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

 
 
 
 
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis (Jama & Archives Journals)
Author: David Simel - Drummond Rennie
ISBN 13: 9780071590303
ISBN 10: 71590307
Edition: 1
Publisher: McGraw-Hill Education / Medical
Publication Date: 2008-09-15
Format: Paperback
Pages: 768
List Price: $86.00
 
 

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

"There is a great deal to like about this book. It is focused on common clinical dilemmas and is well organized, and most chapters are a quick read....The evidence-based examination techniques put forth by Rational Clinical Examination 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

In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series “The 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 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

  • All the expert perspectives on the application of evidence-based medicine principles-with all the authority of the pioneering JAMA series, The Rational Clinical Examination
  • 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

Doody Review Services

Reviewer:Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University of the Health Sciences)
Description: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.
Purpose:The foreword describes what so many of us in medicine have experienced, "But, with time, I realized that many of the so-called pathognomonic symptoms and signs were so merely because someone, often the person whose name was attached to them, had declared they were." Thusly, this unusual and welcome book is here. The work is truly noble, to get past the ghosts of dogma and look at the evidence objectively. The authors and contributors are veritable experts with a cold eye for objectivity. They have produced an important work.
Audience: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.
Features:The format is most interesting, with the original articles presented first, followed by an update re-examining the evidence in light of additional literature. This analysis leads to a recommendation with likelihood ratios to support a diagnosis. For those so inclined, all the statistics are presented in table format for review and references for completeness.
Assessment:This extraordinary, one-of-a-kind book is a valuable addition to every medical library.