Bates' guide to physical examination and history taking:
"The 10th edition of the pre-eminent textbook on physical examination and history taking contains foundational content to guide students' approaches to history taking, interviewing, and other core assessment concepts, as well as fully illustrated, step-by-step techniques that outline corre...
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Wolters Kluwer, Lippincott, Williams & Wilkins
2009
|
| Ausgabe: | 10. ed., internat. ed. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | "The 10th edition of the pre-eminent textbook on physical examination and history taking contains foundational content to guide students' approaches to history taking, interviewing, and other core assessment concepts, as well as fully illustrated, step-by-step techniques that outline correct performance of physical examination. The comprehensive content is intended for high-level nursing education and practice markets, medical students, and related health professions (eg, physician assistants). Text includes head-to-toe assessment and techniques of communication videos."--BOOK JACKET. |
| Beschreibung: | XXII, 964 S. zahlr. Ill., graph. Darst. 1 CD-ROM (12 cm) |
| ISBN: | 9781605474007 1605474002 |
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| 245 | 1 | 0 | |a Bates' guide to physical examination and history taking |c Lynn S. Bickley ; Peter Szilagyi |
| 246 | 1 | 3 | |a Guide to physical examination and history taking |
| 250 | |a 10. ed., internat. ed. | ||
| 264 | 1 | |a Philadelphia [u.a.] |b Wolters Kluwer, Lippincott, Williams & Wilkins |c 2009 | |
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| 520 | 1 | |a "The 10th edition of the pre-eminent textbook on physical examination and history taking contains foundational content to guide students' approaches to history taking, interviewing, and other core assessment concepts, as well as fully illustrated, step-by-step techniques that outline correct performance of physical examination. The comprehensive content is intended for high-level nursing education and practice markets, medical students, and related health professions (eg, physician assistants). Text includes head-to-toe assessment and techniques of communication videos."--BOOK JACKET. | |
| 650 | 7 | |a Anamnese (geneeskunde) |2 gtt | |
| 650 | 7 | |a Diagnostiek |2 gtt | |
| 650 | 7 | |a Lichamelijk onderzoek |2 gtt | |
| 650 | 4 | |a Physical diagnosis | |
| 650 | 4 | |a Medical history taking | |
| 650 | 4 | |a Physical Examination |x methods | |
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Datensatz im Suchindex
| _version_ | 1804137994498605056 |
|---|---|
| adam_text | CONTENTS
List of Tables xv
Introduction xviii
Unit I
CHAPTER 1
Overview: Physical Examination
and History Taking 3
I Patient Assessment: Comprehensive or focused 4
I Comprehensive Assessment of the Adult 6
THE COMPREHENSIVE ADULT HEALTH HISTORY 6
THE COMPREHENSIVE ADULT
PHYSICAL EXAMINATION 13
Beginning the Examination: Setting the Stage 13
Techniques of Examination 17
Overview—The Physical Examination 19
Bibliography 23
CHAPTER 2
Clinical Reasoning, Assessment,
and Recording Your Findings 25
I Assessment and Plan: The Process of Clinical Reasoning 27
I Recording Your Findings: The Case of Mrs. N
and the Challenges of Clinical Data 30
I Recording Your findings: Checklist for a
Clear and Accurate Record 40
I fvaluating Clinical Evidence 43
I Lifelong Learning: Integrating Clinical Reasoning,
Assessment, and Analysis of Clinical Evidence 49
Bibliography 51
CHAPTER 3
Interviewing and the Health History 55 ;i ,
I Getting Ready: Ihe Approach to the Interview 58
I Learning About the Patient: Ihe Sequence of
the Interview 60
I Building a Therapeutic Relationship:
Ihe Techniques of Skilled Interviewing 68
I Adopting Your Interview to Specific Situations 75
I Sensitive Topics That Call for Specific Approaches 81
I Societal Aspects of Interviewing 87
Bibliography 96
Unit 2
CHAPTER 4
Beginning the Physical Examination:
