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

It's not dense material but they are good articles. You pretty much get one tip from every article. I could probably condense what I learned it two pages but they give all of the evidence behind it.

Good quality collection of the JAMA evidence guideline on the appraisal of medical literature.

This book is quite useful - it's as described. It gives the evidence for diagnosing based on physical exam. You don't waste your time on things that don't actually tell you anything, but you do know what's useful.

Very helpful. I recommend for anyone wanting to do good histories and physical examinations.Well written and thorough. That is all

This gives study results about what exam findings actually represent disease and which are a waste of time. Great for a documentation review as well.

its good evidence compiled together - i must have for anyone that strives to have some in-depth knowledge and understanding

I recently was given a copy of this book. I think it will make a great resource for clerkship. It contains evidence-based info on examining for common conditions like appendicitis, ascites, COPD, PE, knee injury etc. One of my friends who is a resident told me it would make me look like an all-star. Looks to be especially useful for internal/CTU rotations.

I've taught physical diagnosis to med students, as well as other trainees at various levels, for almost 50 years. I thought I might want to brush up on some of the newer concepts, in which physical diagnosis findings are interpreted in a manner analogous to lab results, with such terms as sensitivity (how good a test is at picking up a disease in those who have it) and specificity (how good a test is at not "falsely accusing" the healthy. This book is exhaustive in its mathematical analyses and references, but you lose the forest for the trees. I'm sure it serves a purpose, but alas, not for me.

For all the 21st century advances in high-tech medical diagnosis, the initial clinical examination remains the key to good medical practice. It is also relatively inexpensive, and free from adverse effects, if it is done well. Like all medical activities it should be logical and evidence-based. This book is a very worthy attempt at defining this aim; I would love to see it updated and extended in a future edition.

過去にJAMAに掲載された総説に対して、最近の知見が補足として追加されている。うっ血性心不全に、3音の存在，頚静脈の拡張、ラ音の聴取などが診断に役立つと知っていても、各々がどの程度役立つかを知っている人は少ないであろう。本書によれば陽性尤度比が各々11、5.1，2.8と書かれている。およそ臨床場面で問題となるほとんどの疾患/所見が網羅されており非常に役立つ内容となっている。心筋梗塞を疑う時に重要な所見は？否定するためには？虫垂炎の診断に有意な所見は？パーキンソンの診断に一番陽性尤度比が高い徴候は？深部静脈血栓症におけるD-dimerはどの程度有用か？インフルエンザを疑う徴候としては何が役に立つか？等々、いろいろな臨床場面の疑問に答えてくれる内容で非常に面白い。膨大な内容で辞書的に使わせてもらっている。米国の臨床医学の奥深さを教えてくれる本でもある。全ての臨床家にお勧め。

Makes you think about how little evidence there is for certain physical exam maneuvers that are hammered into us in med school.

after reading this book, less likely to do extra un-necessary investigations

エビデンスに関する、理論構成がすべての対象事項に貫かれていると想定され（現在３チャプター読み込み中）記述内容に信頼をおける