Abstract
Multiple sclerosis (MS) presents with many different signs and symptoms, has a multitude of differential diagnoses and there is no specific test for it. In many instances, even with all available investigations, it is not possible to reach a definite diagnosis in the early stages. It is strongly recommended that the person should be informed of a potential diagnosis of MS as soon as it is considered reasonably likely and that this should occur before undertaking further investigations. People with MS should also play an active part in making informed decisions about all aspects of their care by being given relevant and accurate information on each choice and decision. The case is considered in light of the above with particular reference to the linked ethical issues of truth-telling, trust, patient autonomy and paternalism.
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