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November 16, 1970

Diagnosis of Diseases of the Chest: An Integrated Study Based on the Abnormal Roentgenogram

Author Affiliations

University of Oregon Portland

JAMA. 1970;214(7):1330. doi:10.1001/jama.1970.03180070094028

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At first, the reader is staggered by the immensity of the two volumes, yet the book couples discerning analysis with an unerring faculty for choosing the most logical mechanism or hypothesis. Practitioners of chest medicine have great need for this depth of knowledge, not previously available.

The work provides a diagnostic approach based upon abnormal chest roentgenograms but is not aimed at the radiologist. Rather it is intended for all physicians who face diagnostic chest problems. The authors use the roentgenogram as a starting point, and clearly recognize the unique need to integrate clinical, laboratory, roentgenographic, and pathologic information.

Management of chest disease, in general, consists of antimicrobial chemotherapy, surgical resection, suppression of inflammations, and treatment of acute or chronic ventilatory failure. Chest medicine is unusually preoccupied with pharmacologic witchcraft and unassessed forms of physical and inhalation therapy. The authors adroitly sidestepped all this by writing on diagnosis rather than