A Rash Decision
Authors: Daniel G. Federman, Robert S. Kirsner
Journal: Annals of Internal Medicine (2003)

Letters18 November 2003A Rash DecisionDaniel G. Federman, MD and Robert S. Kirsner, MDDaniel G. Federman, MDFrom Veterans Affairs Connecticut Health Care System and Yale University; West Haven, CT 06516.From Miami Veterans Affairs Medical Center and University of Miami; Miami, FL 33125.Search for more papers by this author and Robert S. Kirsner, MDFrom Veterans Affairs Connecticut Health Care System and Yale University; West Haven, CT 06516.From Miami Veterans Affairs Medical Center and University of Miami; Miami, FL 33125.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-10-200311180-00028 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:It was with great interest and pleasure that we read A Rash Decision by Georganna Davis (1), an essay we think was intended to convey the angst and insecurity of the author, a medical student, when evaluating a puzzling patient early in her career and making a diagnosis not shared by her venerated mentor. Although we were able to appreciate and relate to the emotions she evoked, we were left with what we feel was an unintended message. Although the patient seemed to have a very severe tinea infection, the experienced physician preceptor was either too busy ...References1. Davis G. A rash decision. Ann Intern Med. 2003;138:71-2. [PMID: 12513049] LinkGoogle Scholar2. Federman DG, Concato J, Kirsner RS. Comparison of dermatologic diagnoses by primary care practitioners and dermatologists. A review of the literature. Arch Fam Med. 1999;8:170-2. [PMID: 10101989] CrossrefMedlineGoogle Scholar3. Federman DG, Kirsner RS. The primary care physician and the treatment of patients with skin disorders. Dermatol Clin. 2000;18:215-21. [PMID: 10791147] CrossrefMedlineGoogle Scholar4. Schappert SM. National Ambulatory Medical Care Survey: 1990 Summary. Advance Data from Vital and Health Statistics, No. 213. Hyattsville, MD: National Center for Health Statistics; 1992. Google Scholar5. Stern RS, Nelson C. The diminishing role of the dermatologist in the office-based care of cutaneous diseases. J Am Acad Dermatol. 1993;29:773-7. [PMID: 8227550] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Veterans Affairs Connecticut Health Care System and Yale University; West Haven, CT 06516.From Miami Veterans Affairs Medical Center and University of Miami; Miami, FL 33125. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Rash Decision Georganna Davis Metrics Cited ByFerritin and Transferrin Are Both Predictive of the Onset of Hyperglycemia in Men and Women Over 3 Years: The Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) study 18 November 2003Volume 139, Issue 10Page: 869KeywordsCandidaCardiovascular diseasesDecision makingEmotionsFearOutpatientsPotassiumPrimary care physiciansRashesSkin diseases ePublished: 18 November 2003 Issue Published: 18 November 2003 CopyrightCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...