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A Neligan, D R Holdright, F J Rugg-Gunn, and J W Sander
A case of mistaken mesial temporal identity
BMJ 2009; 338: b2258 [Full text]
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[Read Rapid Response] Pink or pale?
Roger H Redston   (16 August 2009)

Pink or pale? 16 August 2009
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Roger H Redston,
General Consulanat Physician
Moorooduc, Australia 3933

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Re: Pink or pale?

Did no-one ask the witnesses about colour change?

As students we are expected to obtain all of the history from our patients, in real life there are often observers who can give valuable information, in the cases of "Fits, faints and funny turns" colour is the key, pallor of course suggests a circulatory causes while pink or puce can support a cerebral diagnosis.

I have found the need to offer this advice frequently over the last forty-five years now particularly relevant to help to prevent "Death by CT" [-an arrest call to the imaging department, often out of hours.].

Roger Redston

Competing interests: None declared