General Survey, Vital Signs, and Pain 101
I The Health History 102
I Wealth Promotion and Counseling 104
The General Survey 109
GENERAL APPEARANCE 109
The Vital Signs 114
BLOOD PRESSURE 114
HEART RATE AND RHYTHM 119
RESPIRATORY RATE AND RHYTHM 119
TEMPERATURE 120
SPECIAL SITUATIONS 121
ACUTE AND CHRONIC PAIN 121
I Recording your findings 125
Bibliography 125
CHAPTER 5
Behavior and Mental Status 135
I Symptoms and Behavior 136
I The Health History 140
I Health Promotion and Counseling 142
I Techniques of Examination 145
APPEARANCE AND BEHAVIOR 146
SPEECH AND LANGUAGE 147
MOOD 148
THOUGHT AND PERCEPTIONS 149
COGNITIVE FUNCTIONS 151
HIGHER COGNITIVE FUNCTIONS 153
SPECIAL TECHNIQUES 155
I Recording Your Findings 155
Bibliography 156
CHAPTER 6
The Skin, Hair, and Nails 163
I Anatomy and Physiology 163
I The Healfh History 165
I Health Promotion and Counseling 165
I lechniques of Examination 168
SKIN 168
SKIN LESIONS IN CONTEXT 169
HAIR 170
NAILS 170
SPECIAL TECHNIQUES 170
I Recording your findings 172
Bibliography 172
CHAPTER 7
The Head and Neck 195
I Overview: New Format ot fhis Chapter 195
I The Health History 196
THE HEAD 196
THE EYES 197
THE EARS 199
THE NOSE AND SINUSES 200
THE MOUTH, THROAT, AND NECK 201
I Health Promotion and Counseling 201
I Anatomy and Physiology and
lechniques of Examination 204
THE HEAD 204
Anatomy and Physiology 204
Techniques of Examination 205
THE EYES 205
Anatomy and Physiology 205
Techniques of Examination 21 1
THE EAR 222
Anatomy and Physiology 222
Techniques of Examination 225
THE NOSE AND PARANASAL SINUSES 228
Anatomy and Physiology 228
Techniques of Examination 229
MOUTH AND PHARYNX 231
Anatomy and Physiology 231
Techniques of Examination 234
THE NECK 236
Anatomy and Physiology 236
Techniques of Examination 238
SPECIAL TECHNIQUES 243
I Recording Vbur Findings 245
Bibliography 246
CHAPTER 8
The Thorax and Lungs 283
I Anatomy and Physiology 283
I The Health History 290
I Health Promotion and Counseling 292
I Techniques of fxamination 296
INITIAL SURVEY OF RESPIRATION AND THE THORAX 296
EXAMINATION OF THE POSTERIOR CHEST 297
Inspection 297
Palpation 297
Percussion 299
Auscultation 302
EXAMINATION OF THE ANTERIOR CHEST 305
Inspection 305
Palpation 305
Percussion 307
Auscultation 308
SPECIAL TECHNIQUES 309
I Recording Your Findings 309
Bibliography 310
CHAPTER 9
The Cardiovascular System 323
I Anatomy and Physiology 323
SURFACE PROJECTIONS OF THE HEART
AND GREAT VESSELS 323
CARDIAC CHAMBERS, VALVES, AND CIRCULATION 325
EVENTS IN THE CARDIAC CYCLE 326
THE SPLITTING OF HEART SOUNDS 328
HEART MURMURS 329
RELATION OF AUSCULTATORY FINDINGS
TO THE CHEST WALL 330
THE CONDUCTION SYSTEM 331
THE HEART AS A PUMP 332
ARTERIAL PULSES AND BLOOD PRESSURE 333
JUGULAR VENOUS PRESSURE (JVP) 334
JUGULAR VENOUS PULSATIONS 336
CHANGES OVER THE LIFE SPAN 336
I Ihe Health History 337
I Health Promotion and Counseling 339
I lechniques of Examination 348
JUGULAR VENOUS PRESSURE AND PULSATIONS 349
THE CAROTID PULSE 352
THE HEART 354
Inspection and Palpation 355
Percussion 361
Auscultation 361
INTEGRATING CARDIOVASCULAR ASSESSMENT 368
SPECIAL TECHNIQUES 369
I Recording Your findings 371
Bibliography 371
CHAPTER 10
The Breasts and Axillae 389
I Anatomy and Physiology 389
THE FEMALE BREAST 389
THE MALE BREAST 391
LYMPHATICS 391
I Ihe Health History 392
I Health Promotion and Counseling 393
Overview 393
Selected Risk Factors That Affect Screening Decisions 397
Recommendations for Breast Cancer
Screening and Chemoprevention 398
Counseling Women about Breast Cancer 401
I Techniques ot Examination 402
THE FEMALE BREAST 402
Inspection 402
Palpation 405
THE MALE BREAST 407
THE AXILLAE 407
Inspection 408
Palpation 408
SPECIAL TECHNIQUES 409
I Recording Your findings 411
Bibliography 411
CHAPTER IT
The Abdomen 415
I Anatomy and Physiology 415
I The Health History 418
THE GASTROINTESTINAL TRACT 420
THE URINARY TRACT 427
I Health Promofion and Counseling 429
I Techniques ot Examination 434
THE ABDOMEN 434
Inspection 434
Auscultation 436
Percussion 437
Palpation 437
THE LIVER 439
