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Article
February 7, 1931

A SIMPLE TEST TO DIFFERENTIATE BETWEEN OBSTRUCTIVE AND OTHER TYPES OF JAUNDICE

JAMA. 1931;96(6):459-460. doi:10.1001/jama.1931.02720320059025

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Abstract

To the Editor:  —Dr. Loewy's criticism of my recent paper on jaundice is valid criticism—if the galactose tolerance test of liver function is as good as Dr. Loewy thinks it is. My estimate of the galactose test for liver function, as shown by not mentioning it, is shared by most writers of textbooks in this country dealing with the clinical aspects of jaundice. I may mention that Osler's Modern Medicine, 1926, describes seven tests but not galactose; the Oxford System (Rolleston's Treatment of the Subject) does not mention it; Blumer's Bedside Diagnosis describes eight tests but not galactose; Oxford Monographs on Diagnosis and Treatment lists twenty-five tests, among them galactose, but makes no comment on its use or estimate of its value. In current literature of this country, the galactose test has been discussed but generally discarded. Snell, Greene and Rowntree (Arch. Int. Med.36:273 [Aug.] 1925), after a

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