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Dear All, I trust the attached picture of the JAMA series entitled: "The rational clinical examination - Evidence-based clinical diagnosis" from Simel & Rennie may be known to some of the list-subscribers. For those of you, who don't know it: The compiled series addresses a good 50 clinical findings/disorders that may be encountered on a "daily" basis, and aims to summarize the available evidence on the clinical examination that may lead to or support the corresponding diagnosis. As an example of it's content please find an excerpt regarding the "validity" of the clinical finding "hepatomegaly" below. Personally, I've found this book phenomenal for challenging my own clinical examination, but also for being more sensitive to certain symptoms, which may have a much higher sensitivity / specificity than initially anticipated. The book can be purchased via Amazon here. I have no COIs or vested interests in this book or any proceedings that may result from it. I'm simply a fan of the book as I find it so great, that in an era of trusting completely on CTs, MRIs, Echo's etc, we can find someone who's taken the time to try and find the evidence for using your hands, stethoscope and brain. Kind regards, Oliver Fisher, M.D. On 27.01.2015, at 01:26, "Benson, Teresa" <[log in to unmask]> wrote: > Thank you for this! I often search for the actual sensitivity and specificity of physical exam findings for particular clinical conditions, and with the exception of certain orthopedic exams, I may as well be looking for a white rhino. > > Teresa Benson, MA, LP > Clinical Lead, Evidence-Based Medicine > McKesson Health Solutions > 18211 Yorkshire Ave > Prior Lake, MN 55372 > [log in to unmask] > Phone: 1-952-226-4033 > > Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. > > > > From: Evidence based health (EBH) [mailto:[log in to unmask]] On Behalf Of Juan Gérvas > Sent: Saturday, January 24, 2015 1:34 PM > To: [log in to unmask] > Subject: Physical examination and EBM > > La exploración física y la MBP: precisa datos sobre resultado en salud para justificar su propósito empático. > Physical examination and EBM: needs to be substantiated with outcomes-based data to support its humanistic purpose. > http://www.amjmed.com/article/S0002-9343%2814%2900858-4/fulltext: needs to be substantiated with outcomes-based data to support its humanistic purpose. > http://www.amjmed.com/article/S0002-9343%2814%2900858-4/fulltext > -un saludo > -juan gérvas > > > > Este mensaje no contiene virus ni malware porque la protección de avast! Antivirus está activa. >