This unorthodox textbook of gastroenterology emphasizes a rather varied clinical approach to gastrointestinal diseases, including decision-making skills and recognition of gastrointestinal symptoms. The book is divided into two sections: The first covers major presenting symptoms and signs in gastrointestinal and liver diseases. The second covers major diagnostic modalities, including organ-imaging, endoscopy, biopsy, and tests of gastrointestinal function. By placing more emphasis on selective topics such as the clinical interview, patient-physician interaction, and cost-effectiveness, there is less emphasis on pathophysiology and treatment of disease. Since the book is not all-encompassing and does not try to be a summary of the state of the art of gastroenterology, it has particular appeal to persons at less experienced levels in medicine whose patients have gastroenterological symptoms. It would be ideal for the medical student or generalist and those less experienced in internal medicine and gastroenterology, such as nurse practitioners. Some of the discussions on