Percussion 439
Palpation 441
THE SPLEEN 443
Percussion 443
Palpation 444
THE KIDNEYS 445
Palpation 445
THE BLADDER 447
THE AORTA 447
SPECIAL TECHNIQUES 448
Assessing Possible Ascites 448
Assessing Possible Appendicitis 450
Assessing Possible Acute Cholecystitis 451
Assessing Ventral Hernias 451
Mass in the Abdominal Wall 451
I Recording Your Findings 451
Bibliography 452
CHAPTER 12
The Peripheral Vascular System 471
I Anatomy and Physiology 471
ARTERIES 471
VEINS 473
THE LYMPHATIC SYSTEM AND LYMPH NODES 475
FLUID EXCHANGE AND THE CAPILLARY BED 476
I The Health History 477
I Health Promotion and Counseling 478
I Techniques of Examination 481
ARMS 481
LEGS 483
SPECIAL TECHNIQUES 488
I Recording Your findings 492
Bibliography 492
CHAPTER 13
Male Genitalia and Hernias 501
I Anatomy and Physiology 501
I The Health History 504
I Health Promotion and Counseling 506
I Techniques of examination 508
THE PENIS 508
Inspection 508
Palpation 509
THE SCROTUM AND ITS CONTENTS 509
Inspection 509
Palpation 510
HERNIAS 510
Inspection 510
Palpation 511
SPECIAL TECHNIQUES 512
The Testicular Self-Examination 512
I Recording Your Findings 513
Bibliography 513
CHAPTER 14
Female Genitalia 521
I Anatomy and Physiology 521
I The Health History 524
I Health Promotion and Counseling 528
I Techniques of Examination 533
EXTERNAL EXAMINATION 535
INTERNAL EXAMINATION 536
HERNIAS 543
SPECIAL TECHNIQUES 543
I Recording Your findings 543
Bibliography 544
CHAPTER 15
The Anus, Rectum, and Prostate 555
I Anatomy and Physiology 555
I Ihe Health History 557
I Health Promotion and Counseling 558
I Techniques of Examination 561
MALE 561
FEMALE 564
I Recording Your Findings 565
Bibliography 565
CHAPTER 16
The Musculoskeletal System 571
I Assessing the Musculoskeletal System 571
OVERVIEW 571
JOINT STRUCTURE AND FUNCTION 572
TYPES OF JOINT ARTICULATION 573
STRUCTURE OF SYNOVIAL JOINTS 574
I Ihe Health History 575
I Health Promotion and Counseling 578
I Examination ot Specific Joints: Anatomy and
Physiology and Techniques of Examination 583
TEMPOROMANDIBULAR JOINT (TMJ) 586
Overview, Bony Structures, and Joints 586
Muscle Groups and Additional Structures 586
Techniques of Examination 587
THE SHOULDER 588
Overview 588
Bony Structures 588
Joints 589
Muscle Groups 589
Additional Structures 590
Techniques of Examination 591
THE ELBOW 599
Overview, Bony Structures, and Joints 599
Muscle Groups and Additional Structures 599
Techniques of Examination 600
THE WRIST AND HANDS 601
Overview 601
Bony Structures 602
Joints 602
Muscle Groups 603
Additional Structures 603
Techniques of Examination 603
THE SPINE 609
Overview 609
Bony Structures 610
Joints 611
Muscle Groups 611
Techniques of Examination 611
THE HIP 617
Overview 617
Bony Structures and Joints 617
Muscle Groups 618
Additional Structures 619
Techniques of Examination 619
THE KNEE 625
Overview 625
Bony Structures 625
Joints 625
Muscle Groups 626
Additional Structures 626
Techniques of Examination 627
THE ANKLE AND FOOT 634
Overview 634
Bony Structures and Joints 634
Muscle Groups and Additional Structures 635
Techniques of Examination 635
SPECIAL TECHNIQUES 637
I Recording Your Findings 639
Bibliography 639
CHAPTER 17
The Nervous System 655
I Anatomy and Physiology 656
CENTRAL NERVOUS SYSTEM 656
The Brain 656
The Spinal Cord 657
PERIPHERAL NERVOUS SYSTEM 658
The Cranial Nerves 658
The Peripheral Nerves 658
MOTOR PATHWAYS 660
SENSORY PATHWAYS 662
SPINAL REFLEXES: THE DEEP TENDON RESPONSE 663
I The Health History 664
I Health Promotion and Counseling 667
Techniques of Examination 671
THE CRANIAL NERVES 672
THE MOTOR SYSTEM 678
THE SENSORY SYSTEM 690
DEEP TENDON REFLEXES 696
CUTANEOUS STIMULATION REFLEXES 701
SPECIAL TECHNIQUES 702
I Recording Your Findings 710
Bibliography 711
Unit 3
CHAPTER 18
Assessing Children: Infancy
Through Adolescence 737
I General Principles of Child Development 738
I Health Promotion and Counseling: Key Components 740
I Assessing the Newborn 743
IMMEDIATE ASSESSMENT AT BIRTH 744
ASSESSMENT SEVERAL HOURS AFTER BIRTH 749
I Assessing the Infant 750
