1. The 8th edition of Talley and O'Connor's Clinical Examination includes several updates and additions compared to the 7th edition, including:

   • New sections on interpreting the chest Xray and CT scan
   • Expanded coverage of the cardiovascular system, including a detailed discussion of the jugular venous pulse
   • New discussions of important topics like shared decisionmaking and the concept of "N of 1" trials
   • New information on clinical reasoning and how to approach diagnostic uncertainty
   • Enhanced sections on examination techniques, with updated information on assessing the abdomen, peripheral vascular system, and lymphatic system
   • Updated information and references throughout the book to reflect current research and best practices in clinical examination.
   • The text has been updated to reflect the latest evidencebased research in clinical examination.
   • The text now includes over 200 new clinical images, which provide students with a clear and concise visual representation of the physical exam findings.
   • The text now includes over 50 new clinical videos, which provide students with a stepby-step guide to performing the physical exam.
   • The text now includes over 50 new clinical cases, which allow students to practice their clinical reasoning skills.
   • The text now includes over 200 new selfassessment questions, which allow students to test their knowledge of the material.

   The 8th edition of Talley and O'Connor's Clinical Examination has also been reorganized to make it easier for students to find the information they need. The text is now divided into two volumes: Volume 1 covers the general principles of clinical examination, and Volume 2 covers the specific physical exam findings for each body system.

   The 8th edition of Talley and O'Connor's Clinical Examination is a comprehensive and up-to-date resource for students of clinical medicine. It provides students with the knowledge and skills they need to perform a thorough and accurate physical exam.

1. Here is a synopsis of Talley and O'Connor's Clinical Examination 8th edition:

   Introduction to Clinical Examination: This chapter provides an overview of the clinical examination process, including the history, physical examination, and correlation of physical signs with disease.

   The History: This chapter discusses the importance of taking a thorough history and provides guidance on how to do so.

   The Physical Examination: This chapter discusses the different components of the physical examination, including inspection, palpation, percussion, and auscultation.

   Correlation of Physical Signs with Disease: This chapter discusses how to interpret physical signs in the context of disease.

   The Cardiovascular System: This chapter discusses the physical examination of the cardiovascular system, including the heart and blood vessels.

   The Respiratory System: This chapter discusses the physical examination of the respiratory system, including the lungs and airways.

   The Gastrointestinal System: This chapter discusses the physical examination of the gastrointestinal system, including the esophagus, stomach, small intestine, large intestine, and rectum.

   The Genitourinary System: This chapter discusses the physical examination of the genitourinary system, including the kidneys, ureters, bladder, and urethra.

   The Musculoskeletal System: This chapter discusses the physical examination of the musculoskeletal system, including the bones, joints, and muscles.

   The Nervous System: This chapter discusses the physical examination of the nervous system, including the brain, spinal cord, and peripheral nerves.

   The Endocrine System: This chapter discusses the physical examination of the endocrine system, including the thyroid gland, parathyroid glands, adrenal glands, pancreas, and ovaries.

   The Hematologic System: This chapter discusses the physical examination of the hematologic system, including the blood and lymph nodes.

   The Immunologic System: This chapter discusses the physical examination of the immunologic system, including the skin, lymph nodes, and spleen.

   The Skin: This chapter discusses the physical examination of the skin, including the hair, nails, and mucous membranes.

   The Eye: This chapter discusses the physical examination of the eye, including the eyelids, conjunctiva, cornea, iris, lens, and retina.

   The Ear: This chapter discusses the physical examination of the ear, including the external ear, middle ear, and inner ear.

   The Nose: This chapter discusses the physical examination of the nose, including the septum, turbinates, and sinuses.

   The Mouth: This chapter discusses the physical examination of the mouth, including the lips, tongue, teeth, and gums.

   The Neck: This chapter discusses the physical examination of the neck, including the thyroid gland, lymph nodes, and trachea.

   The Breasts: This chapter discusses the physical examination of the breasts, including the breasts themselves, the axillae, and the supraclavicular fossae.

