No physical signs

BMJ 1996; 313 doi: (Published 14 September 1996) Cite this as: BMJ 1996;313:694
  1. Trisha Greenhalgh

    When I was a student, a good outpatient clinic was one in which we heard a systolic murmur and were bought a bun by the consultant. A brilliant clinic was one in which we heard a diastolic murmur, saw retinal haemorrhages, and felt a spleen. Three of my postgraduate qualifications were won largely on the basis of my ability at the time to elicit and interpret physical signs such as these.

    There is a patient on my list who thinks I am the best doctor in the world. This is despite the fact that, try as I might, I have never heard …

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