DEVELOPMENT 750
THE HEALTH HISTORY 751
General Guidelines 751
Testing for Developmental Milestones 752
HEALTH PROMOTION AND COUNSELING 755
TECHNIQUES OF EXAMINATION 756
General Survey and Vital Signs 756
The Skin 760
The Head 765
The Eyes 768
The Ears 770
The Nose and Sinuses 771
The Mouth and Pharynx 771
The Neck 773
The Thorax and Lungs 773
The Heart 776
The Breasts 783
The Abdomen 783
Male Genitalia 784
Female Genitalia 785
Rectal Examination 786
The Musculoskeletal System 786
The Nervous System 790
I Assessing Vbung and School-Aged Children 797
DEVELOPMENT 797
Early Childhood: 1 to 4 Years 797
Middle Childhood: 5 to 10 Years 798
THE HEALTH HISTORY 799
Assessing Younger Children 799
Assessing Older Children 801
HEALTH PROMOTION AND COUNSELING 804
Children 1 to 4 Years 804
Children 5 to 10 Years 805
TECHNIQUES OF EXAMINATION 806
General Survey and Vital Signs 806
The Skin 810
The Head 810
The Eyes 811
The Ears 812
The Nose and Sinuses 815
The Mouth and Pharynx 816
The Neck 819
The Thorax and Lungs 820
The Heart 821
The Abdomen 823
Male Genitalia 825
Female Genitalia 826
The Rectal Examination 830
The Musculoskeletal System 830
The Nervous System 832
I Assessing Adolescents 834
DEVELOPMENT: 11 TO 20 YEARS 834
THE HEALTH HISTORY 836
HEALTH PROMOTION AND COUNSELING 838
TECHNIQUES OF EXAMINATION 839
General Survey and Vital Signs 839
The Skin 839
Head, Ears, Eyes, Throat, and Neck 840
The Heart 840
The Breasts 841
The Abdomen 842
Male Genitalia 843
Female Genitalia 844
The Musculoskeletal System 846
The Nervous System 850
I Recording Your Findings 850
Bibliography 853
CHAPTER 19
The Pregnant Woman 871
I Anatomy and Physiology 871
I The Healfh History 876
I Health Promotion and Counseling 878
I Techniques of Examination 881
GENERAL INSPECTION 882
VITAL SIGNS, HEIGHT, AND WEIGHT 882
HEAD AND NECK 883
THORAX AND LUNGS 883
HEART 884
BREASTS 884
ABDOMEN 884
GENITALIA, ANUS, AND RECTUM 886
EXTREMITIES 888
SPECIAL TECHNIQUES 888
Modified Leopold s Maneuvers 888
CONCLUDING THE VISIT 891
I Recording Your Findings 891
Bibliography 891
CHAPTER 20
The Older Adult 893
I Anatomy and Physiology 894
I The Health History 901
APPROACH TO THE PATIENT 901
SPECIAL AREAS OF CONCERN WHEN ASSESSING
COMMON OR CONCERNING SYMPTOMS 905
I Health Promotion and Counseling 909
I Techniques of Examination 913
ASSESSING FUNCTIONAL STATUS:
THE SIXTH VITAL SIGN 913
PHYSICAL EXAMINATION OF THE OLDER ADULT 916
I Recording Your findings 924
Bibliography 926
Index 935
LIM Of T A B L € S
CHAPTER 2
Clinical Reasoning, Assessment,
and Recording Your Findings 25
TABLE 2-1: Sample Progress Note 53
CHAPTER 4
Beginning the Physical Examination:
General Survey, Vital Signs, and Pain 101
TABLE 4-1: Eating Disorders and Excessively
LowBMI 128
TABLE 4-2: Nutrition Screening 129
TABLE 4-3: Obesity-Related Risk Factors
and Diseases 130
TABLE 4-4: Obesity: Stages of Change Model
and Assessing Readiness 131
TABLE 4-5: Healthy Eating: U.S.D.A.
Food Pyramid 132
TABLE 4-6: Nutrition Counseling: Sources
of Nutrients 133
TABLE 4-7: Patients With Hypertension:
Recommended Changes in Diet 133
TABLE 4-8: Abnormalities in Rate and Rhythm
of Breathing 134
CHAPJfJ 5
Behavior and Mental Status 135
TABLE 5-1: Somatoform Disorders: Types
and Approach to Symptoms 158
TABLE 5-2: Disorders of Mood 160
TABLE 5-3: Anxiety Disorders 161
TABLE 5-4: Psychotic Disorders 162
CHAPTER 6
The Skin, Hair, and Nails 163
TABLE 6-1: Skin Colors 174
TABLE 6-2: Skin Lesions—Anatomic Location
and Distribution 176
TABLE 6-3: Skin Lesions—Patterns and Shapes 177
TABLE 6-4: Primary Skin Lesions
(initial presentation) 178
TABLE 6-5: Secondary Skin Lesions (seen in
overtreatment, excess scratching,
infection of primary lesions) 181
TABLE 6-6: Secondary Skin Lesions—
Depressed 182
TABLE 6-7: AcneVulgaris-Primaryand
Secondary Lesions 183
TABLE 6-8: Vascular and Purpuric Lesions
of the Skin 184
TABLE 6-9: Skin Tumors 185
TABLE 6-10: Benign and Malignant Nevi 186
TABLE 6-11: Skin Lesions in Context 187
TABLE 6-12: Diseases and Related
Skin Conditions 189
