The Rational Clinical Examination: Evidence-Based Clinical Dthe Rational Clinical Examination: Evidence-Based Clinical Diagnosis eBook Iagnosis eBook

Description

The ultimate guide to the evidence-based clinical encounter In the tradition of the famous "Users' 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 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all the authority of the pioneering JAMA Rational Clinical Examination series Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important;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 Contents Contributors Foreword Preface Acknowledgments 1. A Primer on the Precision and Accuracy of the Clinical Examination Update: Primer on Precision and Accuracy 2. Does This Patient Have Abdominal Aortic Aneurysm? Update: Abdominal Aortic Aneurysm 3. Is Listening for Abdominal Bruits Useful in the Evaluation of Hypertension? Update: Abdominal Bruits 4. Does This Patient Have an Alcohol Problem? Update: Problem Alcohol Drinking 5. Does This Adult Patient Have Appendicitis? Update: Appendicitis, Adult 6. Does This Patient Have Ascites? Update: Ascites 7. What Can the Medical History and Physical Examination Tell Us About Low Back Pain? Update: Low Back Pain 8. Does This Patient Have Breast Cancer? Update: Breast Cancer 9. Does This Patient Have a Clinically Important Carotid Bruit? Update: Carotid Bruit 10. Does This Patient Have Carpal Tunnel Syndrome? Update: Carpal Tunnel 11. Does This Patient Have Abnormal Central Venous Pressure? Update: Central Venous Pressure 12. Does This Patient Have Acute Cholecystitis? Update: Cholecystitis 13. Does the Clinical Examination Predict Airflow Limitation? Update: Chronic Obstructive Airways Disease 14. Does This Patient Have Clubbing? Update: Clubbing 15. Is This Patient Taking the Treatment as Prescribed? Update: Compliance and Medication Adherence 16(A). Can the Clinical Examination Diagnose Left-Sided Heart Failure in Adults? 16(B). Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? Update: Congestive Heart Failure 17. Is This Patient Dead, Vegetative, or Severely Neurologically Impaired? Assessing Outcome for Comatose Survivors of Cardiac Arrest Update: Death 18(A). Does This Patient Have Deep Vein Thrombosis? (1998) 18(B). Does This Patient Have Deep Vein Thrombosis? (2006) Update: Deep Vein Thrombosis 19. Is This Patient Clinically Depressed? Update: Depression 20. Does This Patient Have a Family History of Cancer? Update: Family History of Cancer 21. Does This Patient Have a Goiter? Update: Goiter 22. Does This Patient Have Hepatomegaly? Update: Hepatomegaly 23. Does This Patient Have Hypertension? Update: Hypertension 24. Is This Adult Patient Hypovolemic? Update: Hypovolemia, Adult 25. Is This Child Dehydrated? Update: Hypovolemia, Child 26. Does This Patient Have Influenza? Update: Influenza 27. Does This Patient Have a Torn Meniscus or Ligament of the Knee? Update: Knee Ligaments and Menisci 28. Is This Adult Patient Malnourished? Update: Malnourishment, Adult 29. Does This Patient Have a Mole or a Melanoma? Update: Melanoma 30. Does This Adult Patient Have Acute Meningitis? Update: Meningitis, Adult 31. Is This Woman Perimenopausal? Update: Menopause 32. Does This Patient Have Aortic Regurgitation? Update: Murmur, Diastolic 33. Does This Patient Have an Abnormal Systolic Murmur? Update: Murmur, Systolic 34. Does This Patient Have Myasthenia Gravis? Update: Myasthenia Gravis 35. Is This Patient Having a Myocardial Infarction? Update: Myocardial Infarction 36. Does This Woman Have Osteoporosis? Update: Osteoporosis 37. Does This Child Have Acute Otitis Media? Update: Otitis Media, Child 38. Does This Patient Have Parkinson Disease? Update: Parkinsonism 39. Is This Patient Allergic to Penicillin? Update: Penicillin Allergy 40. Does This Adult Patient Have Community-Acquired Pneumonia? Update: Community-Acquired Pneumonia, Adult 41. Does This Infant Have Pneumonia? Update: Pneumonia, Infant and Child 42. Is This Patient Pregnant? Update: Early Pregnancy 43. Does This Patient Have Pulmonary Embolism? Update: Pulmonary Embolus 44. Does This Patient Have an Instability of the Shoulder or a Labrum Lesion? Update: Shoulder Instability 45. Does This Patient Have Sinusitis? Update: Sinusitis 46. Does This Patient Have Splenomegaly? Update: Splenomegaly 47. Does This Patient Have Strep Throat? Update: Streptococcal Pharyngitis 48. Is This Patient Having a Stroke? Update: Stroke 49. Does This Patient Have Temporal Arteritis? Update: Temporal Arteritis 50. Does This Patient Have an Acute Thoracic Aortic Dissection? Update: Thoracic Aortic Dissection 51. Does This Woman Have an Acute Uncomplicated Urinary Tract Infection? Update: Urinary Tract Infection, Women 52. What Is Causing This Patient's Vaginal Symptoms? Update: Vaginitis 53. Does This Dizzy Patient Have a Serious Form of Vertigo? Update: Vertigo Index A B C D E F G H I J K L M N O P Q R S T U V W X Y Z