Evidence-Based Physical Diagnosis book cover

Evidence-Based Physical Diagnosis

Diagnose with confidence, knowing that your patient assessments are backed by scientific evidence! This is the only clinical reference that takes an evidence-based approach to the physical examination. Best of all, it does so in a remarkably easy-to-reference manner - making it simple to find the available scientific evidence concerning the diagnostic significance and accuracy of your examination findings. This 2nd Edition has been updated to reflect the latest advances in the science of physical examination, and expanded to include many new topics.

Family Practitioners, Internists, Nurse Practitioners, Physician Assistants and medical students


Published: April 2007

Imprint: Saunders

ISBN: 978-1-4160-2898-7


  • I. Understanding the Evidence

    1. Diagnostic Accuracy of Physical Findings

    2. Using the Tables in this Book

    3. Reliability of Physical Findings

    II. General Appearance and Selected Medical Disorders

    4. Stance and Gait

    5. Jaundice and Cirrhosis

    6. Cyanosis

    7. Anemia

    8. Hypovolemia

    9. Protein-Energy Malnutrition and Weight Loss

    10. Obesity

    11. Cushing’s Syndrome

    12. Lymphadenopathy

    III. Vital Signs

    13. Pulse Rate and Contour

    14. Abnormalities of Pulse Rhythm

    15. Blood Pressure

    16. Temperature

    17. Respiratory Rate and Abnormal Breathing Patterns

    18. Pulse Oximetry

    19. Prognosis in Various Medical Conditions

    IV. Head and Neck

    20. The Pupils

    21. Diabetic Retinopathy

    22. Hearing

    23. The Thyroid and Its Disorders

    24. Meninges

    V. The Lungs

    25. Inspection of the Chest

    26. Palpation and Percussion of the Chest

    27. Auscultation of the Lungs

    28. Ancillary Tests

    VI. Selected Pulmonary Disorders

    29. Pneumonia

    30. Chronic Obstructive Lung Disease

    31. Pulmonary Embolism

    VII. The Heart

    32. Inspection of the Neck Veins

    33. Percussion of the Heart

    34. Palpation of the Heart

    35. Auscultation of the Heart: General Principles

    36. The First and Second Heart Sounds

    37. The Third and Fourth Heart Sounds

    38. Miscellaneous Heart Sounds

    39. Heart Murmurs: General Principles

    VIII. Selected Cardiac Disorders

    40. Aortic Stenosis

    41. Aortic Regurgitation

    42. Miscellaneous Heart Murmurs

    43. Coronary Artery Disease

    44. Disorders of the Pericardium

    45. Congestive Heart Failure

    IX. Abdomen

    46. Inspection of the Abdomen

    47. Palpation and Percussion of the Abdomen

    48. Abdominal Pain and Tenderness

    49. Auscultation of the Abdomen

    X. Extremities

    50. Peripheral Vascular Disease

    51. The Diabetic Foot

    52. Edema and Deep Vein Thrombosis

    53. Selected Musculoskeletal Disorders

    XI. Neurologic Examination

    54. Visual Field Testing

    55. Cranial Nerves

    56. Examination of the Motor System: Approach to Weakness

    57. Examination of the Sensory System

    58. Examination of the Reflexes

    59. Disorders of the Nerve Roots, Plexi, and Peripheral Nerves

    60. Coordination and Cerebellar Testing

    61. Examination of Hysterial Neurologic Disorders

    XII. Selected Neurologic Disorders

    62. Diplopia

    63. Dementia and Mental Status Examination

    64. Coma

    65. Parkinson’s Disease

    XIII. Likelihood Ratios and their Confident Intervals

    66. Likelihood Ratios and their Confidence Intervals*

    * This is a giant Table that displays the confidence intervals for all likelihood ratios presented in the entire book – a key feature of the book and a really handy tool!



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