TABLE 6-13: Pressure Ulcers 191
TABLE 6-14: Hair Loss 192
TABLE 6-15: Findings in or Near the Nails 193
CHAPTER 7
The Head and Neck 195
TABLE 7-1: Primary Headaches 249
TABLE 7- 2: Secondary Headaches;
Cranial Neuralgias 250
TABLE 7-3: Dizziness and Vertigo 252
TABLE 7-4: Selected Fades 253
TABLE 7-5: Visual Field Defects 254
TABLE 7-6: Variations and Abnormalities of
the Eyelids 255
TABLE 7-7: Lumps and Swellings in
and Around the Eyes 256
TABLE 7-8: Red Eyes 257
TABLE 7-9: Opacities of the Cornea and Lens 258
TABLE 7-10: Pupillary Abnormalities 259
TABLE 7-11: Dysconjugate Gaze 260
TABLE 7-12: Normal Variations of
the Optic Disc 261
TABLE 7-13: Abnormalities of the Optic Disc 262
TABLE 7-14: Retinal Arteries and Arteriovenous
Crossings: Normal
and Hypertensive 263
TABLE 7-15: Red Spots and Streaks in the Fundi 264
TABLE 7-16: Ocular Fundi: Normal and
Hypertensive Retinopathy 265
T A B L E 7-17: Ocular Fundi: Diabetic Retinopathy 266
TABLE 7-18: Light-Colored Spots in the Fundi 267
TABLE 7-19: Lumps on or Near the Ear 268
TABLE 7-20: Abnormalities of the Eardrum 269
TABLE 7-21: Patterns of Hearing Loss 271
TABLE 7-22: Abnormalities of the Lips 272
TABLE 7-23: Findings in the Pharynx, Palate,
and Oral Mucosa 274
TABLE 7-24: Findings in the Gums and Teeth 277
TABLE 7-25: Findings in or Under the Tongue 279
TABLE 7-26: Thyroid Enlargement and Function 281
TABLE 7-27: Symptoms and Signs of
Thyroid Dysfunction 281
CHAPTER 8
The Thorax and Lungs 283
TABLE 8-1: Chest Pain 312
TABLE 8-2: Dyspnea 314
TABLE 8-3: Cough and Hemoptysis 316
TABLE 8-4: Deformities of the Thorax 317
TABLE 8-5: Normal and Altered Breath
and Voice Sounds 318
TABLE 8-6: Adventitious (Added) Lung Sounds:
Causes and Qualities 319
TABLE 8-7: Physical Findings in Selected
Chest Disorders 320
CHAPTER 9
The Cardiovascular System 323
T A B L E 9-1: Selected Heart Rates
and Rhythms 375
TABLE 9-2: Selected Irregular Rhythms 376
TABLE 9-3: Abnormalities of the Arterial Pulse
and Pressure Waves 377
TABLE 9-4: Variations and Abnormalities of the
Ventricular Impulses 378
T A B L E 9-5: Variations in the First Heart
Sound—S, 379
TABLE 9-6: Variations in the Second Heart
Sound—S2 380
TABLE 9-7: Extra Heart Sounds in Systole 381
TABLE 9-8: Extra Heart Sounds in Diastole 382
TABLE 9-9: Pansystolic (Holosystolic) Murmurs 383
TABLE 9-10: Midsystolic Murmurs 384
TABLE 9-11: Diastolic Murmurs 386
TABLE 9-12: Cardiovascular Sounds With
Both Systolic and Diastolic
Components 387
CHAPTER 10
The Breasts and Axillae 389
TABLE 10-1: Common Breast Masses 413
TABLE 10-2: Visible Signs of Breast Cancer 414
CWAPIC-R 11
The Abdomen 415
TABLE 11-1: Abdominal Pain 454
TABLE 11-2: Dysphagia 456
TABLE 11-3: Constipation 457
TABLE 11-4: Diarrhea 458
TABLE 11 -5: Black and Bloody Stools 460
TABLE 11-6: Frequency, Nocturia, and Polyuria 461
TABLE 11-7: Urinary Incontinence 462
TABLE 11-8: Localized Bulges in the
Abdominal Wall 464
TABLE 11-9: Protuberant Abdomens 465
TABLE 11-10: Sounds in the Abdomen 466
TABLE 11-11: Tender Abdomens 467
TABLE 11-12: Liver Enlargement:
Apparent and Real 469
CHAPTER 12
The Peripheral Vascular System 471
TAB LE 12-1: Painful Peripheral Vascular Disorders
and Their Mimics 494
TABLE 12-2: Using the Ankle-Brachial Index 496
TABLE 12-3: Chronic Insufficiency of Arteries
and Veins 497
TABLE 12-4: Common Ulcers of the Ankles
and Feet 498
TABLE 12-5: Some Peripheral Causes
of Edema 499
CHAPTER 13
Male Genitalia and Hernias 501
TABLE 13-1: Abnormalities of the Penis
and Scrotum 515
TABLE 13-2: Sexually Transmitted Diseases of
Male Genitalia 516
TABLE 13-3: Abnormalities of the Testis 517
TABLE 13-4: Abnormalities of the Epididymis
and Spermatic Cord 518
TABLE 13-5: Course, Presentation, and Differentiation
of Hernias in the Groin 519
CHAPTER 14
Female Genitalia 521
TABLE 14-1: Lesions of the Vulva 546
TABLE 14-2: Bulges and Swelling of the Vulva,
Vagina, and Urethra 547
TABLE 14-3: Variations in the Cervical Surface 548
TABLE 14-4: Shapes of the Cervical Os 549
TABLE 14-5: Abnormalities of the Cervix 549
