Intended for healthcare professionals

Fillers A memorable patient

“When can I go home?”

BMJ 2002; 325 doi: (Published 03 August 2002) Cite this as: BMJ 2002;325:253
  1. Aml Abdala, senior house officer in rheumatology.,
  2. Dimitrios Kassimos, locum consultant rheumatolosist, department of rheumatology.
  1. Dudley Group of Hospitals NHS Trust, Dudley

    It was a routine referral to the rheumatology clinic: a general practitioner had requested advice about the management of arthritic pain in a 78 year old woman. We met her at the Friday afternoon clinic, when she came with her daughter in law. Her joint pain had improved since she had seen her general practitioner. She had osteoarthritic changes in her hands and knees, as expected, but no features of inflammatory arthritis. She was remarkably thin and had recently lost a lot of weight. I wondered whether she had an underlying malignancy. She agreed …

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