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JAMA Rational Clinical Exam Article Series

Recent | General Diagnosis | Allergy\Immunology | Cancer | Cardiovascular | Drug Therapy | Gastrointestinal | Infectious Disease | Musculoskeletal | Neurology | Nutrition\Endocrine | Obstetrics\Gynecology | Pediatrics | Psychiatry | Respiratory | Skin | Substance Abuse\Dependency

Note: The UMKC Health Sciences Library username and password are required for access to JAMA Website Full Text articles. Please call 816-235-1885 or email to obtain.

All of these articles are, of course, also available in the library on the shelf in the print journal.

Recent

Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005;294:1944-1956.
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Is This Patient Having a Stroke? JAMA. 2005;293:2391-2402.
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Does This Patient Have Myasthenia Gravis? JAMA. 2005;293:1906-1914.
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General Diagnosis

The science of the art of the clinical examination [Editorial]. DL Sackett et al. JAMA 267(19): 2650-52, May 20, 1992.

A primer on the precision and accuracy of the clinical examination. DL Sackett et al. JAMA 267(19): 2638-44, May 20, 1992.

Evidence-based medicine. A new approach to teaching the practice of medicine. Evidence-Based Medicine Working Group. JAMA 268(17): 2420-5, November 4, 1992.

The clinical examination: An agenda to make it more rational [Editorial] . DL Simel et al. JAMA 277(7): 572-4, February 19, 1997.
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Allergy / Immunology

Does This Patient Have Myasthenia Gravis?
JAMA. 2005;293:1906-1914.
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Is this patient allergic to penicillin? An evidence-based analysis of the likelihood of penicillin allergy. AR Salkind et al. JAMA 285(19): 2498-2505, May 16, 2001.
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Cancer

Does this patient have breast cancer? The screening clinical breast examination: Should it be done? How? MB Barton et al. JAMA 282(13): 1270-80, October 6, 1999.
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Does this patient have a family history of cancer? An evidence-based analysis of the accuracy of family cancer history. JAMA. 292(12):1480-9, 2004 Sep 22.
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Cardiovascular

Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005;294:1944-1956.
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Is This Patient Having a Stroke? JAMA. 2005;293:2391-2402.
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Does this patient have a clinically important carotid bruit? JS Sauve et al. JAMA 270(23): 2843-5, December 15, 1993.
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Clinical assessment of stroke. LB Goldstein et al. JAMA 271(14): 1114-20, April 13, 1994.
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Does this patient have hypertension? How to measure blood pressure. RA Reeves. JAMA 273(15): 1211-8, April 19, 1995.
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Is listening for abdominal bruits useful in the evaluation of hypertension? JM Turnbull. JAMA 274(16): 1299-1301, October 25, 1995.
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Does this patient have abnormal central venous pressure? DJ Cook et al. JAMA 275(8): 630-4, February 28, 1996.
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Does this patient have abnormal systolic murmur? E Etchells et al. JAMA, 277(7): 564-71, February 19, 1997.
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Can the clinical examination diagnose left-sided heart failure in adults? RG Badgett et al. JAMA 277(21): 1712-9, June 4, 1997.
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Does this patient have deep vein thrombosis? SS Anand et al. JAMA 279(14): 1094-9, April 8, 1998.
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Is this patient having a myocardial infarction? AA Panju et al. JAMA 280(14): 1256-63, October 14, 1998.
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Does this patient have abdominal aortic aneurysm? FA Lederle et al. JAMA 281(1): 77-82, January 6, 1999.
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Is this patient hypovolemic? S McGee et al. JAMA 281(11): 1022-9, March 17, 1999.
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Does this patient have aortic regurgitation? NK Choudhry et al. JAMA 281(23): 2231-8, June 16, 1999.
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Does this patient have temporal arteritis? GW Smetana et al. JAMA 287(1): 92-101, January 2, 2002.
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Does this patient have an acute thoracic aortic dissection? M Klompas. JAMA 287(17): 2262-72, May 1, 2002.
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Drug Therapy

Is this patient allergic to penicillin? An evidence-based analysis of the likelihood of penicillin allergy. AR Salkind et al. JAMA 285(19): 2498-2505, May 16, 2001.
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Is this patient taking the treatment as prescribed? BJ Stephenson et al. JAMA 269(21): 2779-81, June 2, 1993.
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Gastrointestinal

Does this patient have ascites? How to divine fluid in the abdomen. JW Williams et al. JAMA 267(19): 2645-8, May 20, 1992.

