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  Vol. 263 No. 12, March 23, 1990 TABLE OF CONTENTS
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History and Examination Should Precede Tests

Michael Rosenberg, MD
Northwestern University Medical Center Chicago, Ill

JAMA. 1990;263(12):1632.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Dr Kolder,1 in his discussion of a patient who suffered loss of vision following cataract surgery, correctly indicates the unlikelihood of the proffered diagnosis of multiple evanescent white dot syndrome. He also briefly lists a potpourri of entities that may have resulted in visual loss following a surgical procedure. If Dr Kolder had been less kind, he might have pointed out that a markedly restricted peripheral vision in,an eye with permanent loss of central vision is not compatible with the physical findings as given, specifically, a normal optic disc and a "dissipated" swollen retina. He also might have pointed out that a brain scan, electroretinogram, and fluorescein angiogram would have little likelihood of showing an abnormality that was not suspected on the basis of a careful ophthalmologic examination.

It seems to me that this problem is another illustration of how readily physicians discard the use . . . [Full Text PDF of this Article]



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