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Article
September 26, 1885

SOME ERRORS IN PHYSICAL DIAGNOSIS.

Author Affiliations

OF ST. LOUIS.

JAMA. 1885;V(13):345-347. doi:10.1001/jama.1885.02391120009001b
Abstract

In this Association clinical facts are most in demand, and you are physicians in active practice with probably little time or inclination for the discussion of theories. I have, therefore, thought best that I should narrate brietly the history of a few cases in which errors have been made by myself and others in the early diagnosis. These have been selected not because of their rarity or because gross carelessness was exhibited in the examination, but rather because in each unusual conditions existed. In each was a hidden snag in the channel of investigation. May the record of them, and whatever of discussion may follow, make plainer sailing for all of us.

The first case is one in which the diagnosis at the initial examination was hæmoptysis. Mr. M., æt. 27, of slight figure but in fairly good general health, consulted me two years ago, after having had slight hæmorrhage,

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