On any day in the life of primary care, we are often
faced with the undiagnosed or undifferentiated
patient. We must draw on our experience, knowl-
edge, and hunches. We begin sorting: the common
from the rare, the self-limited from the deadly, and
the depression- or anxiety-related symptoms from
organic diseases. We need to consider the patient
within the context of community, occupation, and
family. We hope to balance our efforts with consider-
ations of costs, effectiveness, and the patient s con-
cerns. Patients need our full attention, yet time is
often limited. Indeed, the Family Practice physician
is a specialist: formulating plans, managing care, and
considering the critical questions of referral (no, yes,
when, why, and to whom).
In this handy volume, the authors challenge
the reader to "see" patients with their relevant
diagnostic studies. The photographic reproductions
are excellent, giving us a view of both common and
rare clinical presentations. Here the reader has the
luxury of enjoying the intellectual stimulation of
the patient evaluation without the time pressures
of the work setting. Likewise, here is the chance to
learn (and make mistakes) at no risk.
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