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Clinical Examination

O/E: a hexagon, some lungs with xx's, No JACCOL
"Come feel this splenomegaly" "Is the murmur systolic or diastolic"

At first clinical examination can seem bewildering, limitless things to look for, different ways of looking for them, hundreds of shorthand versions and graphical representations, great degrees of skill and confidence needed to elicit certain signs, and signs that you will "almost never find in clinical practice", except in your OSCEs, of course. A good clinical examintion book will boost your confidence in these skills, making you look more competent, identifying signs that you would otherwise miss and therefore increasing your ability to learn about the pathology behind the signs and teaching you things even your registrar won't know! Forgotten that knee examination routine the consultant taught you 7 months ago on the day you didn't take your notebook with you? Almost nothing is more essential at the beginning of your clinical years than learning a good examination, and buying a book on the subject will always be money well spent.

Robert Pallas, Cardiff