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••Fall 2005/Vol. 9, No. 4
A Focus on Innovation and Transfer



Letters to the EditorAbstracts from articles published in other journalsCommentary Clinical articles on the practice of Permanente medicinePoetry, Art, Musings from Permanente cliniciansArticles from a Systems perspective
Physicians in the newsBook Reviews
Kaiser Permanente in the CoOmmunity

 

 

 

 

 

 

 

 

 


Book Reviews




Hanley & Belfus,
Philadelphia 2003
ISBN 1-56053-566-0
$31.95 147 pages

Frequently Overlooked Diagnoses

By Mark A Marinella, MD

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Review by Vincent J Felitti, MD

 

There are not many medical books that make good bedtime reading. This book joins that small list by dealing interestingly and briefly with unusual and captivating diagnoses that we are likely not to think about, therefore not to consider, and hence not to recognize--particularly in acutely ill patients. I found Dr Marinella's Frequently Overlooked Diagnoses reminding me of the enjoyment I previously got out of Bedside Medicine1 by the great Isidore Snapper, or William Symmers' Exotica2 that Michael Bonin, MD, San Diego Medical Center's erudite Chief of Pathology, recommended to me. All are written informally and provide fast and interesting reviews of interesting and unusual medical problems. They take us to a magical world where all problems are purely biomedical, with none of the somatization disorders that add chaos and complexity to everyday practice. Here, everything has a clear history and an understandable explanation. Under these conditions, who wouldn't want to read four pages about nonconvulsive status epilepticus? Who wouldn't want to enjoy reading a few pages about acute renal infarction resembling the passage of a kidney stone?

Included in the 25 chapters are: Acute mesenteric ischemia; Addisonian crisis; aortoenteric fistula; myxedema coma; spontaneous dissection of the carotid artery; tick paralysis; refeeding syndrome; thyroid storm; and carotid sinus hypersensitivity.

This is a highly readable little book that belongs on the nightstand or to be carried for airplane reading. It is refreshing to read.

References

1. Snapper I. Bedside medicine. New York: Grune & Stratton; 1960.
2. Symmers WS. Exotica: a further miscellany of clinical and pathological experiences. New York: Oxford University Press; 1984.



Vincent J Felitti, MD, has been with the Southern California Permanente Medical Group since its opening in San Diego in the late 1960s. E-mail: vjfmdsdca@mac.com.

 

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