Does this patient have splenomegaly? SA Grover et al. JAMA 270(18): 2218-21, November 10, 1993.
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Physical examination of the liver. CD Naylor. JAMA 271(23): 1859-65, June 15, 1994.
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Does this patient have appendicitis? JM Wagner et al. JAMA 276(19): 1589-94, November 20, 1996.
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Does this patient have acute cholecystitis? RL Trowbridget et al. JAMA 289: 80-86, January 1, 2003.
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Infectious Disease

Does This Patient Have Influenza? Call SA et al. JAMA. 2005;293:987-997.
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Musculoskeletal

What can the history and physical examination tell us about low back pain? RA Deyo et al. JAMA 268(6): 760-5, August 12, 1992.

Does this patient have carpal tunnel syndrome? CA D'Arcy et al. JAMA 283(23): 3110-7, June 21, 2000.
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Does this patient have clubbing? K Myers et al. JAMA 286(3): 341-7, July 18, 2001.
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Does this patient have a torn meniscus or ligament of the knee? DH Solomon et al. JAMA 286(13): 1610-20, October 3, 2001.
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Does this patient have an instability of the shoulder or a labrum lesion?.JAMA. 292(16):1989-99, 2004 Oct 27.
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Does this woman have osteoporosis?. JAMA. 292 (23):2890-2900, 2004 Dec 15.
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Neurology

Is This Patient Having a Stroke? JAMA. 2005;293:2391-2402.
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Does this dizzy patient have a serious form of vertigo? DA Froehling et al. JAMA 271(5): 385-8, February 2, 1994.
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Does this adult patient have acute meningitis? J Attia et al. JAMA 282(2): 175-81, July 14, 1999.
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Does this patient have Parkinson disease? G Rao et al. JAMA 2003 289: 347-353, January 15, 2003.
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Is this patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest. CM Booth et al. JAMA 291(7): 870-9, February 18, 2004.
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Nutrition / Endocrine

Is this patient malnourished? AS Detsky et al. JAMA 271(1): 54-8, January 5, 1994.
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Does this patient have a goiter? K Siminoski. JAMA 273(10): 813-7, March 8, 1995.
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Does this woman have osteoporosis?. JAMA. 292 (23):2890-2900, 2004 Dec 15.
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Obstetrics / Gynecology

Is this patient pregnant? Can you reliably rule in or rule out early pregnancy by clinical examination? LA Bastian et al. JAMA 278(7): 586-91, August 20, 1997.
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Does this woman have an acute uncomplicated urinary tract infection? S Bent et al. JAMA 287(20): 2701-2710, May 22/29, 2002.
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Is this woman perimenopausal? LA Bastian et al. JAMA 289(7): 895-902, February 19, 2003.
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Evaluation of vaginal complaints. MR Anderson et al. JAMA 291(11): 1368-79, March 17, 2004.
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Pediatrics

Is this child dehydrated? MJ Steiner et al. JAMA 291(22):2746-54, June 9, 2004.
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Does this child have acute otitis media? R Rothman et al. JAMA 290(12): 1633-40, September 24, 2003.
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Psychiatry

Is this patient clinically depressed? JW Williams et al. JAMA 287(9): 1160-70, March 6, 2002.
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Respiratory

Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005;294:1944-1956.
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Does This Patient Have Influenza? JAMA. Call SA et al. 2005;293:987-997.
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Does this patient have sinusitis? Diagnosing acute sinusitis by history and physical examination. JW Williams Jr et al. JAMA 270(10): 1242-6, September 8, 1993.
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Does the clinical examination predict airflow limitation? DR Holleman et al. JAMA 273(4): 313-9, January 25, 1995.
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Does this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination. JP Metlay et al. JAMA 278(17): 1440-5, November 5, 1997.
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Does this infant have pneumonia? P Margolis et al. JAMA 279(4): 308-13, January 28, 1998.
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Does this patient have strep throat? MH Ebell et al. JAMA 284(22): 2912-8, December 13, 2000.
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Does this patient have pulmonary embolism? SD Chunilal et al. JAMA 290(21): 2849-58, December 3, 2003.
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Skin

Does this patient have a mole or a melanoma? JD Whited et al. JAMA 279(9): 696-701, March 4, 1998.
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Substance Abuse / Dependency

Does this patient have an alcohol problem? JM Kitchens. JAMA 272(22): 1782-7, December 14, 1994.
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October 25, 2005