TABLE 14-6: Vaginal Discharge 550
TABLE 14-7: Positions of the Uterus 551
TABLE 14-8: Abnormalities of the Uterus 552
TABLE 14-9: Adnexal Masses 553
CHAPTER 15
The Anus, Rectum, and Prostate 555
TABLE 15-1: BPH Symptom Score Index: American
Urological Association (AUA) 567
TABLE 15-2: Abnormalities of the Anus, Surrounding
Skin, and Rectum 568
TABLE 15-3: Abnormalities of the Prostate 570
CHAPTER 16
The Musculoskeletal System 571
TABLE 16-1: Low Back Pain 642
TABLE 16-2: Pains in the Neck 643
TABLE 16-3: Patterns of Pain In and
Around the Joints 644
TABLE 16-4: Painful Shoulders 646
TABLE 16-5: Swollen or Tender Elbows 648
TABLE 16-6: Arthritis in the Hands 649
TABLE 16-7: Swellings and Deformities
of the Hands 650
TABLE 16-8: Tendon Sheath, Palmar Space,
and Finger Infections 651
TABLE 16-9: Abnormalities of the Feet 652
TABLE 16-10: Abnormalities of the Toes
and Soles 653
CHAPTER 17
The Nervous System 655
TABLE 17-1: Types of Stroke 714
TABLE 17-2: Syncope and Similar Disorders 716
TABLE 17-3: Seizure Disorders 718
TABLE 17-4: Tremors and Involuntary
Movements 720
TABLE 17-5: Disorders of Speech 722
TABLE 17-6: Nystagmus 723
TABLE 17-7: Types of Facial Paralysis 725
TABLE 17-8: Disorders of Muscle Tone 726
TABLE 17-9: Disorders of the Central and
Peripheral Nervous Systems 727
TABLE 17-10: Abnormalities of Gait
and Posture 730
TABLE 17-11: Metabolic and Structural Coma 731
TABLE 17-12: Pupils in Comatose Patients 732
TABLE 17-13: Abnormal Postures
in Comatose Patients 733
CHAPTER 18
Assessing Children: Infancy Through
Adolescence 737
TABLE 18-1: Abnormalities in Heart Rhythm
and Blood Pressure 856
TABLE 18-2: Common Skin Rashes and Skin Findings
in Newborns and Infants 857
TABLE 18-3: Warts, Lesions that Resemble Warts,
and Other Raised Lesions 858
TABLE 18-4: Common Skin Lesions
During Childhood 858
TABLE 18-5: Abnormalities of the Head 859
TABLE 18-6: Diagnostic Facies in Infancy
and Childhood 860
TABLE 18-7: Abnormalities of the Eyes,
Ears, and Mouth 862
TABLE 18-8: Abnormalities of the Teeth,
Pharynx, and Neck 863
TABLE 18-9: Cyanosis in Children 864
TABLE 18-10: Congenital Heart Murmurs 865
TABLE 18-11: Physical Signs of Sexual Abuse 867
TABLE 18-12: The Male Genitourinary System 868
TABLE 18-13: Common Musculoskeletal Findings
in Young Children 868
TABLE 18-14: The Power of Prevention:
Vaccine-Preventable Diseases 869
CHAPTER 20
The Older Adult 893
TABLE 20-1: Minimum Geriatric
Competencies 930
TABLE 20-2: Delirium and Dementia 931
TABLE 20-3: Screening for Dementia:
The Mini-Cog 932
TABLE 20-4: Managing Older Adults: The Siebens
Domain Management Model 933
|
| adam_txt |
CONTENTS
List of Tables xv
Introduction xviii
Unit I
CHAPTER 1 '
Overview: Physical Examination
and History Taking 3
I Patient Assessment: Comprehensive or focused 4
I Comprehensive Assessment of the Adult 6
THE COMPREHENSIVE ADULT HEALTH HISTORY 6
THE COMPREHENSIVE ADULT
PHYSICAL EXAMINATION 13
Beginning the Examination: Setting the Stage 13
Techniques of Examination 17
Overview—The Physical Examination 19
Bibliography 23
CHAPTER 2
Clinical Reasoning, Assessment,
and Recording Your Findings 25
I Assessment and Plan: The Process of Clinical Reasoning 27
I Recording Your Findings: The Case of Mrs. N
and the Challenges of Clinical Data 30
I Recording Your findings: Checklist for a
Clear and Accurate Record 40
I fvaluating Clinical Evidence 43
I Lifelong Learning: Integrating Clinical Reasoning,
Assessment, and Analysis of Clinical Evidence 49
Bibliography 51
CHAPTER 3
Interviewing and the Health History 55 ;i ,
I Getting Ready: Ihe Approach to the Interview 58
I Learning About the Patient: Ihe Sequence of
the Interview 60
I Building a Therapeutic Relationship:
Ihe Techniques of Skilled Interviewing 68
I Adopting Your Interview to Specific Situations 75
I Sensitive Topics That Call for Specific Approaches 81
I Societal Aspects of Interviewing 87
Bibliography 96
Unit 2
CHAPTER 4
Beginning the Physical Examination:
General Survey, Vital Signs, and Pain 101
I The Health History 102
