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May 1976

Introduction to Clinical Examination

Arch Intern Med. 1976;136(5):627. doi:10.1001/archinte.1976.03630050101024

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This is a short "how-to-do-it" book that explains the techniques of systemic examination, as well as history taking and includes a chapter on the integration of the gathered data. The chapter on history taking is only five pages in length, and yet some very useful hints to make history taking easier are mentioned. The chapter on the neurological examination is exceptionally good, and the technique of reinforcement, which is often not mentioned in physical diagnosis texts, is explained. How to feel for the popliteal pulse is explained very well. Physiologic explanation of physical findings is frequently but not always given, but the purpose of this book is not to explain "why."

The authors give the impression that hepatojugular reflux can be elicited in normal individuals, which is misleading. Also, the fourth heart sound is not indicative of atrial hypertrophy, as stated by the authors. The statement that junior medical students

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