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A memorable patient: Sometimes a detailed examination is warranted

BMJ 1997; 315 doi: (Published 18 October 1997) Cite this as: BMJ 1997;315:h
  1. Angela Hamon, specialist registrar in obstetrics and gynaecology
  1. Wales

    A 17 year old woman presented to the accident and emergency department with a letter from her GP requesting a fast track physiotherapy referral. She had a four month history of a painful stiff neck, unresponsive to analgesia, which the GP thought might be relieved by intermittent traction or ultrasound treatment.

    My initial thought as the casualty senior house officer was that a trial of diazepam, as a muscle relaxant, might break the pain-spasm-pain cycle, but my second …

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