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On Diagnosis: A Systemic Approach.

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By Glenn Michael L.. . 220 pages. Brunner/Mazell; , New York: , 1984.. $20.00.

Ann Intern Med. 1985;102(4):568. doi:10.7326/0003-4819-102-4-568_2
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A patient has a broken leg, or enters the physician's office with dysuria and pyuria. Diagnosis and therapy are generally straightforward. But what is the diagnosis in the patient whose debilitating back pain has defied etiologic clarification for years, or in the anxious patient who, upon being pronounced organically well, is paradoxically angry and denies being healthy. Dr. Glenn, a family physician familiar with medical sociology and systems theory, examines these frequent and perplexing cases hoping to make the reader "a bit more hesitant and uncertain about traditional notions of diagnosis. . . ."

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