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ENDGAMES:
Mahendran Chetty, Ratna Alluri, and Graeme P Currie
A breathless man with diffuse chest pain
BMJ 2009; 338: b1105 [Full text]
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[Read Rapid Response] Very educational
Declan P Fox   (15 April 2009)

Very educational 15 April 2009
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Declan P Fox,
Freelance physician
Based in Newtownstewart, N Ireland. BT784NP

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Re: Very educational

This was a very interesting article and serves as an excellent up to date review of the work up of pleural effusions. I certainly wish I had had something as good as this to refer to when I was a medical SHO or registrar and the mention of ultrasound-guided pleural biopsy brought back memories of struggling to get a piece of tissue with an Abrams biopsy punch used blind.

One very minor point and I am sure just a typo but the patient's respiratory rate was described as being 14 beats per minute. Breaths, surely?

Yours sincerely

Declan Fox

Competing interests: None declared