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Can you make the correct diagnosis?

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In order to access some medical documents, I ended up subscribing to

Medscape Case Study - a website for ongoing education for doctors and

physicians.

This is the case study that arrived tonight

http://www.medscape.org/viewarticle/736336?src=emed_case_nl_0

<http://www.medscape.org/viewarticle/736336?src=emed_case_nl_0>

I wonder if you can make the correct diagnosis??

Elaine, from Sydney Australia

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