Evidence-Based Physical Diagnosis helps you choose the diagnostic approaches that have been proven most effective! Dr. Steven McGee puts the most current evidence at your fingertips, equipping you to easily select the best test for diagnosing a given condition and understand the diagnostic significance and accuracy of your findings.
Quickly review the history, pathogenesis, examination technique, and interpretation of physical findings for all areas of the body thanks to a very reader-friendly outline format, including more than 90 "EBM boxes" and accompanying "EBM ruler" illustrations. Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine. See exactly which studies document the significance of various findings thanks to thousands of up-to-date references. Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions. Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion. Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables. Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis-ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.
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.