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July 15, 1922

The Stomach and Abdomen from the Physician's Standpoint.

Author Affiliations

By William Russell, M.D., LL.D., Consulting Physician, Royal Infirmary, Edinburgh. Cloth. Price, $4. Pp. 329, with 35 illustrations. New York: William Wood & Company, 1921.

JAMA. 1922;79(3):236. doi:10.1001/jama.1922.02640030062035

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At a time when many are looking for short cuts to diagnosis and the burden of proof is laid at the door of the clinical or roentgen-ray laboratories, it is refreshing to have brought back to us in a clear manner and in delightful and simple English the real value that is obtained in carefully eliciting a history and as carefully making a physical examination. Dr. Russell believes it to be the duty of the physician, as distinguished from the surgeon, to assume the responsibility of diagnosis. He decries the readiness with which exploratory operations are resorted to, and considers them the bane of differential diagnosis. A rather novel explanation of gastric disturbances is given. All center about gastric chemism. Disordered or pathologic states are divided into two classes, determined by increased or decreased hydrochloric acid secretion. These conditions are considered as clinical entities. Thus, the author speaks of an

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