Fillers A patient who changed my practice

Fifteen years before looking at job

BMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7313.628 (Published 15 September 2001) Cite this as: BMJ 2001;323:628
  1. Piero Stratta, clinician,
  2. Caterina Canavese, clinician
  1. Nephrology, Dialysis, and Transplantation, University of Torino, Italy

    When we recently looked at a survey on chronic uraemia that included patients for whom there was no occupational history, we felt that not enough attention was paid to this factor. We went back to the story of a 38 year old man who was admitted to our hospital in September 1976 complaining of severe abdominal pain. His clinical history was unremarkable up to 1961, when he first experienced abdominal pain and was admitted to another hospital. As laboratory tests showed no abnormalities and his clinical picture spontaneously improved, he was discharged, but he relapsed with colic-like severe abdominal pain …

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