When you struggle to make a tough medical decision . . . The best option is
to rely in standard text books.
to review Journal articles and look for similar case scenerios
to refer the latest guidelines from appropriate authorities.
to call your learnt collegues , teachers or mentor if any !
to go with your gut feeling !
to go with whatever Google says !
to leave it to the patient and family to make the tough decision !
to escape from the problem and refer the patient to bigger doctor or hospital
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