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Clinical judgment is a critical aspect - perhaps the most critical aspect - of efficient, accurate, and cost-effective patient care. Focusing on essential clinical skills, On Rounds: 1000 Internal Medicine Pearls helps clinicians in training and in practice to identify the critical findings that will simplify complex clinical problems and lead to an accurate diagnosis. One thousand easy-to-remember clinical aphorisms, or 'pearls' help you distinguish the important findings from the incidental, pointing out the distinctive features amidst the mass of data that is accumulated in the evaluation of a sick patient, and leading to the development of mature clinical judgment.