McGee's Evidence-Based Physical Diagnosis,

Edition 6

Editors: By Steven McGee, MD

Publication Date: 05 Aug 2025

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Emphasizing the most important physical signs needed to determine an underlying condition or disease, McGee's Evidence-Based Physical Diagnosis, Sixth Edition, offers vital insight and instruction on the fundamental clinical skill of physical diagnosis. Internationally renowned author Dr. Steven McGee clearly shows how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time, energy, and expense. This unique resource provides evidence-based guidance that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.

Key Features

Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations
Contains thorough updates from cover to cover, including revisions to ensure currency with research developments, updated references, numerous new physical findings, and updated EBM boxes with recalculated likelihood ratios
Features a unique, up-to-date, evidence-based calculator online that enables you to easily determine probability using likelihood ratios
Covers the conditions and diseases you’re most likely to encounter, including stance and gait, jaundice, anemia, obesity, Cushing syndrome, mental status examination, blood pressure, diabetic retinopathy, hearing, pneumonia, pulmonary embolism, heart murmurs, abdominal pain and tenderness, stroke, and much more
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons
An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

About the author

By Steven McGee, MD, Steven McGee, MD, Professor Emeritus, Medicine, University of Washington School of Medicine, Seattle, WA, USA

PART 1 Introduction
1. What is Evidence-Based Physical Diagnosis?

PART 2 Understanding the Evidence
2. Diagnostic Accuracy of Physical Findings
3. Using the Tables in This Book
4. Using the EBM Calculator (Elsevier ebooks +)
5. Reliability of Physical Findings

PART 3 General Appearance of the Patient
6. Mental Status Examination
7. Stance and Gait
8. Jaundice
9. Cyanosis
10. Anemia
11. Hypovolemia
12. Protein-Energy Malnutrition and Weight Loss
13. Obesity
14. Cushing Syndrome

PART 4 Vital Signs
15. Pulse Rate and Contour
16. Abnormalities of Pulse Rhythm
17. Blood Pressure
18. Temperature
19. Respiratory Rate and Abnormal Breathing Patterns
20. Pulse Oximetry

PART 5 Head and Neck
21. The Pupils
22. Diabetic Retinopathy
23. The Red Eye
24. Hearing
25. Thyroid and Its Disorders
26. Meninges
27. Peripheral Lymphadenopathy

PART 6 The Lungs
28. Inspection of the Chest
29. Palpation and Percussion of the Chest
30. Auscultation of the Lungs
31. Ancillary Tests

PART 7 Selected Pulmonary Disorders
32. Pneumonia
33. Chronic Obstructive Lung Disease
34. Pulmonary Embolism
35. Pleural Effusion

PART 8 The Heart
36. Inspection of the Neck Veins
37. Percussion of the Heart
38. Palpation of the Heart
39. Auscultation of the Heart: General Principles
40. The First and Second Heart Sounds
41. Third and Fourth Heart Sounds
42. Miscellaneous Heart Sounds
43. Heart Murmurs: General Principles

PART 9 Selected Cardiac Disorders
44. Aortic Stenosis
45. Aortic Regurgitation
46. Miscellaneous Heart Murmurs
47. Disorders of the Pericardium
48. Congestive Heart Failure
49. Coronary Artery Disease

PART 10 Abdomen
50. Inspection of the Abdomen
51. Palpation and Percussion of the Abdomen
52. Abdominal Pain and Tenderness
53. Auscultation of the Abdomen

PART 11 Extremities
54. Peripheral Vascular Disease
55. Diabetic Foot
56. Edema and Deep Vein Thrombosis
57. Examination of the Musculoskeletal System

PART 12 Neurologic Examination
58. Visual Field Testing
59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia
60. Miscellaneous Cranial Nerves
61. Examination of the Motor System: Approach to Weakness
62. Examination of the Sensory System
63. Examination of the Reflexes
64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves
65. Coordination and Cerebellar Testing

PART 13 Selected Neurologic Disorders
66. Tremor and Parkinson Disease
67. Hemorrhagic Versus Ischemic Stroke
68. Acute Vertigo and Imbalance
69. Examination of Functional Neurological Disorders

PART 14 Examination in the Intensive Care Unit
70. Examination of Patients in the Intensive Care Unit

Book Reviews

"...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!

ISBN: 9780443250132

Page Count: 816

Retail Price :

Family medicine; internal medicine - physicians and residents