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Article
November 4, 1911

THE RELATIVE VALUE OF PHYSICAL AND FUNCTIONAL SIGNS IN THE MANAGEMENT OF FAILING CIRCULATION

Author Affiliations

SAN FRANCISCO

JAMA. 1911;LVII(19):1509-1512. doi:10.1001/jama.1911.04260110009004
Abstract

The impetus given to the study of pathologic anatomy by the discoveries and theories of Virchow and his pupils influenced clinical medicine so greatly that from that time most of our efforts have been directed toward arriving at a clear diagnosis of the anatomic changes wrought by disease.

Our clinical examination attempts to determine the changes in size and configuration of organs, and by correlating these data with the facts revealed in the history of the patient, we try to arrive at an anatomically correct diagnosis.

Such a conception of our diagnostic aim, and the accompanying neglect of the problems of functional disturbance, could lead only to the therapeutic nihilism which we know followed the triumph of pathologic anatomy. It was seen than that these structural changes could not be cleared away by treatment, except in the few cases in which our remedy deals directly with the cause of the

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