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JAMA - Rational Clinical Examination Series


Originally compiled by the staff of  the Sladen Library of the Henry Ford Health Center. 
 

Does This Adult Patient Have Early HIV Infection? The Rational Clinical Examination Systematic Review
Evan Wood, MD, PhD, FRCPC; Thomas Kerr, PhD; Greg Rowell, MSc, MISt; Julio S. G. Montaner, MD, FRCPC, FCCP; Peter Phillips, MD, FRCPC, FCCP; P. Todd Korthuis, MD, MPH; David L. Simel, MD, MHS
FULL TEXT | PDF

Does This Patient Have Generalized Anxiety or Panic Disorder? The Rational Clinical Examination Systematic Review
Nathaniel R. Herr, PhD; John W. Williams Jr, MD, MHSc; Sophiya Benjamin, MD; Jennifer McDuffie, PhD
FULL TEXT | PDF

Does This Patient Have an Exudative Pleural Effusion? The Rational Clinical Examination Systematic Review
M. Elizabeth Wilcox, MD, MPH; Christopher A. K. Y. Chong, MD; Matthew B. Stanbrook, MD, PhD; Andrea C. Tricco, PhD; Camilla Wong, MD, MHSc; Sharon E. Straus, MD, MSc
JAMA. 2014;311(23):2422-2431 FULL TEXT | PDF

Does This Patient With Shoulder Pain Have Rotator Cuff Disease? The Rational Clinical Examination Systematic Review
Job Hermans, MD, MSc; Jolanda J. Luime, PhD; Duncan E. Meuffels, MD, PhD; Max Reijman, PhD; David L. Simel, MD, MHS; Sita M. A. Bierma-Zeinstra, PhD
JAMA. 2013;310(8):837-847 FULL TEXT | PDF

Does This Patient Have Obstructive Sleep Apnea?The Rational Clinical Examination Systematic Review
Kathryn A. Myers, MD, EdM, FRCPC; Marko Mrkobrada, MD, FRCPC; David L. Simel, MD
JAMA. 2013;310(7):731-741. FULL TEXT | PDF

Do Findings on Routine Examination Identify Patients at Risk for Primary Open-Angle Glaucoma?: The Rational Clinical Examination Systematic Review
Hussein Hollands, MD, MSc (Epid); Davin Johnson, MD; Simon Hollands, BSc; David L. Simel, MD, MHS; Delan Jinapriya, MD, FRCSC; Sanjay Sharma, MD, MBA, MSc
AMA. 2013;309(19):2035-2042. FULL TEXT | PDF

Does This Woman Have an Ectopic Pregnancy?: The Rational Clinical Examination Systematic Review
John R. Crochet, MD; Lori A. Bastian, MD, MPH; Monique V. Chireau, MD, MPH
JAMA. 2013;309(16):1722-1729. FULL TEXT | PDF

Does This Adult Patient With Suspected Bacteremia Require Blood Cultures?
Bryan Coburn, MD, PhD; Andrew M. Morris, MD, SM; George Tomlinson, PhD; Allan S. Detsky, MD, PhD
JAMA. 2012;308(5):502-511. FULL TEXT | PDF

Does This Adult Patient Have a Blunt Intra-abdominal Injury?
Daniel K. Nishijima, David L. Simel, David H. Wisner, James F. Holmes
JAMA. 2012;307(14):1517-1527. FULL TEXT | PDF

Does This Patient Have a Severe Upper Gastrointestinal Bleed?
F. Douglas Srygley, Charles J. Gerardo, Tony Tran, Deborah A. Fisher
JAMA. 2012;307(10):1072-1079. FULL TEXT | PDF

Does This Patient With Liver Disease Have Cirrhosis?
Jacob A. Udell, Charlie S. Wang, Jill Tinmouth, J. Mark FitzGerald, Najib T. Ayas, David L. Simel, Michael Schulzer, Edwin Mak, Eric M. Yoshida
JAMA. 2012;307(8):832-842. FULL TEXT | PDF

Does This Patient Have an Infection of a Chronic Wound?
Madhuri Reddy, Sudeep S. Gill, Wei Wu, Sunila R. Kalkar, Paula A. Rochon
JAMA. 2012;307(6):605-611. FULL TEXT | PDF

Does This Patient Have Medical Decision-Making Capacity?
Laura L. Sessums, Hanna Zembrzuska, Jeffrey L. Jackson
JAMA. 2011;306(4):420-427. FULL TEXT | PDF