   The Genitals: This chapter discusses the physical examination of the male and female genitalia, including the penis, scrotum, testicles, prostate, uterus, ovaries, and fallopian tubes.

   The Rectum and Anus: This chapter discusses the physical examination of the rectum and anus, including the rectum, anal canal, and perianal region.

   The Geriatric Patient: This chapter discusses the unique challenges of performing a physical examination on a geriatric patient.

   The Pediatric Patient: This chapter discusses the unique challenges of performing a physical examination on a pediatric patient.

   The Pregnant Patient: This chapter discusses the unique challenges of performing a physical examination on a pregnant patient.

   The Obese Patient: This chapter discusses the unique challenges of performing a physical examination on an obese patient.

   The Immunocompromised Patient: This chapter discusses the unique challenges of performing a physical examination on the immunocompromised patient.

   The Terminally Ill Patient: This chapter discusses the unique challenges of performing a physical examination on a terminally ill patient.

   Talley and O'Connor's Clinical Examination 8th edition is an essential resource for students of clinical medicine. It provides students with the knowledge and skills they need to perform a thorough and accurate physical exam.

1. This is the best book to read clinical examination from. The author has a clear understanding of what is medicine and what is not and tries his best to convey that information to reader. Traditionally held (wrong) beliefs are challenged in quite plain text.

1. Talley and O'Connor's Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice. The text takes an evidence-based, patient-centric approach to conducting a clinical examination. In Volume 1, readers follow a logical framework ordered by body system, covering history taking, clinical examination, and correlation between physical signs and disease for each system. Volume 2 focuses on medical specialties. Originally written by Nicholas J Talley and Simon O'Connor during their registrar years, this book is uniquely targeted to students undertaking their MD or MBBS and is fully updated with the latest clinical data, including specially commissioned research.

1. Here are some of the key features of Talley and O'Connor's Clinical Examination, 8th edition:

   • Comprehensive coverage of clinical examinations for medical students, trainee doctors, and practicing clinicians.
   • A practical approach to patient assessment, with a strong focus on evidence-based practice and clinical reasoning.
   • Three main sections cover the principles of clinical examination, examination of individual systems, and clinical procedures.
   • Well-structured, easy-to-follow chapters with clear illustrations, photographs, and tables aid understanding and learning.
   • Clinical pearls, case studies, and self-assessment questions throughout the book help the reader apply the material to real-world situations.
   • Updated information with the latest research and clinical guidelines.
   • Electronic access to online resources such as videos, case scenarios, and additional learning materials.
   • Suitable for both self-directed learning and as a reference text for clinical practice.
   • Written by experienced clinicians and educators with years of experience.

   A well-respected and widely-used textbook with a long history of positive reviews and feedback from readers.

Talley and O'Connor's Clinical Examination, 8th Edition is a comprehensive and up-to-date resource for students of clinical medicine. It provides students with the knowledge and skills they need to perform a thorough and accurate physical exam.

The text is divided into two volumes:

Volume 1 covers the general principles of clinical examination, including the history, physical exam, and correlation of physical signs with disease.

Volume 2 covers the specific physical exam findings for each body system.

Each chapter in the text begins with an overview of the relevant anatomy and physiology. This is followed by a discussion of the history and physical exam findings for the particular body system. The chapter concludes with a section on correlation of physical signs with disease.

The text is well-organized and easy to follow. The illustrations are clear and helpful. The text is also up-to-date, reflecting the latest evidence-based research in clinical examination.

Talley and O'Connor's Clinical Examination, 8th Edition is an essential resource for students of clinical medicine. It provides students with the knowledge and skills they need to perform a thorough and accurate physical exam.

Here are some of the key features of the 8th edition:

New evidence-based content: The text has been updated to reflect the latest evidence-based research in clinical examination.

New clinical images: The text now includes over 200 new clinical images, which provide students with a clear and concise visual representation of the physical exam findings.

New clinical videos: The text now includes over 50 new clinical videos, which provide students with a step-by-step guide to performing the physical exam.

New clinical cases: The text now includes over 50 new clinical cases, which allow students to practice their clinical reasoning skills.

