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Cushing?s syndrome: Why is diagnosis so difficult?


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See the whole abstract, including an image of the first page here: http://cushie.info/index.php?option=com_co...t&Itemid=69


Cushing?s syndrome: Why is diagnosis so difficult?


David C. Aron1, 2, 3 Contact Information

(1) Division of Clinical and Molecular Endocrinology, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA

(2) VA Health Services Research & Development Quality Enhancement Research Initiative Center for Implementation Practice and Research Support, Louis Stokes Cleveland VAMC, Cleveland, OH, USA

(3) Louis Stokes Department of Veterans Affairs Medical Center, Education Office 14 (W), 10701 East Blvd., Cleveland, OH 44106, USA




Practicing and perfecting the art of medicine demands recognition that uncertainty permeates all clinical decisions. When delivering clinical care, clinicians face a multiplicity of potential diagnoses, limitations in diagnostic capacity, and ?sub-clinical? disease identified by tests rather than by clinical manifestations. In addition, clinicians must recognize the rapid changes in scientific knowledge needed to guide decisions. Cushing?s syndrome is one of several disorders in which there may be considerable difficulty and delay in diagnosis. This article describes a current model of clinical reasoning, some of its challenges, and the application of the principles of clinical epidemiology to meet some of those challenges.


Keywords Cushing?s syndrome - Clinical decision making - Clinical epidemiology


Contact Information David C. Aron

Email: david.aron@va.gov



From http://www.springerlink.com/content/f61062403u1023x5/

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Thanks for that link.


Do you know much about the author? I thought about sending him an email. I noticed that he works for the VA. I am a veteran. I was in the Army for 10 years and really enjoyed it. I had to get out because all of my symptoms started after I had my son (difficult pregnancy, HELLP and Pre-eclampsia). I couldn't do the work that the the Army required, so when my enlistment was up, I reluctantly got out. SInce then I have had the same trouble that everyone on here seems to have with finding the right doctor. Do you think it would be worth it to send him an email an see what he has to say, since I have veterans benefits?



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