Clinical examination textbook

Started by ProteinTreasure
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Moseby's, if you ever happened to have time to read the entire thing. I certainly didn't.
 
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Not wanting to annoy anyone but UK students are generally seen as better at this sort of thing so maybe you should consider some of the books we use? Oxford handbook of clinical examination is pretty good so is MacLeods Clinical examination. I have Bates too but find it lacking in many areas. There are a lot of good videos and explanations online too.
 
bambi said:
Not wanting to annoy anyone but UK students are generally seen as better at this sort of thing so maybe you should consider some of the books we use? Oxford handbook of clinical examination is pretty good so is MacLeods Clinical examination. I have Bates too but find it lacking in many areas. There are a lot of good videos and explanations online too.
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Not annoyed, but the problem is not that we don't have adequate resources to learn the physical examination - it just that physical exam does not have the same emphasis in the U.S. that it does in the U.K. (and most other parts of the world, for that matter).

Our professors get annoyed that we're not good at techniques such as egophony, whispered pectroliloquoy and all that. But, the truth is, if a patient comes into the Emergency Department with a chronic cough, it might matter in the U.K. what you hear on auscultation in terms of management. Here, I'm going to auscultate the patient but the results are somewhat irrelevant. I'm still getting a chest film no matter what because, due to liability concerns, that has become the standard of care here (even if I'm absolutely certain I heard a consolidation, I still need the film).
 
Non-TradTulsa said:
Not annoyed, but the problem is not that we don't have adequate resources to learn the physical examination - it just that physical exam does not have the same emphasis in the U.S. that it does in the U.K. (and most other parts of the world, for that matter).

Our professors get annoyed that we're not good at techniques such as egophony, whispered pectroliloquoy and all that. But, the truth is, if a patient comes into the Emergency Department with a chronic cough, it might matter in the U.K. what you hear on auscultation in terms of management. Here, I'm going to auscultate the patient but the results are somewhat irrelevant. I'm still getting a chest film no matter what because, due to liability concerns, that has become the standard of care here (even if I'm absolutely certain I heard a consolidation, I still need the film).
Click to expand...

The whole liability thing over there is such a shame, it messes with the medicine so much.
 
If you're just staring out then the Oxford Core Text in Clinical Skills is a helpful book as it is very much step-by-step although there are gaps in terms of the examinations it covers. Otherwise, I have found Clinical Examination by Talley and O'Connor brilliant (it also comes with a DVD of the major examinations). Many people I know like MacLeods as well as Clinical Examination by Epstein et al. although I have no experience of either.

Jonathan
 
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