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Positive “tea sign”

BMJ 2007; 334 doi: (Published 22 March 2007) Cite this as: BMJ 2007;334:636
  1. Michael V Holmes, senior house officer,
  2. Nora Knight, specialist registrar
  1. Accident and Emergency Department, Royal Free Hospital, London
  1. michaelvaclavholmes{at}

    It was Christmas Day, and an 81 year old patient had been brought in from a nursing home. His casualty card read: “?decreased conscious level, increased rigidity.” The carer wasn't present. A brief assessment established that his score on the …

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