Physical Examination in Medicine

This book guides readers through fifty-six clinical cases designed to develop physical examination skills for the MRCP PACES exam and similar postgraduate assessments. Organized across four systems, nervous, cardiovascular, respiratory, and abdomen, each case presents physical findings, interpretation, differential diagnosis, investigations, and management. It emphasizes clinical reasoning, pattern recognition, and integrating positive and negative findings to reach a diagnosis. Written as if a senior clinician is guiding you through each examination, it helps candidates not only pass PACES but develop deeper diagnostic skills and confidence in real clinical practice.

Key Features:

• Teaches clinical reasoning and interpretation rather than rote memorization where readers learn to integrate examination findings, distinguish observation from clinical significance, and present findings logically, mirroring how experienced clinicians think at the bedside and building real diagnostic confidence.
• Essential preparation resource for MRCP PACES and postgraduate OSCE-style examinations that assess physical examination skills and clinical reasoning; addresses the critical need for candidates to interpret findings dynamically rather than rely on checklists or pre-labelled diagnoses.
• Adopts a diagnostic approach that mirrors actual PACES scenarios where the diagnosis is unknown; written in a bedside teaching style, it prioritizes logical reasoning, pattern recognition, and safe systematic thinking over performing perfect examination routines.