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Rational Clinical Examination Evidence-Based Clinical Diagnosis

ISBN-10: 0071590307
ISBN-13: 9780071590303
Edition: 2009
List price: $86.00 Buy it from $58.50
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Description: The ultimate guide to the evidence-based clinical encounter In the tradition of the famousUser's Guides to the Medical Literature, The JAMA® series “Rational Clinical Examination” was created to bring the principles of evidence-based medicine to  More...

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Book details

List price: $86.00
Copyright year: 2009
Publisher: McGraw-Hill Education
Publication date: 9/15/2008
Binding: Paperback
Pages: 768
Size: 8.50" wide x 10.75" long x 1.25" tall
Weight: 4.048
Language: English

The ultimate guide to the evidence-based clinical encounter In the tradition of the famousUser's Guides to the Medical Literature, The JAMA® series “Rational Clinical Examination” 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. 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 ofThe Rational Clinical Examinationis 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 All the expert perspectives on the application of evidence-based medicine principles-with all the authority of the pioneering JAMA® Rational Clinical Examination series Packed with updated, new, and previously unpublished information from the original JAMA® articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically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 Not-to-be-missed coverage of the principles of evidence-based medicine and physical diagnosis, with the concepts of specificity and sensitivity applied to the patient encounter Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine See also:DeGowin's Diagnostic Examination, 8th Edition(0-07-140923-8), a great “next-step” book after the basic PE textbooks

Gordon Guyatt, MD, Deputy Editor, JAMA; Professor of Medicine, McMaster University, Hamilton, Ontario, Canada. Drummond Rennie, MD, Professor of Medicine, UCSF School of Medicine, San Francisco, CA Maureen Meade, MD, Department of Medicine, McMaster University, Hamilton, Ontario, Canada. Deborah Cook, MD, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.

Contributors
Foreword
Preface
Acknowledgments
A Primer on the Precision and Accuracy of the Clinical Examination
UPDATE: Primer on Precision and Accuracy
Does This Patient Have Abdominal Aortic Aneurysm?
UPDATE: Abdominal Aortic Aneurysm
Does This Patient Have Abdominal Bruits Useful in the Evaluation of Hypertension?
UPDATE: Abdominal Bruits
Does This Patient Have an Alcohol Problem?
UPDATE: Problem Alcohol Drinking
Does This Adult Patient Have Appendicitis?
UPDATE: Appendicitis, Adult
Does This Patient Have Ascites?
UPDATE: Ascites
What Can the Medical History and Physical Examination Tell Us About LowBack Pain?
UPDATE: Low Back Pain
Does This Patient Have Breast Cancer?
UPDATE: Breast Cancer
Does This Patient Have a Clinically Important Carotid Bruit?
UPDATE: Carotid Bruit
Does This Patient Have Carpal Tunnel Syndrome?
UPDATE: Carpal Tunnel
Does This Patient Have Abnormal Central Venous Pressure?
UPDATE: Central Venous Pressure
Does This Patient Have Acute Cholecystitis?
UPDATE: Cholecystitis
Does the Clinical Examination Predict Airflow Limitation?
UPDATE: Chronic Obstructive Airways Disease
Does This Patient Have Clubbing?
UPDATE: Clubbing
Is This Patient Taking the Treatment as Prescribed?
UPDATE: Compliance and Medication Adherence
Can the Clinical Examination Diagnose Left-Sided Heart Failure in Adults?
Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure?
UPDATE: Congestive Heart Failure
Is This Patient Dead, Vegetative, or Severely Neurologically Impaired? Assessing Outcome for Comatose Survivors of Cardiac Arrest
UPDATE: Death
Does This Patient Have Deep Vein Thrombosis? (1998)
Does This Patient Have Deep Vein Thrombosis? (2006)
UPDATE: Deep Vein Thrombosis
Is This Patient Clinically Depressed?
UPDATE: Depression
Does This Patient Have a Family History of Cancer?
UPDATE: Family History of Cancer
Does This Patient Have a Goiter?
UPDATE: Goiter
Does This Patient Have Hepatomegaly?
UPDATE: Hepatomegaly
Does This Patient Have Hypertension?
UPDATE: Hypertension
Is This Adult Patient Hypovolemic?
UPDATE: Hypovolemia, Adult
Is This Child Dehydrated?
UPDATE: Hypopvolemia, Child
Does This Patient Have Influenza?
UPDATE: Influenza
Does This Patient Have a Torn Meniscus or Ligament of the Knee?
UPDATE: Knee Ligaments and Menisci
Is This Adult Patient Malnourished?
UPDATE: Malnourishment, Adult
Does This Patient Have a Mole or a Melanoma?
UPDATE: Melanoma
Does This Adult Patient Have Acute Meningitis?
UPDATE: Meningitis, Adult
Is This Woman Perimenopoausal?
UPDATE: Menopause
Does This Patient Have Aortic Regurgitation?
UPDATE: Murmur, Diastolic
Does This Patient Have an Abnormal Systolic Murmur?
UPDATE: Murmur, Systolic
Does This Patient Have Myasthenia Gravis?
UPDATE: Myasthenia Gravis
Is This Patient Having a Myocardial Infarction?
UPDATE: Myocardial Infarction
Does This Woman Have Osteoporosis?
UPDATE: Osteoporosis
Does This Child Have Acute Otitis Media?
UPDATE: Otitis Media, Child
Does This Patient Have Parkinson Disease?
UPDATE: Parkinsonism
Is This Patient Allergic to Penicillin?
UPDATE: Penicillin Allergy
Does This Adult Patient Have Community-Acquired Pneumonia?
UPDATE: Community-Acquired Pneumonia, Adult
Does This Infant Have Pneumonia?
UPDATE: Pneumonia, Infant and Child
Is This Patient Pregnant?
UPDATE: Early Pregnancy
Does This Patient Have Pulmonary Embolism?
UPDATE: Pulmonary Embolism
Does This Patient Have an Instability of the Shoulder or a Labrum Lesion?
UPDATE: Shoulder Instability
Does This Patient Have Sinusitis?
UPDATE: Sinusitis
Does This Patient Have Splenomegaly?
UPDATE: Splenomegaly
Does This Patient Have Strep Throat?
UPDATE: Streptococcal Pharyngitis
Is This Patient Having a Stroke?
UPDATE: Stroke
Does This Patient Have Temporal Arteritis?
UPDATE: Temporal Arteritis
Does This Patient Have an Acute Thoracic Aortic Dissection?
UPDATE: Thoracic Aortic Dissection
Does This Woman Have an Acute Uncomplicated Urinary Tract Infection?
UPDATE: Urinary Tract Infection, Women
What is Causing This Patient's Vaginal Symptoms?
UPDATE: Vaginitis
Does This Dizzy Patient Have a Serious Form of Vertigo?
UPDATE: Vertigo
Index

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