The Rational Clinical Examination: Evidence-Based Clinical Diagnosis (Jama & Archives Journals)

**The ultimate guide to the evidence-based clinical encounter** "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."—__Annals of Internal Medicine__ "The evidence-based examination techniques put forth by __Rational Clinical Examination__ is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."—__Baylor University Medical Center...__ The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine 1. Primer On The Precision And Accuracy Of The Clinical Examination -- 2. Does This Patient Have Abdominal Aortic Aneurysm? -- 3. Is Listening For Abdominal Bruits Useful In The Evaluation Of Hypertension? -- 4. Does This Patient Have An Alcohol Problem? -- 5. Does This Adult Patient Have Appendicitis? -- 6. Does This Patient Have Ascites? -- 7. What Can The Medical History And Physical Examination Tell Us About Low Back Pain? -- 8. Does This Patient Have Breast Cancer? -- 9. Does This Patient Have A Clinically Important Carotid Bruit? -- 10. Does This Patient Have Carpal Tunnel Syndrome? -- 11. Does This Patient Have Abnormal Central Venous Pressure? -- 12. Does This Patient Have Acute Cholecystitis? -- 13. Does The Clinical Examination Predict Airflow Limitation? -- 14. Does This Patient Have Clubbing? -- 15. Is This Patient Taking The Treatment As Prescribed? -- 16(a). Can The Clinical Examination Diagnose Left-sided Heart Failure In Adults? --^ 16(b). Does This Dyspenic Patient In The Emergency Department Have Congestive Heart Failure? -- 17. Is This Patient Dead, Vegetative, Or Severely Neorologically Impaired? Assessing Outcome For Comatose Survivors Of Cardiac Arrest -- 18(a). Does This Patient Have Deep Vein Thrombosis? (1998) -- 18(b). Does This Patient Have Deep Vein Thrombosis? (2006) -- 19. Is This Patient Clinically Depressed? -- 20. Does This Patient Have A Family History Of Cancer? -- 21. Does This Patient Have A Goiter? -- 22. Does This Patient Have Hepatomegaly? -- 23. Does This Patient Have Hypertension? -- 24. Is This Adult Patient Hypovolemic? -- 25. Is This Child Dehydrated? -- 26. Does This Patient Have Influenza? -- 27. Does This Patient Have A Torn Meniscus Or Ligament Of The Knee? -- 28. Is This Adult Patient Malnourished? -- 29. Does This Patient Have A Mole Or A Melanoma? -- 30. Does This Adult Patient Have Acute Meningitis? --31. Is This Woman Perimenopausal? --^ 32. Does This Patient Have Aortic Regurgitation? -- 33. Does This Patient Have An Abnormal Systolic Murmur? -- 34. Does This Patient Have Myasthenia Gravis? -- 35. Is This Patient Having A Myocardial Infarction? -- 36. Does This Woman Have Osteoporosis? -- 37. Does This Child Have Acute Otitis Media? -- 38. Does This Patient Have Parkinson Disease? -- 39. Is This Patient Allergic To Penicillin? -- 40. Does This Adult Patient Have Community-acquired Pneumonia? -- 41. Does This Infant Have Pneumonia? -- 42. Is This Patient Pregnant? -- 43. Does This Patient Have Pulmonary Embolism? -- 44. Does This Patient Have An Instability Of The Shoulder Or A Labrum Lesion? -- 45. Does This Patient Have Sinusitis? -- 46. Does This Patient Have Splenomegaly? -- 47. Does This Patient Have Strep Throat? -- 48. Is This Patient Having A Stroke? -- 49. Does This Patient Have Temporal Arteritis? -- 50. Does This Patient Have An Acute Thoracic Aortic Dissection? --^ 51. Does This Woman Have An Acute Uncomplicated Urinary Tract Infection? -- 52. What Is Causing This Patient's Vaginal Symptoms? -- 53. Does This Dizzy Patient Have A Serious Form Of Vertigo? Editors, David L. Simel, Drummond Rennie, Sheri A. Keitz. Includes Bibliographical References And Index. Publisher's Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The ultimate guide to the evidence-based clinical encounter A Doody's Core Title for 2015! "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."-- Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."-- Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."-- Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series, this book was created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence, the RCE series was an instant hit. Now for the very first time in book form, completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies "Trainees and experienced clinicians alike will find The Rational Clinical Examination to be the perfect supplement to standard physical examination textbooks. You will learn the best questions to ask patients, which physical examination findings have the most clinical significance, and how to put the information to quantitative use."--Résumé de l'éditeur