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October 4, 1941

Medical Diagnosis and Symptomatology

JAMA. 1941;117(14):1219. doi:10.1001/jama.1941.02820400077033

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"Medical Diagnosis and Symptomatology," the fifth edition of "Diagnostic Methods and Their Interpretation in Internal Medicine," is characterized by a complete alteration in the format of the text, extensive revisions in content, the addition of much new material including chapters on the vitamins, allergy and geriatrics, and the introduction of numerous new electrocardiograms, roentgenograms, colored plates and photographs. Prominent errors present in the previous edition have in large measure been rectified, but numerous erroneous and careless statements still persist. Thus on page 257 the author defines orthopnea as extremely difficult breathing. Figure 40, a four lead electrocardiogram designed to show right ventricular preponderance, in reality demonstrates a 180 degree axis shift. The statement that in auricular fibrillation "the faster the heart rate the more irregular it becomes" and further "there is always a pulse deficit" is both obscure and misleading (p. 430). On page 737 the author notes that "syringomyelia...

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