Letters “Troponin-negative chest pain”—a diagnostic evasion?

Diagnosis by exclusion: take time to talk to patients and offer information and explanations

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i2029 (Published 12 April 2016) Cite this as: BMJ 2016;353:i2029
  1. Jonathan R Benger, consultant in emergency medicine
  1. Emergency Department, Bristol Royal Infirmary, Bristol BS2 8HW, UK
  1. Jonathan.Benger{at}UHBristol.nhs.uk

Ali raises an important point regarding the implications of diagnosis by exclusion.1 The online version of his article begins “Having completed attachments in acute medicine and cardiology, I have seen quite a few patients presenting with chest pain,” an entirely reasonable statement. However, the print …

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