Mark R. Goldstein, MD
To the Editor: I read with dismay "The Periodic Physical Examination in Asymptomatic Adults" that appeared in a recent issue (1). I devote two days a week of my internal medicine practice to doing such periodic physical examinations. The day after reading the article, I kept an account of every periodic examination I did—there were nine. I found several abnormalities in organ systems that, according to the article, I was not supposed to examine. They included a hard prostatic nodule in a 45-year-old man, hyperactive deep-tendon reflexes and a tremor in a 30-year-old woman, a 5-cm pulsitile epigastric mass and
Goldstein MR. Physical Examination of Asymptomatic Adults for Screening. Ann Intern Med. 1989;110:743–747. doi: 10.7326/0003-4819-110-9-743
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Published: Ann Intern Med. 1989;110(9):743-747.
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