Dr. Ryan, I could be wrong, but perhaps this was suggested to be done after
serious intracranial pathology was ruled out. Certainly if she were admitted
for further investigations, a routine CXR would have been done. I guess the
concern here would be (after all the big things are ruled out):
a) is this a paraneoplastic phenomenon and,
b) is it from the lung as she is a smoker, common malignancies being common.
Or maybe there is another reason?
BTW, ignorant question here to all now (I don't know too much about MR's to
be honest). When would you do an MR (head/brain) emergently as opposed to a
CT? See, when I think MR's all I can come up with are MR spine for cord
compression...
Thanks
Robert
----- Original Message -----
From: "John Ryan" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, October 11, 2001 10:39 PM
Subject: Re: Isolated 6th nerve palsy
> CXR ? Not done. Granted she is a smoker but she has no pulmonary
sympotoms
> or signs. Is a CXR really the test most likely to indicate where to go
from
> here ? I see junior doctors do that sort of thing all the time and I cant
> help wondering if they are procrastinating and sending people for tests
> because they dont know whats wrong and hoping that when the results come
> back they wil have gone off duty and it will be up to someone else to sort
> out a management plan.
[snip...]
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