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The Physical Examination

Posted by iskanbasal on June 6, 2008

“This month we introduce a new series, The Physical Examination,
kicked off by a paper by Drs. Diaz-Guzman and Budev on evaluating pleural effusions
(page 297). The series will be managed by David Rolston, MD, our deputy editor”.

This announcement  introducing a new section in the cleveland Journal of Medicine that i would like to follow. I have a link to this journal here in the rigth side bar below “Reading room”. But the surprising thing for me is what the editor is pointing out in his presentation to the series:

“The physical examination used to be a foundation of clinical practice, but it is
under assault. A specialist in inpatient medicine here at Cleveland Clinic decried the
inefficiency of time spent by residents performing and documenting the examination

How often, he asked, does the examination actually change the diagnostic workup?……”

read the article here.

I also know about the Jama’s section on the physical examination, but this is much more sophisticated to read as it discusses the evident-base findings to the different manuvers in performing a physical examination.

this is the first article of this section at the Cleveland Journal of medicine:

accuracy of the physical examination in evaluating pleural effusion”


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