Does This Older Adult With Lower Extremity Pain Have the Clinical Syndrome of Lumbar Spinal Stenosis?
Pradeep Suri, James Rainville, Leonid Kalichman, Jeffrey N. Katz
JAMA. 2010;304(23):2628-2636 FULL TEXT | PDF

Does This Patient Have Malaria?
Steve M. Taylor; Malcolm E. Molyneux; David L. Simel; Steven R. Meshnick; Jonathan J. Juliano
JAMA. 2010;304(18):2048-2056. FULL TEXT | PDF

Does This Coughing Adolescent or Adult Patient Have Pertussis?
Paul B. Cornia; Adam L. Hersh; Benjamin A. Lipsky; Thomas B. Newman; Ralph Gonzales
JAMA. 2010;304(8):890-896. FULL TEXT | PDF

Does This Patient Have Delirium?: Value of Bedside Instruments
Camilla L. Wong; Jayna Holroyd-Leduc; David L. Simel; Sharon E. Straus
JAMA. 2010;304(7):779-786. FULL TEXT | PDF

Can This Patient Read and Understand Written Health Information?
Benjamin J. Powers; Jane V. Trinh; Hayden B. Bosworth
JAMA. 2010;304(1):76-84. FULL TEXT | PDF

Does This Patient Have a Hemorrhagic Stroke?: Clinical Findings Distinguishing Hemorrhagic Stroke From Ischemic Stroke
Shauna Runchey; Steven McGee
JAMA. 2010;303(22):2280-2286. FULL TEXT | PDF

Does This Patient With Diabetes Have Large-Fiber Peripheral Neuropathy?
Jamil N. Kanji; Rebecca E. S. Anglin; Dereck L. Hunt; Akbar Panju
JAMA. 2010;303(15):1526-1532. FULL TEXT | PDF

Will This Patient Develop Persistent Disabling Low Back Pain?
Roger Chou; Paul Shekelle
JAMA. 2010;303(13):1295-1302. FULL TEXT | PDF

Acute-Onset Floaters and Flashes: Is This Patient at Risk for Retinal Detachment?
Hussein Hollands; Davin Johnson; Anya C. Brox; David Almeida; David L. Simel; Sanjay Sharma
JAMA. 2009;302(20):2243-2249. FULL TEXT | PDF

Does This Patient With Palpitations Have a Cardiac Arrhythmia?
Paaladinesh Thavendiranathan; Akshay Bagai; Clarence Khoo; Paul Dorian; Niteesh K. Choudhry
JAMA. 2009;302(19):2135-2143. FULL TEXT | PDF

Does This Patient Have a Pleural Effusion?
Camilla L. Wong; Jayna Holroyd-Leduc; Sharon E. Straus
JAMA. 2009;301(3):309-317. FULL TEXT | PDF

Has This Prepubertal Girl Been Sexually Abused?
Molly Curtin Berkoff; Adam J. Zolotor; Kathi L. Makoroff; Jonathan D. Thackeray; Robert A. Shapiro; Desmond K. Runyan
JAMA. 2008;300(23):2779-2792. FULL TEXT | PDF

Will the History and Physical Examination Help Establish That Irritable Bowel Syndrome Is Causing This Patient's Lower Gastrointestinal Tract Symptoms? Alexander C. Ford; Nicholas J. Talley; Sander J. O. Veldhuyzen van Zanten; Nimish B. Vakil; David L. Simel; Paul Moayyedi
JAMA. 2008;300(15):1793-1805. FULL TEXT | PDF

What Type of Urinary Incontinence Does This Woman Have? Jayna M. Holroyd-Leduc; Cara Tannenbaum; Kevin E. Thorpe; Sharon E. Straus JAMA. 2008;299(12):1446-1456.FULL TEXT | PDF

Does This Patient Have Bacterial Peritonitis or Portal Hypertension? How Do I Perform a Paracentesis and Analyze the Results? Camilla L. Wong; Jayna Holroyd-Leduc; Kevin E. Thorpe; Sharon E. Straus JAMA. 2008;299(10):1166-1178. FULL TEXT | PDF

Does This Patient With Diabetes Have Osteomyelitis of the Lower Extremity? Sonia Butalia; Valerie A. Palda; Robert J. Sargeant; Allan S. Detsky; Ophyr Mourad JAMA. 2008;299(7):806-813. FULL TEXT | PDF

Does This Child Have a Urinary Tract Infection? Nader Shaikh; Natalia E. Morone; John Lopez; Jennifer Chianese; Shilpa Sangvai; Frank D’Amico; Alejandro Hoberman; Ellen R. Wald JAMA. 2007;298(24):2895-2904.FULL TEXT | PDF

