Evidence-Based Physical Diagnosis is a one-of-a-kind guide to the clinical significance of the physical examination, with emphasis on a critical review of the accuracy of traditional physical signs. Unique "Diagnostic Accuracy" tables compare physical signs to contemporary diagnostic tools (such as clinical imaging and laboratory testing), and identify which traditional findings are accurate and thus relevant to today's clinicians. The book's easy-to-use outline format concisely summarizes each physical sign's historical origin, definition, pathophysiology, and clinical significance. In addition, more than 2,200 references make it a valuable aid and authoritative reference for clinicians at all levels of practice.
As a practicing clinical physician myself, I found this to be very helpful; the diagnostic value of physical examination findings are quantified into likelihood ratios; which not incidentally is exactly what clinicians intuitively do in a Bayesian approach in establishing a clinical diagnosis.
While I do not have the sheer amount of clinical hours to employ these exams, nor the professional responsibility to exam and diagnose my loved ones, I relished this book and its statistics-supported crackpot attitude towards the physical exam. Will this replace the point of care ultrasound for the tendon injury or CT angiography for the abdominal aortic dissection? Of course not, but there is an undeniable allure to studying the physical exam, like that of a master woodworker who refines the techniques of prior generations with modern sensibilities, bridging the past and future.
Let me just be clear: best book for revisions (apart from UpToDate) when you need something in your internship. Also I am counting this one because I am studying so much and I need to put my academics books in my goal because I will not complete it otherwise hahahahah
big-time starred review from nishant. he uses this on teaching rounds all the time. gives data on what a piece of physical diagnostics actually means in terms of predicting disease/outcome. i should def buy this for residency.