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A 47-year-old woman telephones your surgery and says, “I can hear my boyfriend's heartbeat—from three feet away!” Do you:
arrange an urgent psychiatric review for this obviously delusional woman?
arrange an urgent psychiatric review for the Editors of Thorax for publishing a cardiology case report?
or do something else?
On urgent review after the phone call, you can hear what sounds like his amplified heart sounds from over a metre away, especially if he leans backwards.
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