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Challenging Cases

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Editor’s Note: features a challenging case sent to us by one of our members every month. We would like to invite other members to chime in and give their opinions on the diagnosis and on how you think this case c/should be (or should have been) managed. The idea is to stimulate debate and discussion on the best ways to manage such a case. The case will be left on for the entire month, and then, after that time, the opinions offered will be summarized and presented with the next Challenging Case the next month. Please send your challenging cases to:
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