[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
October 8, 2003

Patients With Viral Infections Who Demand Antibiotics

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;290(14):1851-1853. doi:10.1001/jama.290.14.1851-a

In Reply: Dr Caplan argues that imaging is necessary to arrive at a meaningful level of reassurance that there is no other underlying pathology. However, in the setting of regional back pain, imaging, even MRI is so low in yield as to render it superfluous.1 Unless there is a clue from history or physical examination that something other than a regional disorder is present before imaging, all one is likely to discern is nonspecific pathology that correlates only with the age of the patient and leads to no specific therapy. The role of the physician is to artfully generate some assurance that there is no such clue.

First Page Preview View Large
First page PDF preview
First page PDF preview