Does This Child Have Appendicitis? David G. Bundy; Julie S. Byerley; E. Allen Liles; Eliana M. Perrin; Jessica Katznelson; Henry E. Rice JAMA. 2007;298:438-451. FULL TEXT | PDF

Does This Patient Have Erythema Migrans? Carrie D. Tibbles; Jonathan A. Edlow JAMA. 2007;297:2617-2627.FULL TEXT | PDF

Does This Patient Have Dementia? Tracey Holsinger; Janie Deveau; Malaz Boustani; John W. Williams Jr JAMA. 2007;297:2391-2404. FULL TEXT | PDF

Does This Patient With a Pericardial Effusion Have Cardiac Tamponade? Christopher L. Roy; Melissa A. Minor; M. Alan Brookhart; Niteesh K. Choudhry JAMA. 2007;297:1810-1818. FULL TEXT | PDF

Does This Patient Have Ventilator-Associated Pneumonia? Michael Klompas JAMA. 2007;297:1583-1593. HTML FULL TEXT | PDF

Will My Patient Fail? David A. Ganz; Yeran Bao; Paul G. Shekelle; Laurence Z. Rubenstein JAMA. 2007;297:77-86. HTML FULL TEXT | PDF

How Do I Perform a Lumbar Puncture and Analyze the Results to Diagnose Bacterial Meningitis? Sharon E. Straus; Kevin E. Thorpe; Jayna Holroyd-Leduc JAMA. 2006;296:2012-2022. HTML FULL TEXT | PDF

Do Opiates Affect the Clinical Evaluation of Patients With Acute Abdominal Pain? Sumant R. Ranji; L. Elizabeth Goldman; David L. Simel; Kaveh G. Shojania; JAMA. 2006;296:1764-1774.HTML FULL TEXT | PDF

Does This Patient With Headache Have a Migraine or Need Neuroimaging? Michael E. Detsky; Devon R. McDonald; Mark O. Baerlocher; George A. Tomlinson; Douglas C. McCrory; Christopher M. Booth JAMA. 2006;296:1274-1283.. HTML FULL TEXT | PDF

Can the Clinical History Distinguish Between Organic and Functional Dyspepsia? Paul Moayyedi; Nicholas J. Talley; M. Brian Fennerty; Nimish Vakil HTML FULL TEXT | PDF

Does the Clinical Examination Predict Lower Extremity Peripheral Arterial Disease? Nadia A. Khan; Sherali A. Rahim; Sonia S. Anand; David L. Simel; Akbar Panju HTML FULL TEXT | PDF

Does This Patient Have Hearing Impairment? Akshay Bagai; Paaladinesh Thavendiranathan; Allan S. Detsky JAMA. 2006;295:416-428. HTML FULL TEXT | PDF

Does This Patient Have Deep Vein Thrombosis? Philip S. Wells; Carolyn Owen; Steve Doucette; Dean Fergusson; Huyen Tran JAMA. 2006;2006;295:199-207.. HTML FULL TEXT | PDF

Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? Charlie S. Wang; J. Mark FitzGerald; Michael Schulzer; Edwin Mak; Najib T. Ayas JAMA. 2005;294:1944-1956. HTML FULL TEXT | PDF

Is This Patient Having a Stroke? Larry B. Goldstein; David L. Simel JAMA. 2005;293:2391-2402. HTML FULL TEXT | PDF

Does This Patient Have Myasthenia Gravis? Katalin Scherer; Richard S. Bedlack; David L. Simel JAMA. 2005;293:1906-1914. HTML FULL TEXT | PDF

Does This Patient Have an Instability of the Shoulder or a Labrum Lesion? Jolanda J. Luime; Arianne P. Verhagen; Harald S. Miedema; Judith I. Kuiper; Alex Burdorf; Jan A. N. Verhaar; Bart W. Koes JAMA. 2004;292:1989-1999. HTML FULL TEXT | PDF

Does This Patient Have a Family History of Cancer?: An Evidence-Based Analysis of the Accuracy of Family Cancer History Harvey J. Murff; David R. Spigel; Sapna Syngal. JAMA. 292(12): 1480-1489. HTML FULL-TEXT | PDF

Is This Child Dehydrated? Michael J. Steiner; Darren A. DeWalt; Julie S. Byerley. JAMA. 291(22): 2746-2754. HTML FULL-TEXT | PDF

Is This Patient Dead, Vegetative, or Severely Neurologically Impaired?: Assessing Outcome for Comatose Survivors of Cardiac Arrest? Christopher M. Booth; Robert H. Boone; George Tomlinson; Allan S. Detsky. JAMA. 291(7): 870-879. HTML FULL-TEXT | PDF

