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This multiauthored work describes an approach to the differential diagnosis of 71 clinical problems or symptoms encountered in a primary care practice. An earlier volume, Difficult Diagnosis (Philadelphia: W.B. Saunders, 1985), presented an entirely different set of clinical problems. Some of the problems covered in Difficult Diagnosis 2 are extremely common (chronic abdominal pain, dysuria, fatigue, and insomnia), whereas others are uncommon (amnesia and interstitial pulmonary disease). For each clinical problem the authors seek to provide a comprehensive review of the most likely causes as well as the "zebras." The history, physical examination, and laboratory tests pertinent to each problem
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