Suzanne W. Fletcher, MD; Robert H. Fletcher, MD
Years ago, like thousands of second-year medical students before and since, we began mastering the mysteries of physical diagnosis. We learned the secrets of heart sounds—the systolic ejection murmur, the diastolic whiff, the rumble at the apex—and how to palpate, percuss, and auscultate the chest for breath sounds, rales, rhonchi, dullness, and egophony. It was heady stuff. We concentrated on the examination of the chest, perhaps because we were taught by internists (most physical diagnosis courses still are), and internists love examining the heart and lungs. Neither of us has any memory of being taught how to examine the breast.
Fletcher SW, Fletcher RH. The Breast Is Close to the Heart. Ann Intern Med. ;117:969–971. doi: 10.7326/0003-4819-117-11-969
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Published: Ann Intern Med. 1992;117(11):969-971.
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