidence supporting their benefit, not unusual for neurological therapeutics of the era. More recently, it has be...

Is Cervical Inlet Patch Important Clinical Problem?

AIM In this study we aim to determine the frequency of Inlet Patch (IP) and its association to clinical symptoms and draw attention to be aware of this heterotopic gastric mucosa. METHODS This study was a prospective case series that IP was detected in the upper gastrointestinal endoscopy. Patients with laringopharyngeal reflux symptoms underwent endoscopy between March 2009 and July 2012 in ...

Is a Determinant Judgment Really a Judgment?

Interpreting changes in troponin--clinical judgment is essential.

A 51-year-old woman with a history of mild hypertension and mild hyperlipidemia presented with a 2-h episode of substernal chest discomfort for the first time. She was receiving a statin but refused treatment for hypertension. She was an avid runner and had never had chest discomfort previously. The discomfort occurred at rest and radiated to her arms and her neck. Her electrocardiogram reveale...