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FROM OUT OF THE WEST

FROM OUT OF THE WEST Abstract Clinicians report that the emphasis in taking the medical history of a patient has been undergoing a subtle, but nevertheless decided, shift over the past few years. Whereas the major effort used to go into eliciting a description of signs and symptoms, a good portion of the history now consists of identifying which drugs—both prescription and over-the-counter—the patient is taking. Several factors have combined to create this situation. With 7,000 drugs now available and with from 50 to 100 new drugs coming onto the market each year, it is unrealistic to expect the physician to be familiar with the effects of more than a small proportion. Further, populations are mobile and patients change physicians frequently. It is also a fact that many drugs produce symptoms characteristic of disease, and the search for iatrogenic illness has thus become an important part of every examination. Finally, patients are frequently cared for simultaneously References 1. Identification Guide for Solid Dosage Forms , JAMA 182:1145-1302 ( (Dec 22) ) 1962.Crossref 2. To Label or Not to Label, COUNCIL ON DRUGS , JAMA 194:1311 ( (Dec 20) ) 1965.Crossref 3. Identi-Code™ Index (formula identification code, Lilly), Eli Lilly & Co., June 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

FROM OUT OF THE WEST

JAMA , Volume 199 (9) – Feb 27, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1967.03120090104025
Publisher site
See Article on Publisher Site

Abstract

Abstract Clinicians report that the emphasis in taking the medical history of a patient has been undergoing a subtle, but nevertheless decided, shift over the past few years. Whereas the major effort used to go into eliciting a description of signs and symptoms, a good portion of the history now consists of identifying which drugs—both prescription and over-the-counter—the patient is taking. Several factors have combined to create this situation. With 7,000 drugs now available and with from 50 to 100 new drugs coming onto the market each year, it is unrealistic to expect the physician to be familiar with the effects of more than a small proportion. Further, populations are mobile and patients change physicians frequently. It is also a fact that many drugs produce symptoms characteristic of disease, and the search for iatrogenic illness has thus become an important part of every examination. Finally, patients are frequently cared for simultaneously References 1. Identification Guide for Solid Dosage Forms , JAMA 182:1145-1302 ( (Dec 22) ) 1962.Crossref 2. To Label or Not to Label, COUNCIL ON DRUGS , JAMA 194:1311 ( (Dec 20) ) 1965.Crossref 3. Identi-Code™ Index (formula identification code, Lilly), Eli Lilly & Co., June 1966.

Journal

JAMAAmerican Medical Association

Published: Feb 27, 1967

References