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ISBN: 978-960-603-357-5
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Creative Commons - - 3.0.

https://creativecommons.org/licenses/by-nc-nd/3.0/gr/


9, 15780
www.kallipos.gr


-........................................................................ 11
.................................................................................................................... 12
1. ............................................................. 13
1. ........................................................................................................................................... 13
2. ............................................ 13
2.1 . .................................................................................................................................... 13
2.2 .................................................................................................................................... 14
2.3 ......................................................................................................................... 14
2.4 ................................................................................................................. 14
2.5 ........................................................................................................... 15
3. .............................................................. 16
4. ................................................................................................................................... 19

2. ............................................................................................ 20
1. ........................................................................... 20
2. .................................................. 20
3. ......................................................................... 20
4. ................................................................................. 22
5. .......................................................................................... 24
6. ............................................................. 25
6.1 ............................................................................................................................................... 25
6.2 ( 2.3)..................................................................................................................... 25
6.3 ( 2.4)................................................................................................................... 25
6.4 ( 2.5 & 2.6).......................................................................................... 26
6.5 ( 2.7).................................................................................. 27
6.6 ......................................................................................................... 28
6.7 ( 2.8)................................................................................... 28
6.8 ........................................................................................................................... 28
6.9 .............................................................................................................................................. 28
6.10 . .......................................................................................................................... 29
7. ................................................................................................................................... 30

3. ......................................................... 31
1. ........................................................................... 31
1.1 ................................................................................................................................................. 31
1.2 .............................................................................................................................................. 31
2. .................................................. 32
3. ...................................................................................... 32
4

3. ................................................................. 32
3. ............................................................................ 32
3. .......................................... 33
4. ...................................................................... 34
4.1. ................................................................................................................................... 34
4.2. ....................................................................................................... 34
4.2.1. ..................................................................................................................................... 34
4.2.2. ........................................................................................................................................ 36
4.2.3. ....................................................................................................................................... 38
4.2.4 ............................................................................................................................................ 38
4.2.5 ...................................................................... 41
5. ............................................................................................. 41
5.1 ........................................................................................................................... 41
5.2 :............................................................................................................................ 41
6. ................................................................................................................................... 43

4. ................................................... 44
1. ........................................................................... 44
1.1 .............................................................................................................................. 45
1.2 ............................................................................................................ 45
2. ........................................................... 47
2.1 .................................................................................................................................................... 47
2.2 ........................................................................................................................................... 47
2.3 ............................................................................................................................................ 47
2.4 ................................................................................................................................ 47
2.5 .............................................................................................................................................. 48
2.6 .............................................................................................. 49
2.7 .............................................................................................................................................. 50
3. ............................................... 51
3.1 ........................................................................................................................................ 51
3.2 ............................................................................................................................................ 53
3.3 ........................................................................................................................... 55
3.4 ............................................................................................................................................... 56
3.4.1 ........................................................................................... 56
3.5 ...................................................................................................... 58
3.6 .................................................... 58
4. ................................................................................................................................... 59

5. ........................................................ 60
1. ........................................................................... 60
2. ................................................................................................................................... 63
2.1 .................................................................................................................................................... 63
5

2.2 ..................................................................................................... 64
2.3 ................................................................................................................................. 65
2.4 .................................................................................................... 65
3. .......................................................................................................................... 65
3.1 ......................................................................................................................................... 65
3.2 .......................................................................................................................................... 66
3.2.1 .............................................................................. 67
3.2.2 ........................................................................................................................... 68
3.3 ...................................................................................................... 70
4. ................................................................................................................................... 72

6. ................................................... 73
1. ........................................................................... 73
2. ............................................................................. 74
3. ............................................................. 75
3.1 .................................................................................................................................. 75
3.2 .............................................................................................................................................. 75
3.3 .............................................................................................................................................. 75
3.4 ............................................................................................................................................. 75
3.5 .......................................................................................... 76
3.6 ........................................................................................................... 76
3.7 ................................................................................................................................... 77
3.8 ....................................................................................................................... 77
4. ................................................................................. 77
5. .............................................. 80
5.1 .................................................................................................................................... 80
5.2 .......................................................................................................... 80
5.2.1 :................................................................................................................... 84
5.3 ()................................................................................................... 85
5.3.1 Korotkoff................................................................................................................................. 86
5.4. .............................................................. 87
5.4.1 :................................................................................................................... 89
5.5. ( )....................................................................... 91
5.6. ............................................................................................................................... 92
5.6.1 .............................................................................................................................................. 92
5.6.2 ............................................................................................................................... 94
5.6.3 ....................................................................................................................... 96
5.6.4 ........................................................................................................................ 98
6. ............................................................................................. 98
.................................................................................................................... 98
............................................................................................................... 99
................................................................................................................................ 99
6

 ......................................................................................................................... 100
.......................................................................................................................... 100
.................................................................................................................. 100
......................................................................................................................................... 101
7. ................................................................................................................................. 102

