McGee's Evidence-Based Physical Diagnosis

Dr. McGee is an internationally known and respected expert in physical examination and assessment, pain management, and education in general internal medicine. One of the most senior physicians in the University of Washington and Seattle Veteran's Administration Health Systems, Dr. McGee has more than 400 publications to his credit.

"...an excellent treatise on the use of evidence-based medicine (EBM) to quantitatively define the usefulness of a wide variety of clinical signs and physical maneuvers in helping to make an accurate diagnosis in symptomatic patients.... The book’s purpose is to offer the accuracy of the physical signs and maneuvers used to affirm or negate the presence of diseases in individuals.... The book achieves its aim in an exceptional fashion through an exhaustive review of the literature to determine which physical signs have evidence to support their use in the diagnostic process.... The writing is clear, and the material is very well organized. There are many excellent evidence-based tables in the book but no illustrations.... This book is an exceptional contribution to the field of medicine. Placing the appendix online so that it can be accessed on rounds or at the bedside is a vast improvement and is highly needed. This book is highly recommended as a reference to determine if, for example, hearing an S3 gallop or measuring capillary refill time is diagnostically helpful." Review by Charles Allred, MD (Smoky Hill Family Medicine Residency), ©Doody's Review Service 2025. Doody's Score: 99, 5 Stars!Review of the previous edition: "This is a well-organized and integrated presentation of a very necessary component of medical practice, physical examination findings and how to apply them. The examination findings are described along with their clinical significance and in many cases the evidence-based predictive diagnostic value. Tables and references are numerous and helpful, making this a good choice for learners, including medical students, resident physicians, advanced clinician learners, and their teachers. Those in clinical practice, particularly in primary care, who might wish a review of examination findings and their application from an evidence-based perspective, also will find this book useful." -©Doody’s Review Service, 2022 Dennis Gingrich, MD, Retired Professor (Pennsylvania State University College of Medicine) Doody's Score: 4 Stars!

• PART 1 Introduction1. What is Evidence-Based Physical Diagnosis?PART 2 Understanding the Evidence2. Diagnostic Accuracy of Physical Findings3. Using the Tables in This Book4. Using the EBM Calculator (Elsevier ebooks +)5. Reliability of Physical FindingsPART 3 General Appearance of the Patient6. Mental Status Examination7. Stance and Gait8. Jaundice9. Cyanosis10. Anemia11. Hypovolemia12. Protein-Energy Malnutrition and Weight Loss13. Obesity14. Cushing SyndromePART 4 Vital Signs15. Pulse Rate and Contour16. Abnormalities of Pulse Rhythm17. Blood Pressure18. Temperature19. Respiratory Rate and Abnormal Breathing Patterns20. Pulse OximetryPART 5 Head and Neck21. The Pupils22. Diabetic Retinopathy23. The Red Eye24. Hearing25. Thyroid and Its Disorders26. Meninges27. Peripheral LymphadenopathyPART 6 The Lungs28. Inspection of the Chest29. Palpation and Percussion of the Chest30. Auscultation of the Lungs31. Ancillary TestsPART 7 Selected Pulmonary Disorders32. Pneumonia33. Chronic Obstructive Lung Disease34. Pulmonary Embolism35. Pleural EffusionPART 8 The Heart36. Inspection of the Neck Veins37. Percussion of the Heart38. Palpation of the Heart39. Auscultation of the Heart: General Principles40. The First and Second Heart Sounds41. Third and Fourth Heart Sounds42. Miscellaneous Heart Sounds43. Heart Murmurs: General PrinciplesPART 9 Selected Cardiac Disorders44. Aortic Stenosis45. Aortic Regurgitation46. Miscellaneous Heart Murmurs47. Disorders of the Pericardium48. Congestive Heart Failure49. Coronary Artery DiseasePART 10 Abdomen50. Inspection of the Abdomen51. Palpation and Percussion of the Abdomen52. Abdominal Pain and Tenderness53. Auscultation of the AbdomenPART 11 Extremities54. Peripheral Vascular Disease55. Diabetic Foot56. Edema and Deep Vein Thrombosis57. Examination of the Musculoskeletal SystemPART 12 Neurologic Examination58. Visual Field Testing59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia60. Miscellaneous Cranial Nerves61. Examination of the Motor System: Approach to Weakness62. Examination of the Sensory System63. Examination of the Reflexes64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves65. Coordination and Cerebellar TestingPART 13 Selected Neurologic Disorders66. Tremor and Parkinson Disease67. Hemorrhagic Versus Ischemic Stroke68. Acute Vertigo and Imbalance69. Examination of Functional Neurological DisordersPART 14 Examination in the Intensive Care Unit70. Examination of Patients in the Intensive Care Unit