New self-assessment questions: The text now includes over 200 new self-assessment questions, which allow students to test their knowledge of the material.

In addition to these new features, the 8th edition of Talley and O'Connor's Clinical Examination has also been reorganized to make it easier for students to find the information they need. The text is now divided into two volumes: Volume 1 covers the general principles of clinical examination, and Volume 2 covers the specific physical exam findings for each body system.

The 8th edition of Talley and O'Connor's Clinical Examination is a comprehensive and up-to-date resource for students of clinical medicine. It provides students with the knowledge and skills they need to perform a thorough and accurate physical exam.

Talley and O'Connor's Clinical Examination, 8th edition, is a comprehensive guide to clinical examination for medical students, trainee doctors, and practicing clinicians. The book provides a practical approach to patient assessment, with a focus on evidence-based practice and clinical reasoning. In this edition, new sections on interpreting the chest X-ray and CT scan have been added, and there is expanded coverage of the cardiovascular system, including the jugular venous pulse. The book also includes new information on shared decision-making and the "N of 1" trial, as well as updates to examination techniques, with updated information on assessing the abdomen, peripheral vascular system, and lymphatic system. The 8th edition of Talley and O'Connor's Clinical Examination provides a comprehensive guide to clinical examination, with updated information and references reflecting current research and best practices in clinical examination.

Acquire the art of detachment, the virtue of method, and the quality of thoroughness, but above all the grace of humility. Ask not what disease the person has, but rather what person the disease has.

Sir William Osler

Welcome to the new edition of Clinical Examination, which has been carefully revised and updated.  Clinical skills are the foundation of clinical medicine, most importantly history taking and physical examination. In most cases, a good history and physical examination will lead you to make the correct diagnosis, and this is critical—your diagnosis will more often than not seal the fate of your patient and, assuming you are correct, take them down the optimal management path.

In order to make a correct diagnosis you need to assemble all the facts at hand. Blindly ordering tests in the absence of the clinical history and relevant examination often leads to serious errors. It is distressingly common for tests to be ordered and referrals made without an adequate history or even a cursory examination of the patient. The wrong diagnosis can cause harm and distress that lasts a lifetime.

Clinical Examination is designed to take students on an exciting journey from acquiring core skills to an advanced level, applying a strong evidence-based focus. We have taken a systematic approach because recognition of all the facts aids in accurate diagnosis. The patient presenting with, for example, heart disease may have not only objective changes of disease when listening to the heart but also relevant findings in the hands, arms, face, abdomen, and legs that can guide the identification of the underlying disease process and prognosis. Diagnosticians are great medical detectives who apply rigorous methodology to uncover the truth, solve a puzzle and commence the healing process.

Our book is not a traditional undergraduate textbook and we are proud of its distinctive features.  Learning must be fun! Unlike most other similar textbooks, ours is deliberately laced with humor and historical anecdotes that generations of students have told us to enhance the learning experience. Another distinguishing feature is that every chapter in this book has undergone peer review, just as you would expect would occur for any published journal article. We have believed from the beginning that peer review is integral to ensuring the highest possible standards and maximizing the value of a core textbook. In this edition based on the peer review process, we have made revisions, excluded irrelevant material, and added updates where appropriate. Videos demonstrating techniques enhance the learning experience, and the e-book format supports learning from a tablet or computer anywhere and anytime. We are also proud of this book being current and as evidence-based as possible, with updated chapter references and annotations so readers can dive deeper into any of the literature that interests them. We want students at all levels to know there are many limitations and gaps (all crying out for more research), and to remain curious and excited about medicine as they learn.

Clinical skills can be mastered only by practice and you should aim to see as many cases as you can while studying from this or any book. You will learn from your patients your entire career if only you take the time to listen and observe.

Great clinicians are made not born, and everyone practicing medicine needs to master clinical skills. Thank you to all those who have provided us with expert input as we have made our revisions. We also thank all of our colleagues and patients who educate us daily, and the legion of students who have written to us, including those who have pointed out omissions or mistakes (real or perceived).

Nicholas J. Talley

Simon O’Connor

Newcastle and Canberra, July 2017