I Wealth Promotion and Counseling 104
The General Survey 109
GENERAL APPEARANCE 109
The Vital Signs 114
BLOOD PRESSURE 114
HEART RATE AND RHYTHM 119
RESPIRATORY RATE AND RHYTHM 119
TEMPERATURE 120
SPECIAL SITUATIONS 121
ACUTE AND CHRONIC PAIN 121
I Recording your findings 125
Bibliography 125
CHAPTER 5
Behavior and Mental Status 135
I Symptoms and Behavior 136
I The Health History 140
I Health Promotion and Counseling 142
I Techniques of Examination 145
APPEARANCE AND BEHAVIOR 146
SPEECH AND LANGUAGE 147
MOOD 148
THOUGHT AND PERCEPTIONS 149
COGNITIVE FUNCTIONS 151
HIGHER COGNITIVE FUNCTIONS 153
SPECIAL TECHNIQUES 155
I Recording Your Findings 155
Bibliography 156
CHAPTER 6
The Skin, Hair, and Nails 163
I Anatomy and Physiology 163
I The Healfh History 165
I Health Promotion and Counseling 165
I lechniques of Examination 168
SKIN 168
SKIN LESIONS IN CONTEXT 169
HAIR 170
NAILS 170
SPECIAL TECHNIQUES 170
I Recording your findings 172
Bibliography 172
CHAPTER 7
The Head and Neck 195
I Overview: New Format ot fhis Chapter 195
I The Health History 196
THE HEAD 196
THE EYES 197
THE EARS 199
THE NOSE AND SINUSES 200
THE MOUTH, THROAT, AND NECK 201
I Health Promotion and Counseling 201
I Anatomy and Physiology and
lechniques of Examination 204
THE HEAD 204
Anatomy and Physiology 204
Techniques of Examination 205
THE EYES 205
Anatomy and Physiology 205
Techniques of Examination 21 1
THE EAR 222
Anatomy and Physiology 222
Techniques of Examination 225
THE NOSE AND PARANASAL SINUSES 228
Anatomy and Physiology 228
Techniques of Examination 229
MOUTH AND PHARYNX 231
Anatomy and Physiology 231
Techniques of Examination 234
THE NECK 236
Anatomy and Physiology 236
Techniques of Examination 238
SPECIAL TECHNIQUES 243
I Recording Vbur Findings 245
Bibliography 246
CHAPTER 8
The Thorax and Lungs 283
I Anatomy and Physiology 283
I The Health History 290
I Health Promotion and Counseling 292
I Techniques of fxamination 296
INITIAL SURVEY OF RESPIRATION AND THE THORAX 296
EXAMINATION OF THE POSTERIOR CHEST 297
Inspection 297
Palpation 297
Percussion 299
Auscultation 302
EXAMINATION OF THE ANTERIOR CHEST 305
Inspection 305
Palpation 305
Percussion 307
Auscultation 308
SPECIAL TECHNIQUES 309
I Recording Your Findings 309
Bibliography 310
CHAPTER 9
The Cardiovascular System 323
I Anatomy and Physiology 323
SURFACE PROJECTIONS OF THE HEART
AND GREAT VESSELS 323
CARDIAC CHAMBERS, VALVES, AND CIRCULATION 325
EVENTS IN THE CARDIAC CYCLE 326
THE SPLITTING OF HEART SOUNDS 328
HEART MURMURS 329
RELATION OF AUSCULTATORY FINDINGS
TO THE CHEST WALL 330
THE CONDUCTION SYSTEM 331
THE HEART AS A PUMP 332
ARTERIAL PULSES AND BLOOD PRESSURE 333
JUGULAR VENOUS PRESSURE (JVP) 334
JUGULAR VENOUS PULSATIONS 336
CHANGES OVER THE LIFE SPAN 336
I Ihe Health History 337
I Health Promotion and Counseling 339
I lechniques of Examination 348
JUGULAR VENOUS PRESSURE AND PULSATIONS 349
THE CAROTID PULSE 352
THE HEART 354
Inspection and Palpation 355
Percussion 361
Auscultation 361
INTEGRATING CARDIOVASCULAR ASSESSMENT 368
SPECIAL TECHNIQUES 369
I Recording Your findings 371
Bibliography 371
CHAPTER 10
The Breasts and Axillae 389
I Anatomy and Physiology 389
THE FEMALE BREAST 389
THE MALE BREAST 391
LYMPHATICS 391
I Ihe Health History 392
I Health Promotion and Counseling 393
Overview 393
Selected Risk Factors That Affect Screening Decisions 397
Recommendations for Breast Cancer
Screening and Chemoprevention 398
Counseling Women about Breast Cancer 401
I Techniques ot Examination 402
THE FEMALE BREAST 402
Inspection 402
Palpation 405
THE MALE BREAST 407
THE AXILLAE 407
Inspection 408
Palpation 408
SPECIAL TECHNIQUES 409
I Recording Your findings 411
Bibliography 411
CHAPTER IT
The Abdomen 415
I Anatomy and Physiology 415
I The Health History 418
THE GASTROINTESTINAL TRACT 420
THE URINARY TRACT 427
I Health Promofion and Counseling 429
I Techniques ot Examination 434
THE ABDOMEN 434
Inspection 434
Auscultation 436
Percussion 437
Palpation 437
THE LIVER 439
Percussion 439
Palpation 441
THE SPLEEN 443
Percussion 443
