We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |


Beverly P. Wood, MD
Am J Dis Child. 1990;144(9):963-964. doi:10.1001/archpedi.1990.02150330023014.
Text Size: A A A
Published online


As a radiologist, I often feel as though I am sitting in the stands watching parade by me on requisition the fads, trends, idiosyncracies, fears, pet diagnoses, and newest disease entities from the most recent journal issues, all from physicians requesting imaging consultation. Much of the time, these favorite problems emanate from the attending pediatricians and are then mirrored by the pediatric house staff. This is an excellent mechanism for prolongation and propagation of imaging misinformation. Sometimes requests for imaging studies bear a closer relationship to the personality of the physician than they do to the concerns raised in evaluation of the patient. What has become of the physical examination? The usual approach to the patient is an evaluation of the physical condition and a careful history followed by pertinent and carefully chosen diagnostic tests. Physical diagnosis is still taught in medical schools, and the techniques and procedures have not changed substantially in the past quarter century. What has changed is the self-image of the young physician. The "Holmesian" diagnostician is no longer revered by the medical student. This image has drowned in the enormous and compelling volume ofinformation available on a molecular and


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.