, DIFFERENTIAL
DIAGNOSIS
OF COMMON
COMPLAINTS
Sixth Edition
ROBERT H. SELLER, MD
Emeritus Professor of Family Medicine and Medicine
Former Chairman, Department of Family Medicine
State University of New York at Buffalo
School of Medicine and Biomedical Science
Buffalo, New York
ANDREW B. SYMONS, MD, MS
Assistant Professor and Vice Chair for Medical Student Education
Department of Family Medicine
Course Director, Clinical Practice of Medicine
State University of New York at Buffalo
Medical Staff, Mercy Hospital of Buffalo
Buffalo, New York
Medical Staff, Millard Fillmore Suburban Hospital Williamsville,
New York
,1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
DIFFERENTIAL DIAGNOSIS OF COMMON COMPLAINTS ISBN: 978-1-4557-0772-0
Copyright © 2012, 2007, 2000, 1996, 1993, 1986 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without
permission in writing from the publisher.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording, or any information storage and retrieval system, without permission in writing
from the publisher. Details on how to seek permission, further information about the Publisher’s permissions
policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Previous editions copyrighted 2007, 2000, 1996, 1993, 1986
Library of Congress Cataloging-in-Publication Data
Seller, Robert H., 1931-
Differential diagnosis of common complaints.—6th ed. / Robert H. Seller, Andrew B. Symons. p. ;
cm.
Includes bibliographical references and index.
ISBN 978-1-4557-0772-0 (pbk. : alk. paper) 1. Diagnosis, Differential. I. Symons, Andrew B. II. Title. [DNLM:
1. Diagnosis, Differential. WB 141.5]
RC71.5.S45 2013 616.07’5—dc23 2011022111
Acquisitions Editor: James Merritt
Developmental Editor: Barbara Cicalese
Publishing Services Manager: Anne Altepeter
, Project Manager: Deepthi Unni, Louise King
Designer: Steven Stave
Printed in China
Last digit is the print number 9 8 7 6 5 4 3 2 1
To my sons,
Michael, Adam, and Stuart
RHS
To my wife, Einav, who supports me in
all my endeavors
ABS
DIAGNOSIS
OF COMMON
COMPLAINTS
Sixth Edition
ROBERT H. SELLER, MD
Emeritus Professor of Family Medicine and Medicine
Former Chairman, Department of Family Medicine
State University of New York at Buffalo
School of Medicine and Biomedical Science
Buffalo, New York
ANDREW B. SYMONS, MD, MS
Assistant Professor and Vice Chair for Medical Student Education
Department of Family Medicine
Course Director, Clinical Practice of Medicine
State University of New York at Buffalo
Medical Staff, Mercy Hospital of Buffalo
Buffalo, New York
Medical Staff, Millard Fillmore Suburban Hospital Williamsville,
New York
,1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
DIFFERENTIAL DIAGNOSIS OF COMMON COMPLAINTS ISBN: 978-1-4557-0772-0
Copyright © 2012, 2007, 2000, 1996, 1993, 1986 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without
permission in writing from the publisher.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording, or any information storage and retrieval system, without permission in writing
from the publisher. Details on how to seek permission, further information about the Publisher’s permissions
policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Previous editions copyrighted 2007, 2000, 1996, 1993, 1986
Library of Congress Cataloging-in-Publication Data
Seller, Robert H., 1931-
Differential diagnosis of common complaints.—6th ed. / Robert H. Seller, Andrew B. Symons. p. ;
cm.
Includes bibliographical references and index.
ISBN 978-1-4557-0772-0 (pbk. : alk. paper) 1. Diagnosis, Differential. I. Symons, Andrew B. II. Title. [DNLM:
1. Diagnosis, Differential. WB 141.5]
RC71.5.S45 2013 616.07’5—dc23 2011022111
Acquisitions Editor: James Merritt
Developmental Editor: Barbara Cicalese
Publishing Services Manager: Anne Altepeter
, Project Manager: Deepthi Unni, Louise King
Designer: Steven Stave
Printed in China
Last digit is the print number 9 8 7 6 5 4 3 2 1
To my sons,
Michael, Adam, and Stuart
RHS
To my wife, Einav, who supports me in
all my endeavors
ABS