7. ................................................. 103
1. ......................................................................... 103
2. ................................................ 104
3. ................................................................................... 104
4. .............................................................................................. 105
5. ........................................................................................................................ 106
5.1 .................................................................................................................................. 106
5.2 ................................................................................................................................ 108
5.2.1 ....................................................................................................................... 108
5.2.2 .............................................................................................................................110
5.2.3 ..........................................................................................................................111
5.2.4 ..........................................................................................................................113
6. ............................................................................................116
..........................................................................................................................116
................................................................................116
...............................................................................................................................116
................................................................................................................................117
......................................................................................................117
....................................................................................................................117
.................................................................................................................................117
7. ...................................117
............................................................................................117
8. ..................................................................................................................................118

8. ................ 119
1. ..........................................................................119
1.1 .................................................................................................................................................119
1.2 ..........................................................................................................................................119
1.3 ...............................................................................................................................119
1.4 ...............................................................................................................................119
1.5 ............................................................................................................................119
1.6 ..............................................................................................................119
1.7 .......................................................................................................... 120
2. ................................................ 120
2.1 .................................................................................................................... 120
7

2.2 ........................................................................................................................... 120

3. ...................................................................... 120
4. .............................................................................................. 122
5. ............................... 124
5.1 ........................................................................................................................ 124
5.2 .................................................................................................... 125
5.3 ......................................................................... 125
5.4 ( )................................................. 125
5.5 .................................................................... 126
5.6 ...................................................................... 126
6. ........................................................................................... 126
6.1 ................................................................................................................................ 126
6.2 ....................................................................................................................... 126
6.3 ................................................................................................................................ 126
6.4 .......................................................................................................................... 126
6.5 ()............................................................................................................. 126
6.6 ...................................................................................................................... 127
6.7 ()............................................................................................. 127
6.8 ........................................................................................................................ 127
7. ................................................................... 127
........................................................................................................ 127
8. ................................................................................................................................. 128

9. ................................................ 129
1. ................................................................................................ 129
2. .......................................................................................................................................... 130
2.1 .................................................................................................................................................. 130
2.2 ........................................................................................................................... 130
2.3 ............................................................................ 130
2.3 ............................................................................................................... 130
2.4 ................................................................................................................. 130
3. ........................................................................................................................ 130
3.1 ..................................................................................................................................... 131
3.2 .................................................................................................................................................. 131
3.2.1 .................................................................................................................................... 132
3.2.2 ....................................................................................................................................... 132
3.2.3 .................................................................................................................................. 132
3.2.4 ......................................................................................................................... 133
3.3 ............................................................................................................................................. 134
3.3.1 .................................................................................................................................... 134
3.3.2 ....................................................................................................................................... 135
8

3.3.3 .................................................................................................................................. 136

3.3.4 ......................................................................................................................... 137
3.4 ............................................................................................................ 137
3.4.1 .................................................................................................................................... 137
3.4.2 ....................................................................................................................................... 139
3.4.3 .................................................................................................................................. 139
3.4.4 ......................................................................................................................... 139
3.5 .................................................................................................................................................... 141
3.5.1 .................................................................................................................................... 141
3.5.2 ....................................................................................................................................... 141
3.5.3 .................................................................................................................................. 141
3.5.4 ......................................................................................................................... 142
3.6 .............................................................................................................................. 144
3.6.1 .................................................................................................................................... 144
3.6.2 ....................................................................................................................................... 145
3.6.3 .................................................................................................................................. 146
3.6.4 ......................................................................................................................... 146
3.7 ........................................................................................................................ 147
3.7.1 .................................................................................................................................... 147
3.7.2 ....................................................................................................................................... 147
3.7.3 .................................................................................................................................. 147
3.7.4 ......................................................................................................................... 147
3.8 ........................................................................................................... 148
3.8.1 .................................................................................................................................... 148
3.8.2 ....................................................................................................................................... 149
3.8.3 .................................................................................................................................. 149
4. ................................................................................................................................. 150

10. .............................................................. 151

1. ......................................................................... 151
1.1 ( 10.1)......................................................................... 151
1.2 ( 10.2)...................................................................... 152
2. ............................................................................ 153
3. ................................................................................... 154
4. .............................................................................................. 155
5. ........................................................... 158
5.1 .................................................................................................... 158
5.2 (. : ).................................... 158
5.3 ..................................................................................................................... 159
.................................................................................................................................................. 159
5.4 .................................................................................................................................................. 159
................................................................................................................................................ 159
()................................................................................................................................ 159
5.5 ( )....................................................................................... 160
5.6 ..................................................................................................................................... 160
9

5.6.1 ............................................................................................................................. 160

5.6.2 ....................................................................................................... 160
5.6.3 .................................................................................................................................... 161
5.6.4 .................................................................................................................... 162
5.6.5 ................................................................................................................... 162
5.7 ................................................................................................................................ 162
5.7.1 ............................................................................................................. 163
5.7.2 ( ) ................................................................................... 163
5.7.3 ....................................................................................................... 164
5.8 ................................................................................................................................... 164
5.8.1 ............................................................................................................... 164
5.8.2 .......................................................................................................... 164
6. ........................................................................................... 168
........................................ 168
................................................... 169
Parkinson..................................................................................................................................... 169
............................................................................................................ 169
Guillain-Barre....................................................................................................................... 169
7. ............................................................................. 169

................................................................................................................. 169
8. ................................................................................................................................. 170

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Lippincott Williams & Wilkins: 2013.
Fortin AH VI, Dwamena FC, Frankel RM, Smith RC. Smiths Patient-Centred Interviewing: An Evidence-Based Method, 3rd Ed. New York, McGraw-Hill Medical- Lange: 2012.
Henderson MC, Tierney LM Jr, Smetana GW. The Patient History: An Evidence-Based Approach to Differential Diagnosis, 2nd Ed. New York, McGraw-Hill Medical- Lange: 2012.

