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Doody's Review ServiceReviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This book focuses on expanding the differential when pursuing a diagnostic challenge.
Purpose: The purpose is to provide help in arriving at a diagnosis in less than the 10 minutes allotted for an outpatient office visit.
Audience: The audience is clinicians in practice under the time pressure of maximizing office visits.
Features: The book begins with an explanation of the Dx10 Diagnosis in 10 minutes and how this came to be. It makes the assumption that this Dx10 is occurring in the outpatient setting, which I found problematic as many aspects of teaching medical students occur in inpatient settings where there is much more time and resources. The idea that all medicine requires a diagnosis in 10 minutes is discomforting. The book uses the traditional organ system approach, with individual diagnoses listed. Each diagnosis chapter consists of background, pathophysiology, evaluation, diagnosis...but nothing concerning treatments. There are no photos accompanying the red eye chapter or the dermatology section. Finally, the print font is very small.
Assessment: At first, I thought this was a good premise for a book, but ultimately I was left with an uncomfortable feeling that attempting to meet the 10-minute requirement may simply be a bad idea. There may be more emphasis on the 10-minute time constraint than necessary, taking away from the overall focus of the book. Finally, this idea of compacting the aspects that need to be considered to meet the 10-minute visit limit may very well lead to delayed diagnoses, and clinicians need to be anxious about what they are missing.