JAMA Rational Clinical Examination Article Series
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The Sladen Library professional staff has compiled this bibliography with links to the ongoing series of articles published in JAMA entitled "The Rational Clinical Examination."
The most recent articles in the series are listed at the top of this page. In addition, the entire series of articles is categorized according to broad subject areas.
In addition, the Sladen Library owns the book -- The Rational Clinical Examination: Evidence-Based Clinical Diagnosis (JAMA and Archives Journals). It can be found in the Sladen Library collection - WB 200 R236 2009
In the tradition of the famous Users' Guides to the Medical Literature, this JAMA series was created to bring the principles of evidence-based medicine to the diagnostic process. It features specific clinical questions, numerous case examples and precise summaries of available evidence for evidence based diagnosis.
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Most Recent Articles in the Series
Does this coughing adolescent or adult patient have pertussis? PB Cornia et al. JAMA 304(8):890-6, August 25, 2010. HTML FULL-TEXT | PDF
Does this patient have delirium?: Value of bedside instruments. CL Wong et al. JAMA 304(7):779-86, August 18, 2010. HTML FULL-TEXT | PDF
Can this patient read and understand written health information? BJ Powers et al. JAMA 304(1):76-84, July 7, 2010. HTML FULL-TEXT | PDF
Does this patient have a hemorrhagic stroke?: Clinical findings distinguishing hemorrhagic stroke from ischemic stroke. S Runchey et al. JAMA 303(22):2280-6, June 9, 2010. HTML FULL-TEXT | PDF
Does this patient with diabetes have large-fiber peripheral neuropathy? JN Kanji et al. JAMA 303(15):1526-32, April 21, 2010. HTML FULL-TEXT | PDF
Will this patient develop persistent disabling low back pain? R Chou et al. JAMA 303(13):1295-302, April 7, 2010. HTML FULL-TEXT | PDF
Acute-onset floaters and flashes: Is this patient at risk for retinal detachment? H Hollands et al. JAMA 302(20):2243-9, November 25, 2009. HTML FULL-TEXT | PDF
Does this patient with palpitations have a cardiac arrhythmia? P Thavendiranathan et al. JAMA 302(19):2135-43, November 18, 2009. HTML FULL-TEXT | PDF
Does this patient have a pleural effusion? CL Wong et al. JAMA 301(3):309-17, January 21, 2009. HTML FULL-TEXT | PDF
General
The science of the art of the clinical examination [Editorial]. DL Sackett et al. JAMA 267(19):2650-52, May 20, 1992. PDF
A primer on the precision and accuracy of the clinical examination. DL Sackett et al. JAMA 267(19):2638-44, May 20, 1992. PDF
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. PDF
Is this patient taking the treatment as prescribed? BJ Stephenson et al. JAMA 269(21):2779-81, June 2, 1993. PDF
The clinical examination: An agenda to make it more rational [Editorial]. DL Simel et al. JAMA 277(7):572-4, February 19, 1997. PDF
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. HTML FULL-TEXT | PDF
Does this patient have hearing impairment? A Bagai et al. JAMA 295(4):416-28, January 25, 2006. HTML FULL-TEXT | PDF
Do opiates affect the clinical evaluation of patients with acute abdominal pain? R Sumant et al. JAMA 296(14):1764-74, October 11, 2006. HTML FULL-TEXT | PDF
Will my patient fall? DA Ganz et al. JAMA 297(1):77-86, January 3, 2007. HTML FULL-TEXT | PDF
Does this patient have erythema migrans? CD Tibbles et al. JAMA 297(23):2617-27, June 20, 2007. HTML FULL-TEXT | PDF
Does this patient with diabetes have osteomyelitis of the lower extremity? S Butalia et al. JAMA 299(7):806-13, February 20, 2008. HTML FULL-TEXT | PDF
Does this patient have bacterial periotonitis or portal hypertension? How do I perform paracentesis and analyze the results? CL Wong et al. JAMA 299(10):1166-78, March 12, 2008. HTML FULL-TEXT | PDF
