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Abstract The aim of our study was to measure the ways in which a physician perceives and reacts to a laboratory result. After reviewing a series of brief clinical problems, physicians were asked to indicate the change in test results that would alter the diagnosis or treatment. Although there...
To the Editor.—
Lightfoote, Blair, and Cohen are to be congratulated for their astute diagnosis and treatment of an adult with lead intoxication caused by Chinese herbal medication (238:1539, 1977). However, they state that the normal whole-blood lead level is 10 to 60 μg/dl. Actually, lead has...
ARTHRITIS of the hip is a common problem, and although standard medical textbooks include cancer in the differential diagnosis of arthritis, malignant disease is an uncommon source of hip pain and is, therefore, a difficult diagnosis to make.
Seven patients with malignant disease masquerading as...
Among problems of the breast, the most important one is cancer. For treating cancer of the breast, there is much confusion, and this new book is for radiotherapy and against mastectomy. "The evidence regarding new treatments for breast cancer has been present for several years but ignored by too...
To the Editor.—
A recent article entitled "Brown Tumor of the Orbit" by Holzer et al (238:1758,1977) was indeed interesting reading. We have observed a similar phenomenon in a 10-year-old boy who had unilateral exophthalmos and whose condition was initially diagnosed elsewhere as a malignant...
An outbreak of hematuria occurred from May 20 to May 23,1975, among employees of a chemical packaging plant. Nine of 22 workers who packaged the insecticide chlordimeform in a separate shed became severely ill with abdominal pain, dysuria, urgency to void, or hematuria. None of 18 persons who...
A patient with systemic lupus erythematosus had chills, fever, and headache on four separate occasions after ibuprofen ingestion. One such episode was accompanied by cerebrospinal fluid findings compatible with meningitis. Drug rechallenge under controlled conditions established the relationship...
DERMATOMYOSITIS and polymyositis are diffuse inflammatory disorders of skeletal muscles that cause weakness of proximal muscle groups. When skin changes occur in addition to muscle involvement, the term "dermatomyositis" is used. Although general reference texts state that the heart can be...
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