Dangers of 'no-lose'

Dangers of 'no-lose'
Application of the philosophy to all areas of medical practice carries considerable risks especially when investgating patents(in order not to lose, the diagnosis must be made) This may be illustrated by a case report.
A patient recovers well after oversewing of a perforated  duodenal ulcer, but on checking his blood an elevated serum calcium is noted. After further investigation for a possible parathyroid adenmoa, selctive venous cannulation of the neck veins was carried out.
No tumour was demonstratedd but the patient developed infective complications from which he died. At post-mortem no parathyroid tumour was found.