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In Reply.—Dr Seltzer is disappointed not to find earlier reference to the use of this technique; Mellinkoff (N Engl J Med 271:630, 1964) does indeed describe the same technique, which he and his colleagues dubbed the "UCLA Hospital Stethoscope Sign" because no one then knew where the sign had originated or whether information concerning such had been published before.
I thank Dr Seltzer for drawing my attention to this reference, and in my defense I can say that, like Mellinkoff I too did not know where the sign had originated or whether its description had been published before.
MEYEROWITZ BR. Abdominal Palpation by Stethoscope-Reply. Arch Surg. 1977;112(4):538. doi:10.1001/archsurg.1977.01370040190033
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