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August 1973

Exercises in Diagnostic Radiology, vol 4: The Total Patient.

Arch Surg. 1973;107(2):351. doi:10.1001/archsurg.1973.01350200211049

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In vast segments of hospital medicine the management of "the total patient" involves the intelligent sequencing of radiologic examinations and the utilization of logical reasoning and inference to direct diagnostic evaluation and ultimately therapeutic management. This is true whether one deals with disease involving the lungs, the gastrointestinal tract, the genitourinary tract, the cardiovascular system, or the central nervous system. Because of the central role that radiology plays in the diagnostic process, the radiology clerkship often turns out to be a learning experience of unexpected breadth for the medical student—a chance to understand more fully the principles of medical diagnosis, the relationship of the history, physical examination and laboratory findings to radiologic data, and the method by which evidence is weighed in medicine.

Dr. Squire and her colleagues have employed a varied group of illustrative cases to direct the student through the maze of differential diagnosis—with emphasis on the utility

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