Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services
University of the Health Sciences)
Description: This is a compendium of pearls or "nuggets of
accumulated wisdom" in internal medicine.
Purpose: The purpose is to gather in one place some concepts that,
while not applicable in every case, are a good starting point in
thinking about a disease. Books such as this have elicited some
derision as potentially inaccurate and unworthy, but the author
presents the material as thoughts for consideration and not written
in stone, which makes the reading thought-provoking and
interesting.
Audience: The audience is broad and includes those in residency
training programs, primary care providers, and specialists of every
type can be challenged to look at their own experience and compare
it with what the author presents.
Features: The book starts by describing the history and physical
examination process and provides a number of pertinent thoughts on
how important performing these services diligently is the basis for
success. The author then moves through some organ systems and
discusses the pearls that have developed over time related to each.
The format is engaging with the pearl statement followed by a short
discussion about the concept. The pearl is not taken literally, and
the discussion clarifies the concept and highlights shortcomings of
a literal acceptance.
Assessment: As far as books of clinical pearls go, this is one of
the best as it works to objectively look at the concept in light of
the known physiology. As such, it invites readers to reflect on
their own thoughts on the matter. It is also a tremendous teaching
tool to help students in training programs develop critical
thinking skills.
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