Navigating Diagnostic Uncertainty: A Neck Swelling in an Elderly Patient Prompting Reflection on Over-investigation.

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Tác giả: M S Soumya, Tia Teresa Thomas

Ngôn ngữ: eng

Ký hiệu phân loại: 616.77 *Diseases of connective tissues

Thông tin xuất bản: India : Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 697989

A brief communication report highlighting a 69-year-old male with a history of chronic conditions who presented with a persistent neck swelling following an upper respiratory tract infection. Despite multiple benign findings from various diagnostic procedures, the patient's anxiety about a potential malignancy led to repeated investigations, culminating in a left-sided neck dissection. The case underscores the challenges of managing patient-driven demands for certainty in an era of defensive medicine, where physicians may feel compelled to order excessive tests. This over-investigation not only increases healthcare costs and exposes patients to unnecessary risks but also strains healthcare resources.
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