Can this patient read and understand written health information? BJ Powers et al. JAMA 304(1):76-84, July 7, 2010. HTML FULL-TEXT | PDF
Does this coughing adolescent or adult patient have pertussis? PB Cornia et al. JAMA 304(8):890-6, August 25, 2010. HTML FULL-TEXT | PDF
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. HTML FULL-TEXT | PDF
Does this patient have a family history of cancer?: An evidence-based analysis of the accuracy of family cancer history. JH Murff et al. JAMA 292(12):1480-9, September 22/29, 2004. HTML FULL-TEXT | PDF
Cardiovascular
Does this patient have a clinically important carotid bruit? JS Sauve et al. JAMA 270(23):2843-5, December 15, 1993. PDF
Clinical assessment of stroke. LB Goldstein et al. JAMA 271(14):1114-20, April 13, 1994. PDF
Does this patient have hypertension? How to measure blood pressure. RA Reeves. JAMA 273(15):1211-8, April 19, 1995. PDF
Is listening for abdominal bruits useful in the evaluation of hypertension? JM Turnbull. JAMA 274(16):1299-1301, October 25, 1995. PDF
Does this patient have abnormal central venous pressure? DJ Cook et al. JAMA 275(8):630-4, February 28, 1996. PDF
Does this patient have abnormal systolic murmur? E Etchells et al. JAMA 277(7):564-71, February 19, 1997. PDF
Can the clinical examination diagnose left-sided heart failure in adults? RG Badgett et al. JAMA 277(21):1712-9, June 4, 1997. PDF
Does this patient have deep vein thrombosis? SS Anand et al. JAMA 279(14):1094-9, April 8, 1998. HTML FULL-TEXT | PDF
Is this patient having a myocardial infarction? AA Panju et al. JAMA 280(14):1256-63, October 14, 1998. HTML FULL-TEXT | PDF
Does this patient have abdominal aortic aneurysm? FA Lederle et al. JAMA 281(1):77-82, January 6, 1999. HTML FULL-TEXT | PDF
Is this patient hypovolemic? S McGee et al. JAMA 281(11):1022-9, March 17, 1999. HTML FULL-TEXT | PDF
Does this patient have aortic regurgitation? NK Choudhry et al. JAMA 281(23):2231-8, June 16, 1999. HTML FULL-TEXT | PDF
Does this patient have temporal arteritis? GW Smrtana et al. JAMA 287(1):92-101, January 2, 2002. HTML FULL-TEXT | PDF
Does this patient have an acute thoracic aortic dissection? M Klompas. JAMA 287(17):2262-72, May 1, 2002. HTML FULL-TEXT | PDF
Does this dyspenic patient in the emergency department have congestive heart failure? CS Wang et al. JAMA 294(15):1944-56, October 19, 2005. HTML FULL-TEXT | PDF
Does this patient have deep vein thrombosis? PS Wells et al. JAMA 296(2):199-207, January 11, 2006. HTML FULL-TEXT | PDF
Does the clinical examination predict lower extremity peripheral arterial disease? NA Khan et al. JAMA 295(5):536-46, February 1, 2006. HTML FULL-TEXT | PDF
Does this patient with a pericardial effusion have cardiac tamponade? CL Roy et al. JAMA 297(16):1810-8, April 25, 2007. HTML FULL-TEXT | PDF
Does this patient with palpitations have a cardiac arrhythmia? P Thavendiranathan et al. JAMA 302(19):2135-43, November 18, 2009. HTML FULL-TEXT | PDF
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. PDF
Does this patient have splenomegaly? SA Grover et al. JAMA 270(18):2218-21, November 10, 1993. PDF
Physical examination of the liver. CD Naylor. JAMA 271(23):1859-65, June 15, 1994. PDF
Does this patient have appendicitis? JM Wagner et al. JAMA 276(19):1589-94, November 20, 1996. PDF
Does this patient have acute cholescystitis? RL Trowbridge et al. JAMA 289:80-6, January 1, 2003. HTML FULL-TEXT | PDF
Can the clinical history distinguish between organic and functional dyspepsia? P Moayyedi et al. JAMA 295(13):1566-76, April 5, 2006. HTML FULL-TEXT | PDF
Do opiates affect the clinical evaluation of patients with acute abominal pain? SR Ranji et al. JAMA 296(14):1764-74, October 11, 2006. HTML FULL-TEXT | PDF
Will the history and physical examination help establish that irritable bowel syndrome is causing this patient's lower gastrointestinal tract symptoms? AC Ford et al. JAMA 300(15):1793-805, October 13. 2008.
