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Differential Diagnosis Presented Through an Analysis of 383 [And] 317 Cases

Differential Diagnosis Presented Through an Analysis of 383 [And] 317 Cases


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER III LUMBAR PAIN Some years ago, when I was doing a good deal of work on the blood, I was asked to substitute as visiting physician to a convalescent home intended primarily for tired domestics and shop-girls. The matron met me with that patient and respectful expression which long service under many enthusiastic young physicians produces in some nurses. I hear, she said, that you are specially interested in the blood. Dr. R., the gynecologist, who was visiting last autumn, found that all the patients were gynecologic. When Dr. C. visits us in summer, he finds them all nose and throat cases?that's his specialty. Now that you are to visit us, I suppose they will all turn out to be blood cases. It must be explained that there was no election on the patients' part. They did not seek the institution because they heard that Dr. X. (a specialist in their particular trouble) was on duty. They were sent there by a variety of other physicians who had no knowledge of the interests of the different attending specialists. Now, in a similar way, we may explain, I think, the various interpretations of backache given by different physicians, each according to his point of view. To the gynecologist backaches are usually gynecologic symptoms; to the orthopedist, they result from sacro-iliac disease or postural strain; to the neurologist, they represent one phase of habit- pain due to a psychoneurotic make-up. There are stomach specialists who explain backache as a result of malnutrition, gastroptosis, or constipation (loaded colon). So it goes! The one thing which remains unchanged is the backache. When we find 15 or 20 drugs recommended for one disease, we are inclined to believe that none of them has much value. Similarly, when we find many and various explanations for on...


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Product Details
  • ISBN-13: 9781459076341
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 282
  • Spine Width: 15 mm
  • Width: 189 mm
  • ISBN-10: 1459076346
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 508 gr


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