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Sapira's Art and Science of Bedside Diagnosis [Kindle Edition]

Jane M. Orient
4.3 out of 5 stars  See all reviews (26 customer reviews)

Digital List Price: $122.99 What's this?
Print List Price: $122.99
Kindle Price: $98.39
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Book Description

The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination—from the fundamentals to the most advanced levels. Written in an artful storytelling style, the book describes methods in step-by-step detail, with clinical pearls, vignettes, practical clinical experience, personal history, explanations of the physiologic significance of findings, and extensive discussions of evidence-based medicine.

Highlights of this new edition include—

"Points to Remember" boxes with three or four bullets per chapter
More than 300 questions with answers and discussion
Revisions based on new material from journals (especially JAMA, New England Journal of Medicine, Mayo Clinic Proceedings, and Annals of Internal Medicine); CME conferences, especially the weekly grand rounds at Carondelet St. Joseph's Hospital; specialty conferences pertaining to orthopedics and neurology; and cases that recently came up in practice
More than 120 additional references, some new and some old classics newly discovered by the author
Expanded discussion of evidence-based medicine, both its appropriate usage and pitfalls, with additional information on sensitivity, specificity, and other features of various findings from recent studies and review articles. Insights on the development of expertise have been added.
Expanded discussion of sleep apnea, blast injury, "minor" head trauma, and cervical spine involvement in rheumatoid arthritis
New findings pertaining to transplantation-related graft-versus-host problems, AIDS and the adverse effects of therapy, drug abuse, especially methamphetamine, and egg donation
Additional maneuvers include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation
Additional information on dementia, hysteria, missed aneurysms, pulmonary embolism, evaluation of dehydration/malnutrition, and compressions-only cardiopulmonary resuscitation
Updated and substantially simplified discussion of carotid stenosis and indications for carotid endarterectomy
More historical tidbits, for example, on the development of thermometry

Even with all of today's sophisticated laboratory and imaging technology, a skillfully performed patient interview and physical examination can be a quicker and more cost-effective route to an accurate diagnosis. The Fourth Edition of Sapira's Art and Science of Bedside Diagnosis is your guide to gaining the most reliable information from your patients, developing a differential diagnosis and an efficient diagnostic strategy.

This is the Kindle version which does not include access to the digital ancillary materials, nor videos referenced in the text.

Product Details

  • File Size: 22237 KB
  • Print Length: 688 pages
  • Simultaneous Device Usage: Up to 4 simultaneous devices, per publisher limits
  • Publisher: Lippincott Williams & Wilkins; 4 edition (February 23, 2012)
  • Sold by: Amazon Digital Services, Inc.
  • Language: English
  • Text-to-Speech: Enabled
  • X-Ray:
  • Word Wise: Not Enabled
  • Lending: Not Enabled
  • Amazon Best Sellers Rank: #371,977 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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Customer Reviews

Most Helpful Customer Reviews
45 of 45 people found the following review helpful
5.0 out of 5 stars A wise and interesting mentor. April 27, 2003
Format:Hardcover|Verified Purchase
I have an enormous personal medical library, and this is hands down the best book I own. It is like making rounds with the most interesting, learned, and studious clinician you have ever met -- though I suspect many of us have never really met anyone of Sapira's polymathic virtuosity. The book is intelligent, clear, scientific, and fun. It doesn't read like a textbook -- it reads like a one-on-one seminar with a wise mentor; one who has "seen it all" and knows how to teach. Read this book, and you will be a far better clinician for having done so. Don't read it for Boards or exams; read it for your edification. I am an experienced neurologist -- and learned several neurological "pearls" from this book.
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28 of 29 people found the following review helpful
5.0 out of 5 stars Don't buy this book... March 28, 2008
Don't buy this book if you're looking for a standard textbook of physical examination. For that purpose, I would recommend DeGowin & DeGowin or the various specialty books (I just can't recommend Bates). If you're put off by historical digressions and occasional amusing bits of pedantry, look elsewhere;you're missing the point of this text. On the other hand, if you want to learn to be a doctor (or a better doctor), you absolutely MUST buy this book.

