This classic textbook sets out clearly and concisely how to evaluate symptoms and elicit relevant physical signs. It describes the practical skills which every clinician must acquire and develop in order to evolve diagnostic procedures and management strategies and plans. 'Highly Commended' in the 2006 and 2010 BMA Medical Book Competitions, this Thirteenth Edition contains over 500 clinical photographs and diagrams to illustrate the text, with new topics added to make the book even more comprehensive. This Thirteenth Edition has four sections: History taking and general examination. System examination covering symptoms and signs. Examination in special situations including babies & children and the critically ill. Assessing clinical examination technique. Included on the Student Consult site are the specially-recorded videos demonstrating many of the clinical examination routines described in the main text. This text provides a clear description of the fundamental skills of patient evaluation and examination, answering the cunning questions which arise from this. The book starts with a general overview section on history taking and the general examination that provides the framework on which to hang the detail. The systematic examination section documents clearly the relevant history, examination and special investigations as well as giving advice on their significance. The final section covers specialised areas and emphasises an integrated and structured approach to these patients. Closely linked to its sister publication, Davidson's Principles & Practice of Medicine, which complements the information in this text. Available with full online access on Student Consult and ancillary videos demonstrating key clinical examination routines following the format laid out in the book. The book now includes over 50 clinical examples in OSCE format, as used in final MB and MRCP (UK) PACES examinations, to help with revision There are two new chapters on examination in specific situations: The frail elderly The febrile adult A new section explicitly spells out how to demonstrate the techniques learned in the book in an OSCE and other formative and summative examinations. Over 50 new text boxes highlight the evidence-base for the examination techniques discussed. An Advisory Board of students, junior doctors, and representatives from the nursing, ambulance, Primary Care and academic communities from six countries has made detailed comments and critically appraised the entire book. The text has been substantially rewritten with more on medically unexplained symptoms in the History Taking chapter and extended coverage of diabetes mellitus in the Endocrine System chapter. Integrated with the online text are clinical examination videos of trained professionals performing many of the examination routines described in the book with a new accompanying commentary by the Editor, Professor Colin Robertson Two new videos show how the Glasgow Coma Scale should be performed in clinical situations, demonstrating the correct techniques and also common pitfalls in using the GCS.

Table of Contents:
Section 1: History taking and general examination Approach to the patient History taking The general examination Section 2: System examination The skin, hair and nails The endocrine system The cardiovascular system The respiratory system The gastrointestinal system The renal system The reproductive system The nervous system The visual system The ear, nose & throat The musculoskeletal system Section 3: Specific situations Babies and children The frail elderly The febrile adult Assessment for anaesthesia and sedation The critically ill Confirming death Section 4: Assessing clinical examination technique OSCEs and other examination formats