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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. PDF
Does this patient have carpal tunnel syndrome? CA D'Arcy et al. JAMA 283(23):3110-7, June 21, 2000. HTML FULL-TEXT | PDF
Does this patient have clubbing? K Myers et al. JAMA 286(3):341-7, July 18, 2001. HTML FULL-TEXT | PDF
Does this patient have a torn meniscus or ligament of the knee? DH Solomon et al. JAMA 286(13):1610-20, October 3, 2001. HTML FULL-TEXT | PDF
Does this patient have an instability of the shoulder or a labrum lesion? JJ Luime et al. JAMA 292(16):1989-99, October 27, 2004. HTML FULL-TEXT | PDF
Does this woman have osteoporosis? AD Green et al. JAMA 292(23):2890-900, December 15, 2004. HTML FULL-TEXT | PDF
Does this adult patient have septic arthritis? ME Margaretten et al. JAMA 297(13):1478-88, April 4, 2007. HTML FULL-TEXT | PDF
Will this patient develop persistent disabling low back pain? R Chou et al. JAMA 303(13):1295-302, April 7, 2010. HTML FULL-TEXT | PDF
Neurology
Does this dizzy patient have a serious form of vertigo? DA Froehling et al. JAMA 271(5):385-8, February 2, 1994. PDF
Does this adult patient have acute meningitis? J Attia et al. JAMA 282(2):174-81, July 14, 1999. HTML FULL-TEXT | PDF
Does this patient have Parkinson disease? G Rao et al. JAMA 289(3):347-53, January 15, 2003. HTML FULL-TEXT | PDF
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. HTML FULL-TEXT | PDF
Does this patient have myasthenia gravis? K Scherer et al. JAMA 293(15):1906-14, April 20, 2005. HTML FULL-TEXT | PDF
Is this patient having a stroke? LB Goldstein et al. JAMA 293(19):2391-402, May 18, 2005. HTML FULL-TEXT | PDF
Does this patient with headache have a migraine or need neuroimaging? ME Detsky et al. JAMA 296(10):1274-83, September 13, 2006. HTML FULL-TEXT | PDF
How do I perform a lumbar puncture and anlyze the results to diagnose bacterial meningitis? SE Straus et al. JAMA 296(16):2012-22, October 25, 2006. HTML FULL-TEXT | PDF
Does this patient have dementia? T Holsinger et al. JAMA 297(21):2391-404, June 6, 2007. HTML FULL-TEXT | PDF
Does this patient with diabetes have large-fiber peripheral neuropathy? JN Kanji et al. JAMA 303(15):1526-32, April 21, 2010. HTML FULL-TEXT | PDF
Does this patient have a hemorrhagic stroke?: Clinical findings distinguishing hemorrhagic stroke from ischemic stroke. S Runchey et al. JAMA 303(22):2280-6, June 9, 2010. HTML FULL-TEXT | PDF
Nutrition / Endocrine
Is this patient malnourished? AS Detsky et al. JAMA 271(1):54-8, January 5, 1994. PDF
Does this patient have a goiter? K Siminoski. JAMA 273(10):813-7, March 8, 1995. PDF
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. PDF
Does this woman have an acute uncomplicated urinary tract infection? S Bent et al. JAMA 287(20):2701-10, May 22/29, 2002. HTML FULL-TEXT | PDF
Is this woman perimenopausal? LA Bastian et al. JAMA 289(7):895-902, February 19, 2003. HTML FULL-TEXT | PDF
Evaluation of vaginal complaints. MR Anderson et al. JAMA 291(11):1368-79, March 17, 2004. HTML FULL-TEXT | PDF
What type of urinary incontinence does this woman have? JM Holroyd-Leduc et al. JAMA 299(12):1446-56, March 26, 2008. HTML FULL-TEXT | PDF
Ophthalmology
Acute-onset floaters and flashes: Is this patient at risk for retinal detachment? H Hollands et al. JAMA 302(20):2243-9, November 25, 2009. HTML FULL-TEXT | PDF
Pediatrics
Has this prepubertal girl been sexually abused? MC Berkoff et al. JAMA 300(23):2779-92, December 17, 2008. HTML FULL-TEXT | PDF
Does this child have a urinary tract infection? N Shaikh et al. JAMA 298(24):2896-904, December 26, 2007. HTML FULL-TEXT | PDF
Is this child dehydrated? MJ Steiner et al. JAMA 291(22):2746-54, June 9, 2004. HTML FULL-TEXT | PDF
Does this child have acute otitis media? R Rothman et al. JAMA 290(12):1633-40, September 24, 2003. HTML FULL-TEXT | PDF
Psychiatry
Is this patient clinically depressed? JW Williams et al. JAMA 287(9):1160-70, March 6, 2002. HTML FULL-TEXT | PDF
Does this patient have delirium?: Value of bedside instruments. CL Wong et al. JAMA 304(7):779-86, August 18, 2010. HTML FULL-TEXT | PDF
Respiratory
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. PDF
Does the clinical examination predict airflow limitation? DR Holleman et al. Jama 273(4):313-9, January 25, 1995. PDF
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. PDF
Does this infant have pneumonia? P Margolis et al. JAMA 279(4):308-13, January 28, 1998. HTML FULL-TEXT | PDF
Does this patient have strep throat? MH Ebell et al. JAMA 284(22):2912-8, December 13, 2000. HTML FULL-TEXT | PDF
Does this patient have pulmonary embolism? SD Chunilal et al. JAMA 290(21):2849-58, December 3, 2003. HTML FULL-TEXT | PDF
Does this patient have influenza? SA Call et al. JAMA 293(8):987-97, February 23, 2005. HTML FULL-TEXT | PDF
Does this patient have ventilator-associated pneumonia? M Klompas. JAMA 297(14):1583-93, April 11, 2007. HTML FULL-TEXT | PDF
Does this patient have a pleural effusion? CL Wong et al. JAMA 301(3):309-17, January 21, 2009. HTML FULL-TEXT | PDF
Skin
Does this patient have a mole or a melanoma? JD Whited et al. JAMA 279(9):696-701, March 4, 1998. HTML FULL-TEXT | PDF
Substance Abuse / Dependency
Does this patient have an alcohol problem? JM Kitchens. JAMA 272(22):1782-7, December 14, 1994. PDF
Updated July 2010
Links Checked October 2009
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