Book Review: Physical Diagnosis: Secrets, by Dr. Salvatore Mangione.

Mangione, S. Physical Diagnosis: Secrets
Second edition. Philadelphia: Mosby Elsevier; 2008, p. 1-702

A remarkable book for this day and age, Secrets is a massive tome devoted to all aspects of the lost art of physical diagnosis geared not only to medical students but those learners of all levels. This book is organized into 22 chapters along lines of the various organ systems, with particular attention paid to the cardiopulmonary exam reflecting the author's bias as an academic pulmonary intensivist that this is an area that is fraught with misconceptions and errors! A fantastic resource is that buyers of the book have online access to various resources including the “Heart and Lung Sounds Secrets: Cardio-Pulmonary Auscultation Workshop.” In addition, there is evidence-based elaboration of “top 100 secrets” related to top board alerts or salient features of the exam. The book is filled with useful diagrams, schematics, as well as photos of key findings. One shortcoming is that the pictures are in black and white and we hope for color in the next edition! Uniquely, the author reflects a profound interest and respect for the fore-fathers of modern medicine who were keen observers of the art and science of the physical exam by the liberal inclusion of direct quotations from older classic texts. The author's keen humor and powers of observation is reflected in the "top 10+10 secret reasons why it is good to be a doctor." This is a kind of capstone book that captures many dimensions and gives a breath of fresh air and optimism for a health care environment that is plagued with cynicism, over-emphasis on the bottom-line, and an endangered collegiality. Congratulations to Dr. Mangione for a job well-done and to his beneficiaries, students of all stripes.

About Jefferson Medical College
Founded in 1824, Jefferson Medical College has awarded more than 27,000 medical degrees and has more living graduates than any other medical school in the nation. It offers both traditional medical education programs and innovative joint degree programs to its enrollment of approximately 1000 students each year.

Media Only Contact: Richard Cushman, Thomas Jefferson University Hospital, (215) 955-6300.

Published: 06-23-2011

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