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As such, this case was very difficult case to diagnose preoperatively.
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"They are difficult cases to prove".
"They are very difficult cases to prove.
However, some AIP cases are difficult to diagnose because of atypical imaging findings.
This delay resulted mainly from physicians' failure to consider the diagnosis, although a few cases were difficult to diagnose.
This finding illustrates that efforts to triage cholera patients to external CTFs based on symptoms alone are not perfect; previous studies have also shown that cholera cases are difficult to diagnose on clinical grounds alone.
A review of the pertinent literature showed two cases with a suspected malignancy and one case which was difficult to diagnose according to fine-needle aspiration cytology.
Reiterating the non-functional feedback system, the physicians considered that it was more convenient to simply refer a suspected case of TB to a TB diagnostic facility without differentiating between a difficult or easy to diagnose case.
In our case, it was difficult to diagnose the ICC before hepatectomy because the CT scan showed that there were several tumors in the liver that were similar in shape.
In this case, it was difficult to diagnose SPN before surgery because the tumors had atypical features that did not resemble SPN: they were uncoated, solid, and multicentric lesions.
Thirdly, we conducted key stakeholder interviews in order to seek clarification and insights into the sociographs and to better understand the experiences of BHU physicians when they were faced with a difficult to diagnose case of TB and measles.
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