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Erudite exposition of clinical medicine

The Art of Clinical Medicine

Author: Dr. S.D.K. Perera, Consulting Physician, National Hospital, Colombo

Saraswathie Publishers, No. 2/60, Circular Road, Divulapitiya

Review: Prof. U.S. Jayawickrama M.D., F.R.C.P.

MEDICINE: It is the duty of teachers of medicine to impart to students their experience in the practice of the art and science of clinical medicine. This is of particular importance in an age where clinical medicine is threatened with extinction.

Computerized laboratory investigations and sophisticated procedures are being widely used to make a diagnosis without a careful clinical examination. It is much more satisfying to the clinician to make a diagnosis of a lung abscess or hypothyroidism on clinical history and examination and confirm this by appropriate investigatory procedures, rather than through the reverse.

Dr. Perera has made a determined effort to give the details of eliciting the history and physical signs and their interpretation, with illustrations and useful differential diagnoses. This book should prove to be a useful aid to students who are now studying medicine and to those who wish to re-learn the art and science of clinical medicine.

He concludes by listing the complete investigatory procedures that need to be done in different clinical disorders. A medical student who has the ambition to pursue clinical medicine to its logical conclusion must remember word by word Dr. Perera's accurate instructions.

Judged from the little knowledge I possess of the vagaries of body and mind Dr. S.D.K. Perera's erudite exposition on clinical medicine merits commendation as it is a valuable contribution to the relevant field both here in Sri Lanka and in the international sphere.

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