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May 18, 1984

Endocrine Diagnosis: Clinical and Laboratory Approach

Author Affiliations

Southfield, Mich

JAMA. 1984;251(19):2587. doi:10.1001/jama.1984.03340430079045

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This text is unique in that it emphasizes the "process" of endocrine diagnosis. There are 17 chapters written by 14 contributing authors, arranged in the following format: (1) "Clinical Considerations," (2) "Diagnostic Methods," (3) "Diagnostic Protocol," and (4) "Discussion." Each chapter is followed by a respectable list of current references.

The 31 schematic diagnostic protocols are the most intriguing and controversial aspects of this book. Endocrinologists are argumentative by nature, and it is difficult to get any two to agree on how to evaluate any particular condition. In addition, technology advances so rapidly that what might be considered a proper protocol this year may soon be considered outdated. Finally, the proper protocol must be influenced by the talent available in a particular locality. Not surprisingly then, this endocrinologist found fault with some of the diagnostic protocols.

Because I am especially interested in thyroidology, I eagerly turned to that chapter and