**Selected for Doody’s Core Titles® 2024 in Family Medicine**
Evidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical problems, and forecast patient outcomes. Evidence-Based Physical Diagnosis, 5th Edition, is an up-to-date, authoritative resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Incorporating more than 200 new studies, this definitive text helps you glean the most from what you hear, see, and feel at the bedside―information that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and moneyFeatures a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrationsContains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many moreBegins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessonsFeatures a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratiosEnhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
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.