Michael B. Jacobs, MD
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To the Editors: Health care costs are rising, hence the increasing emphasis on a more selective use of high-cost technologic and other ancillary testing. To assist physicians with this task, clinical prediction rules have emerged as a somewhat contrived yet potentially useful tool. At the bedrock of these rules lies the physical examination. The performance of this time-honored labor of our profession may, I fear, be rapidly becoming a lost art. This perception is reinforced by the article by Heckerling and colleagues (1), in which reference is made to a sign of pulmonary consolidation as "decreased" breath sounds. To the
Jacobs MB. Clinical Prediction of Pneumonia. Ann Intern Med. ;114:428–429. doi: 10.7326/0003-4819-114-5-428
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Published: Ann Intern Med. 1991;114(5):428-429.
Infectious Disease, Pneumonia, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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