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The question of what is the trouble with the patient suffering from jaundice is a fairly common one in medical practice. Is the primary lesion in the blood or in the liver or the bile ducts, and if there is obstruction in the bile ducts, is this due to a stone or is it due to a carcinoma around the papilla? Usually an expert in this field of diagnosis can give the answer, and in many cases he can warn the surgeon that he had better not operate since there is little chance of his doing any good and there is a big chance that the shock of the operation will bring the patient's life to a close.
In this book Movitt has gathered together an enormous amount of information relating to jaundice and to what is known today about the diagnosis of the several types of disease. Every internist
Jaundice: Its Pathogenesis and Differential Diagnosis.. Arch Intern Med (Chic). 1948;81(4):602–603. doi:10.1001/archinte.1948.00220220173014