There is an old adage in medical practice: when you hear hoof beats, think of horses, not zebras. In other words, any given clinical presentation will more than likely turn out to be a common disorder. In primary care medicine, esoteric diagnoses are relatively rare.
But sometimes when the sound of hoof beats returns in rapid succession, the clinician would do well to consider the possibility of a zebra in the forest. more»
Interested readers can now access my latest Humane Medicine column — Horse sense: Recognizing a rare diagnosis in primary care — recently published in the Journal of the American Academy of Physician Assistants.