If you're looking for an overloaded, and generally not helpful pocket medicine book that doesn't actually fit in your coat pocket...you may want to look elsewhere. But if you want a great book that covers all the most important points of critical topics with consistent efficiency, this is most definitely the book you want to buy. The amount of important and consistently helpful information this little stack of pages fits in is very helpful, particularly for us medical students who seem to consistently be on the receiving end of those pimping questions that we need a quick way to look up the answer to. I'll admit I don't have any of the 600 pages of the Washington Manual, but I'm not sure it can really be considered a "pocket" medicine book...more along the lines of a "rolling suitcase" medicine book. Buy this book, you will not regret it.