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Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
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. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford, Oxford University Press: 2014.
Wolff K, Johnson RA, Saavedra AP. Fitzpatricks Color Atlas and Synopsis of Clinical Dermatology, 7th
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. , 5 . 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Campbell WW. DeJongs The Neurologic Examination 7th Ed. Philadelphia, Lippincott Williams & Wilkins:
2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford, Oxford University Press: 2014.

43

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49

 4.4

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3.
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51

 4.6 . 2007 Weiss; licensee

BioMed Central Ltd. CC Attribution 2.0 Generic & Blausen.com staff. Blausen gallery 2014. Wikiversity Journal of
Medicine. DOI:10.15347/wjm/2014.010. ISSN 20018762

(pectus carinatum).
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4.7 ( http://www.ghschildrens.org/pectus.php)
52

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58

4.
. , 5 . , 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Coviello JS, Auscultation Skills: Breath & Heart Sounds. 5th Ed. Philadelphia, Lippincott Williams and
Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford, Oxford University Press: 2014.

59

 5.

1.
,
, 2 6
( 5.1). , : ,
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cm .

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60

 5.2

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61

 5.3 ( https://commons.wikimedia.org/wiki/File:Breast_anatomy_
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62

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63

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 5.7 (National Institutes of Health National Cancer Institute,image ID 2146,

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67

 5.10 (National Cancer Institute National Institutes of

Health, image ID 2223, public domain)

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 5.11 (National Cancer Institute National Institutes of Health, image ID 2220, public
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public domain)
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71

4.
. , 5 . : 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford,
Oxford University Press: 2014.

72

 6.

1.
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http://cnx.org/content/col11496/1.6/, Jun 19, 2013, CC BY 3.0)

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83

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 .
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86

 :
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88

5.4.1 :
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 6.9

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 6.10 ( https://commons.wikimedia.org/wiki/
File:Surface_anatomy_of_the_heart.png?uselang=el Public Domain)

,
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1 : (S1) (S2) ( 6.11),

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93

 6.12 3 4

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 , , ,
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97

 6.14 (http://www.textbookofcardiology.org/wiki/File:Phonocardiograms_
from_normal_and_abnormal_heart_sounds.svg CC BY-NC-SA 3.0)

5.6.4

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98

 ,
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, , , ,
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101

7.
. , 5 . , 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Coviello JS, Auscultation Skills: Breath & Heart Sounds. 5th Ed. Philadelphia, Lippincott Williams and
Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Perloff JK. Physical Examination of the Heart and Circulation, 4th edition. New York, McGraw-Hill Medical: 2009.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd edition. Oxford,
Oxford University Press: 2014.

102

 7.

1.
, ,
. , , , .
, , 9 4
( 7.1). ,
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( ) () .

7.1 ( Open Stax College Anatomy & Physiology www.cnx.org

Creative Commons Attribution 4.0)
103

2.
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104

()

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105

5.
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7.3 ( https://www.dermquest.com/imagelibrary/large/025768HB.JPG)
106

 7.4

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7.7: Grey-Turner ( http://medicine-time.blogspot.gr/2013/06/clinical-sign-grey-turners-sign.html)

109


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110


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8.
. , 5 . , 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills, 2nd Ed. Oxford, Oxford University Press: 2014.

118

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8.
. , 5 . , 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford, Oxford University Press: 2014.

128

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Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013
Gross JM, Fetto J, Rosen E. Musculoskeletal Examination, 4th Edition. Oxford, Wiley-Blackwell: 2016.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford; Oxford University Press: 2014.

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8.
. , 5 . , 2012.
Bickley LS, Szilagyi PG. Bates Guide to Physical Examination and History Taking, 11th ed. Philadelphia,
Lippincott Williams & Wilkins: 2013.
Campbell, WW. De Jongs The Neurological Examination, 7th ed. New York, McGraw-Hill Medical: 2012.
Douglas G, Nicol F, Robertson C. Macleods Clinical Examination, 13th ed. Edinburgh, Churchill Livingstone: 2013.
. . , . : 1969.
Leblond RF, Brown DD, Suneja M, Szot JF. DeGowins Diagnostic Examination, 10th Ed. New York, McGraw-Hill Medical: 2015.
Simel D, Drummond R. The Rational Clinical Examination: Evidence-Based Clinical Diagnosis. New York,
McGraw-Hill Medical: 2009.
Thomas J, Monaghan T. Oxford Handbook of Clinical Examination & Practical Skills 2nd Ed. Oxford, Oxford University Press: 2014.

170