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Pain in the Chest.

Thomas E. Layman, MD
Arch Intern Med. 1967;120(2):257. doi:10.1001/archinte.1967.00300020129029.
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Frequently, I believe, topics in medicine are not written about because the subject is "common knowledge." Chest pain is an example. It is so frequently encountered that most of us have learned our differential diagnoses from experience rather than from a book.

Dr. Wehrmacher has put together a worthy compendium covering the topic of chest pain. It will allow many of us to expand knowledge derived from experience by offering many more diagnostic possibilities. The book is well written; grammar is correct, and factual information is well documented by a bibliography after each topic.

Organization of material is good; it begins with the patient's complaint, proceeds to physical examination, and moves to laboratory procedures. Then the differential diagnosis begins. Dr. Wehrmacher has chosen to start at the surface and work inward. The first chapter deals with the thorax; the author discusses in sequence, subcutaneous tissue, spine and nervous system, ribs,


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