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This is the book physicians have been demanding. The question "When to refer?" has become all important in the era of managed health care. To fulfill the trust of the patient in ensuring quality care while doing it cost-effectively is the driving force in health care today. This exceptional book offers the guidelines to follow when determining whether a patient should be referred to a specialist. Designed in a manual format, information can be easily accessed and studied. Information in this book has been provided by specialists expressly for primary care physicians. You can locate what you need quickly. Organized in a symptom-based approach to differential diagnosis, primary headings at the beginning of each chapter lead you directly to the desired topic. Both adult and pediatric issues are addressed, and important material is presented in simple bulleted lists for quick access and easy readability.