TY  - JOUR
T1  - HOlmesian observation without deduction
AU  - Nusynowitz ML
Y1  - 1969/09/29
N1  - 10.1001/jama.1969.03160260060023
JO  - JAMA
SP  - 2056
EP  - 2057
VL  - 209
IS  - 13
N2  - To the Editor:— 
    At the risk of sustaining a compound fracture of the radius and ulna from patting myself on the back, I would like to relate an incident which points out that despite the sophistication of modern medical equipment, the eyeball, properly used, remains an excellent diagnostic tool.A 40-year-old drug company detail man presented at the Endocrine-Radioisotope Clinic, William Beaumont General Hospital, to expound on the virtues of his wares. One good look and a handshake led to the inescapable conclusion that the gentleman was suffering from acromegaly; subsequent laboratory and radiologic studies confirmed the diagnosis. Questioning revealed that he had difficulty with his bite because he thought the lower teeth were moving forward and that his hands and feet had been enlarging over the years.From the duration of symptoms and a review of old photographs it was determined that the (now) patient had had the disease
SN  - 0098-7484
M3  - doi: 10.1001/jama.1969.03160260060023
UR  - http://dx.doi.org/10.1001/jama.1969.03160260060023
ER  -