Rational Clinical Examination: Evidence-Based Clinical Diagnosis

Name: Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Availability: InStock
ISBN: 9780071590303

ISBN-10: 0071590307

ISBN-13: 9780071590303

Edition: 2009

Authors: David L. Simel, Drummond Rennie, Robert Hayward, David L. Simel

List price: $105.00

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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 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all the authority of the pioneering JAMA® Rational Clinical Examination series Packed with updated, new, and previously unpublished information from the original JAMA® articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically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

Book details

List price: $105.00
Copyright year: 2009
Publisher: McGraw-Hill Medical Publishing Division
Publication date: 9/15/2008
Binding: Paperback
Pages: 768
Size: 8.50" wide x 10.80" long x 0.96" tall
Weight: 3.740
Language: English

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