Macleod’s Clinical Diagnosis 2nd Edition 2018
‘Ninety percent of diagnoses are made from the history.’
‘Clinical examination is the cornerstone of assessment.’
These, or similar platitudes, will be familiar to most students in clinical training. Many, however, notice a ‘disconnect’ between the importance ascribed to basic clinical skills during teaching and the apparent reliance on sophisticated investigations in the parallel world of clinical practice. Modern diagnostics have radically altered the
face of medical practice; clinical training is still catching up. The author of Macleod’s Clinical Diagnosis 2nd Edition 2018 recognizes that teachers and textbooks frequently fall into the trap of eulogizing clinical assessment rather than explaining its actual role in contemporary diagnosis.
Yet we come to praise the clinical assessment, not to bury it The history may not, by itself, deliver the diagnosis in 90% of cases but it is essential in all cases to generate a logical differential diagnosis and to guide rational
investigation and treatment. In many ‘developed’ countries, some so-called classical physical signs are rare and certain aspects of the clinical examination have been marginalized by novel imaging techniques and disease biomarkers. Nevertheless, a focused clinical examination is critical to recognizing the sick patient, raising
red flags identifying unsuspected problems and, in some cases, revealing signs that cannot be identified with tests (for example, the mental state examination).Macleod’s Clinical Diagnosis 2nd Edition 2018 fulfills this need.
Our aim is to show you how to use your core clinical skills to maximum advantage. We offer a grounded and realistic approach to clinical diagnosis with no bias towards any particular element of the assessment. Where appropriate,
we acknowledge the limitations of the history and examination and direct you to the necessary investigation.
The author also highlights those instances where the diagnosis is critically dependent on basic clinical assessment, thereby demonstrating its vital and enduring importance. Author wish you every success in your training and practice and hope that this Macleod’s Clinical Diagnosis 2nd Edition 2018 book provides at least some small measure of assistance.