Does this patient have pulmonary embolism? Sanjeev D. Chunilal; John W. Eikelboom; John Attia;et al. JAMA. 290(21):2849-2858, December 3, 2003.   HTML FULL-TEXT   |   PDF

Does This Child Have Acute Otitis Media? Russell Rothman; Thomas Owens; David L. Simel JAMA. 2003;290:1633-1640. HTML FULL-TEXT   |   PDF

Is this woman perimenopausal? &bnsp; L.A. Bastian, et.al.   JAMA 289(7): 895-902, February 19, 2003   HTML FULL-TEXT   |   PDF

Does this woman have an acute uncomplicated urinary tract infection?  S Bent et al.  JAMA 287(20): 2701-2710, May 22/29, 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

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 temporal arteritis?  GW Smetana et al.  JAMA 287(1): 92-101, January 2, 2002.  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 clubbing?  K Myers et al.  JAMA 286(3): 341-7, July 18, 2001.  HTML FULL-TEXT  |  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 strep throat?  MH Ebell et al.  JAMA 284(22): 2912-8, December 13, 2000.  HTML FULL-TEXT  |  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 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 adult patient have acute meningitis?  J Attia et al.  JAMA 282(2): 175-81, July 14, 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

Is this patient hypovolemic?  S McGee et al.  JAMA 281(11): 1022-9, March 17, 1999.  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 having a myocardial infarction?  AA Panju et al.  JAMA 280(14): 1256-63, October 14, 1998.  HTML FULL-TEXT  |  PDF

Does this patient have deep vein thrombosis?  SS Anand et al.  JAMA 279(14): 1094-9, April 8, 1998.  HTML FULL-TEXT  |  PDF

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

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 community-acquired pneumonia?  Diagnosing pneumonia by history and physical examination.  JP Metlay et al.  JAMA 278(17): 1440-5, November 5, 1997.

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.

Can the clinical examination diagnose left-sided heart failure in adults?  RG Badgett et al.  JAMA 277(21): 1712-9, June 4, 1997.

The clinical examination:  An agenda to make it more rational [Editorial].  DL Simel et al.  JAMA 277(7): 572-4, February 19, 1997.

Does this patient have abnormal systolic murmur? E Etchells et al.  JAMA, 277(7): 564-71, February 19, 1997.

Does this patient have appendicitis?  JM Wagner et al.  JAMA 276(19): 1589-94, November 20, 1996.

Does this patient have abnormal central venous pressure?  DJ Cook et al.  JAMA 275(8): 630-4, February 28, 1996.

Is listening for abdominal bruits useful in the evaluation of hypertension?  JM Turnbull.  JAMA 274(16): 1299-1301, October 25, 1995.

Does this patient have hypertension?  How to measure blood pressure.  RA Reeves.  JAMA 273(15): 1211-8, April 19, 1995.

Does this patient have a goiter?  K Siminoski.  JAMA 273(10): 813-7, March 8, 1995.

Does the clinical examination predict airflow limitation?  DR Holleman et al.  JAMA 273(4): 313-9, January 25, 1995.

Does this patient have an alcohol problem?  JM Kitchens.  JAMA 272(22): 1782-7, December 14, 1994.

Physical examination of the liver.  CD Naylor.  JAMA 271(23): 1859-65, June 15, 1994.

Clinical assessment of stroke.  LB Goldstein et al.  JAMA 271(14): 1114-20, April 13, 1994.

Does this dizzy patient have a serious form of vertigo? DA Froehling et al.  JAMA 271(5): 385-8, February 2, 1994.

Is this patient malnourished?  AS Detsky et al.  JAMA 271(1): 54-8, January 5, 1994.

Does this patient have a clinically important carotid bruit?  JS Sauve et al.  JAMA 270(23): 2843-5, December 15, 1993.

Does this patient have splenomegaly?  SA Grover et al.  JAMA 270(18): 2218-21, November 10, 1993.

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. 

Is this patient taking the treatment as prescribed?  BJ Stephenson et al.  JAMA 269(21): 2779-81, June 2, 1993.

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.

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.

Does this patient have ascites?  How to divine fluid in the abdomen.  JW Williams et al.  JAMA 267(19): 2645-8, May 20, 1992.

A primer on the precision and accuracy of the clinical examination.  DL Sackett et al.  JAMA 267(19): 2638-44, May 20, 1992.

The science of the art of the clinical examination [Editorial].  DL Sackett et al.  JAMA 267(19): 2650-52, May 20, 1992.