
The sixth edition of Clinical Examination continues to serve all medical trainees with a clear explanation of history taking and clinical examination. Set out systematically, this best selling textbook has comprehensive coverage of the skills necessary for clinically evaluating patients. Thoroughly evidence based and referenced, in full colour with superior artwork and design, the book comes with free and complete access to Student Consult. The book is written for the clinical skills subject of the medical curriculum. Medical schools teach this at varying stages, some introducing the subject in the beginning years (graduate medical schools years 1 & 2) and others at year 3 (traditional/hybrid curricula, usually 5 or 6 years). Specialty Colleges and RACP teach a clinical skills subject in the early part of basic training which takes place after PGY1 & 2......more on Clinical Examination from publisher
Nevermind pathophysiology, this textbook teaches the art of interacting with patients.
Orient, Jane M. Sapira's Art & Science of Bedside Diagnosis 5th Ed. Chapter 1: The Art of Clinical Examination. P5.
"My original reflex hammer from medical school was simply a round rubber ball about the diameter of a nickel, mounted on a handle. This illustrates the point that any hammer is satisfactory if the examiner knows where to strike the tendon. I have even used the diaphragm of a Sprague stethoscope, and a former resident, a Vanderbuilt graduate, used her knuckle. Some physicians use the tips of their fingers, a tool that is always available."
I don't think a citation is really necessary in this case. You're tapping a tendon. That's all. You don't need special equipment. I wouldn't make the same argument for a stethoscope.
But if you want, Sapira is a really fun textbook. It's even a fun read for a layperson.