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November 1965

The Early Signs of Illness.

Arch Intern Med. 1965;116(5):806. doi:10.1001/archinte.1965.03870050160045

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This little book was written by a clinician who has been fascinated by the challenges of family practice in Britain. The 12 chapters are brief and are written in the spirit and tradition of Sir James Mackenzie. Each of the 129 case reports is set down in narrative and simple wording which emphasizes the point made. The author also comments from time to time on the incidence of cases as they occur in his type of practice, eg, one new case of depression a week, one new case of carcinoma of the lung a year, a new case of carcinoma of the stomach or breast once in 18 months, and a new case of carcinoma of the cervix, brain, or thyroid once each in four years. He points out that dementia occurring in a previously stable personality is always organic. Pain is always present in the acute abdomen. Appendicitis in

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