Physician integrity and managed care: comment on the commentary by Anderson.
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Biomedical subjects
Publications and source records attributed to J L Udell.
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The case presented is a rare example of subcutaneous emphysema isolated to an extremity. This is a benign condition and should not be confused with necrotizing gas-producing infections. In most cases, the condition rapidly resolves without treatment, usually in less than 48 hr. In rare cases where the mechanical process causing the subcutaneous emphysema persists, interruption of this process is required.
Patients who are diagnosed as having AIDS or as having a positive HIV test have created a dilemma for treating physicians. A physician's duty of confidentiality to the patients is in direct conflict with the duty to warn spouses and other contact persons. This article examines the conflict that physicians now face.
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