This is easily the best medical book I've ever come across (and I've even edited one). It is not, nor is it intended to be, a standard textbook. Instead, it is an intriguing, challenging, inspiring, and thoroughly enjoyable book that is better suited to the nightstand than the medical library. More important than its impressive compendium of facts is the way in which it reflects the passion, dedication, intellectual curiosity, and, believe it or not, fun, that should characterize medical practice. These qualities seem no longer to be emphasized in medical curricula in the US and are rarely in evidence in modern clinical training programs. If you're not fortunate enough to make rounds daily with a master clinician of "the old school", this book is an able substitute.
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22 of 24 people found the following review helpful
5.0 out of 5 stars An Excellent Companion to any Physcian ! May 2, 2001
I tend to disagree with the first reviewer. Sapira has not included anything that is irrelevant. He has just made an attempt to let us know what all can be achieved by using clinical methods, an art that the young generation is forgetting due to increasing dependency on investigations. I compliment him on his great foresight and hope to read every edition of his great book. In countries like India, Physical examination and clinical methods are still the mainstay of diagnosis and treatment. Contrary to what is written the earlier review, I would urge the author to include more interesting anecdotes that give us an idea about the history of medicine.
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9 of 9 people found the following review helpful
5.0 out of 5 stars Extraordinary June 26, 2004
By A Customer
Sapira's textbook is an extraordinary achievement, a testimony to the highest scholarship, and will go down in history as one of the most brilliant works in clinical medicine written in the 20th century. I agree with Dr. Richard Spitzer's review below (duplicated 8 times!). This is a masterpiece of masterpieces, written by a professor's professor.
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10 of 11 people found the following review helpful
This is without doubt the best medical book I have ever read, seriosly.
The book is a real eyeopener. It tells how to make a wide range of diagnosis at the bedside using only your hands, mind, and a few basic tools.
So you want to know everything about Hoovers sign in emphysema? Or Duroziez's sign in aortic insuffiency? How to tests for bence jones proteins using a microwave oven and a telephophone directory page? This book will tell you.
Every chapter has an extensive list of references. It is full of anecdotes and historical notes, making the book a pleasure to read.
It is a little weak on the clinical examination of the abdomen and the authors advise is not always possible to follow in a modern day clinical setting.
It would be particularly usefull to teachers in medical schools and doctors specializing in internal medicine.
All in all: It is a great, great book
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5 of 5 people found the following review helpful
5.0 out of 5 stars You had me at " Paris in the spring" December 25, 2010
By Medguy
It is almost ridiculous how good this book is. I used mosby's during 2nd year phys dx and also during 3rd year clerkships. Mosby's is a good introduction to PhysDx, and will get you past OSCE's and Step 2 CS, but Sapira's blows it out of the water once you have the basic moves down. You will kill on rounds! The introductory chapters have a good discussion about medical statistics/EBM and history taking and how to deal with different patients. The other chapters are broken up by system, and have great bedside "pearls" that your attendings might not know (unless, of course, they have a copy of Sapira's). Broke out the coin test on my pulmonary rotation, and had to prove to the attending that I wasn't just making it up. Showed them the book and they finally believed me
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7 of 8 people found the following review helpful
I stumbled accross the first edition by accident. It was pure pleasure to read and learn from.This edition is equally stimulating. It is full of facts but the anecdotes and history associated with the physical signs takes the pain out of trying to remember dry facts. I found it most useful as a fellow when revising and now as a consultant when I have to look up a reference before teaching medical students or residents. I think that the Neurology section is a bit weak and I do think that there should be a bit more surface anatomy. Otherwise it is a worthwhile investment and like any good book make the time to read it and learn from it. It brings the ART back into physical examination.
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Most Recent Customer Reviews
1.0 out of 5 stars Before you read this, you might want to know ...
Before you read this, you might want to know that the author leads a highly ideological conservative organization that has: denied climate change, opposed publicly funded health... Read more
Published 4 months ago by Alice
5.0 out of 5 stars An absolute classic!
"Though this be madness, yet there is a method in it"

This book is as much about the art as it is about the science of clinical methods and diagnosis. Read more
Published 5 months ago by Muhammad
4.0 out of 5 stars A good book though does assume detailed knowledge of pathology and...
Thorough book with detailed basic sciences knowledge assumed of the reader,more suitable for senior Medical students and residents. Read more
Published 9 months ago by Dr.Mark Skinner M.D.
5.0 out of 5 stars thought provoking and concept based
i am a cardiologist in india. this is the best book along with perloff and jules constant atleast for cardiology. Read more
Published 13 months ago by sreenivas
5.0 out of 5 stars The greatest book I’ve ever read on the physical exam
By “read” I mean skimmed, because I haven’t had the time or understanding to actually read it cover to cover. What I’ve seen, though, is excellent. Read more
Published 13 months ago by Vince DiGiulio
5.0 out of 5 stars Once in a century.....!
Indeed one has to be young to start such a voluminous book, but for every student beginning doctor I would HIGHLY recommend spending time on such an important work , a once in a... Read more
Published on November 17, 2012 by harold jitschak bueno de mesquita
5.0 out of 5 stars It is a pleasant read and stimulates me.
I have to say this book is by far my favorite medical book. I wish all my attendings and co-residents read this book. Read more
Published on June 13, 2012 by Dance873
5.0 out of 5 stars Sapira's Art & Science Of Bedside Diagnosis
This incredible book a must for any serious clinician came in pristine shape and as scheduled. Not only was it great to finally get to read this book but the service in obtaining... Read more
Published on January 21, 2012 by Mar
1.0 out of 5 stars No table of contents
Without a doubt Sapira is excellent. I'm writing about the kindle edition of this book that doesn't have a functioning table of contents tab which makes it completely useless if... Read more
Published on October 14, 2011 by Amaury Sanchez
5.0 out of 5 stars Hands down the best medical textbook I have ever read
I am not usually the type who can read textbooks for more than 30 minutes at a time. The only exception to this is Sapira. Read more
Published on January 18, 2011 by Adam
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