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The idea is "as determined by both internal medicine and neurosurgery". Usually this type of decission is taken in a (joint) clinical session where the attending team (in this case Internal Medicine and Neurosurgery) agree on the best diagnostic or therapeutic steps to follow.
Think you are right, (medical is new to me) It says in part;
Pueden requerirse de acuerdo a criterio del médico tratante basándose en condiciones especiales de cada caso, como electrocardiograma, [...] bariatricacostarica.com
Some other examinations may be required, under the doctors criteria, based upon special conditions in each case, such as [..
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25 mins confidence: peer agreement (net): +4
Explanation: I understand that the intensive care and neurosurgery units ordered a cerebral MRA to be practised on the patient
Cerebral MRA as ordered by the intensive care and neurosurgery units
Guillermo Masio Argentina Specializes in field Native speaker of: Spanish PRO pts in category: 8