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April 2, 1955

Clinical Approach to Jaundice

JAMA. 1955;157(14):1261. doi:10.1001/jama.1955.02950310087022

In this small monograph the author has attempted to clarify the diagnostic information that the clinician may gather during the study of a patient with jaundice. He has divided the book into four sections, each representing a different method of approach to this difficult problem: (1) clinical examination; (2) laboratory tests; (3) roentgen examination; and (4) needle biopsy of the liver. He points out that the history and physical examination alone provide the diagnosis in 60 to 70% of patients with jaundice, and the author draws heavily on his own clinical observations. He also discusses certain features in the history and physical examination that have been stressed by other authorities in the field. The section on laboratory tests is nontechnical, and the author points out many of the pitfalls in the interpretation of some of the currently used liver function tests. He discusses only the tests that are used in

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