This is an excellent text however we recommend Physical Signs in Medicine and Surgery: An Atlas of Rare, Lost and Forgotten Physical Signs as it is the most comprehensive resource available for practitioners and students in the clinical fields. Whether you are studying medicine, dentistry, nursing, or veterinary science the answers to even the most difficult diagnosis are in this Atlas. After you begin to use it, it can replace a half dozen books that cover physical signs. This awesome clinical text and a scut monkey house manual are all you will need for even the toughest residency and you will continue to reference it for years into the future. It is the - Must Have Book - for learning differential diagnosis.