Palpation 444
THE KIDNEYS 445
Palpation 445
THE BLADDER 447
THE AORTA 447
SPECIAL TECHNIQUES 448
Assessing Possible Ascites 448
Assessing Possible Appendicitis 450
Assessing Possible Acute Cholecystitis 451
Assessing Ventral Hernias 451
Mass in the Abdominal Wall 451
I Recording Your Findings 451
Bibliography 452
CHAPTER 12
The Peripheral Vascular System 471
I Anatomy and Physiology 471
ARTERIES 471
VEINS 473
THE LYMPHATIC SYSTEM AND LYMPH NODES 475
FLUID EXCHANGE AND THE CAPILLARY BED 476
I The Health History 477
I Health Promotion and Counseling 478
I Techniques of Examination 481
ARMS 481
LEGS 483
SPECIAL TECHNIQUES 488
I Recording Your findings 492
Bibliography 492
CHAPTER 13
Male Genitalia and Hernias 501
I Anatomy and Physiology 501
I The Health History 504
I Health Promotion and Counseling 506
I Techniques of examination 508
THE PENIS 508
Inspection 508
Palpation 509
THE SCROTUM AND ITS CONTENTS 509
Inspection 509
Palpation 510
HERNIAS 510
Inspection 510
Palpation 511
SPECIAL TECHNIQUES 512
The Testicular Self-Examination 512
I Recording Your Findings 513
Bibliography 513
CHAPTER 14
Female Genitalia 521
I Anatomy and Physiology 521
I The Health History 524
I Health Promotion and Counseling 528
I Techniques of Examination 533
EXTERNAL EXAMINATION 535
INTERNAL EXAMINATION 536
HERNIAS 543
SPECIAL TECHNIQUES 543
I Recording Your findings 543
Bibliography 544
CHAPTER 15
The Anus, Rectum, and Prostate 555
I Anatomy and Physiology 555
I Ihe Health History 557
I Health Promotion and Counseling 558
I Techniques of Examination 561
MALE 561
FEMALE 564
I Recording Your Findings 565
Bibliography 565
CHAPTER 16
The Musculoskeletal System 571
I Assessing the Musculoskeletal System 571
OVERVIEW 571
JOINT STRUCTURE AND FUNCTION 572
TYPES OF JOINT ARTICULATION 573
STRUCTURE OF SYNOVIAL JOINTS 574
I Ihe Health History 575
I Health Promotion and Counseling 578
I Examination ot Specific Joints: Anatomy and
Physiology and Techniques of Examination 583
TEMPOROMANDIBULAR JOINT (TMJ) 586
Overview, Bony Structures, and Joints 586
Muscle Groups and Additional Structures 586
Techniques of Examination 587
THE SHOULDER 588
Overview 588
Bony Structures 588
Joints 589
Muscle Groups 589
Additional Structures 590
Techniques of Examination 591
THE ELBOW 599
Overview, Bony Structures, and Joints 599
Muscle Groups and Additional Structures 599
Techniques of Examination 600
THE WRIST AND HANDS 601
Overview 601
Bony Structures 602
Joints 602
Muscle Groups 603
Additional Structures 603
Techniques of Examination 603
THE SPINE 609
Overview 609
Bony Structures 610
Joints 611
Muscle Groups 611
Techniques of Examination 611
THE HIP 617
Overview 617
Bony Structures and Joints 617
Muscle Groups 618
Additional Structures 619
Techniques of Examination 619
THE KNEE 625
Overview 625
Bony Structures 625
Joints 625
Muscle Groups 626
Additional Structures 626
Techniques of Examination 627
THE ANKLE AND FOOT 634
Overview 634
Bony Structures and Joints 634
Muscle Groups and Additional Structures 635
Techniques of Examination 635
SPECIAL TECHNIQUES 637
I Recording Your Findings 639
Bibliography 639
CHAPTER 17
The Nervous System 655
I Anatomy and Physiology 656
CENTRAL NERVOUS SYSTEM 656
The Brain 656
The Spinal Cord 657
PERIPHERAL NERVOUS SYSTEM 658
The Cranial Nerves 658
The Peripheral Nerves 658
MOTOR PATHWAYS 660
SENSORY PATHWAYS 662
SPINAL REFLEXES: THE DEEP TENDON RESPONSE 663
I The Health History 664
I Health Promotion and Counseling 667
Techniques of Examination 671
THE CRANIAL NERVES 672
THE MOTOR SYSTEM 678
THE SENSORY SYSTEM 690
DEEP TENDON REFLEXES 696
CUTANEOUS STIMULATION REFLEXES 701
SPECIAL TECHNIQUES 702
I Recording Your Findings 710
Bibliography 711
Unit 3
CHAPTER 18
Assessing Children: Infancy
Through Adolescence 737
I General Principles of Child Development 738
I Health Promotion and Counseling: Key Components 740
I Assessing the Newborn 743
IMMEDIATE ASSESSMENT AT BIRTH 744
ASSESSMENT SEVERAL HOURS AFTER BIRTH 749
I Assessing the Infant 750
DEVELOPMENT 750
THE HEALTH HISTORY 751
General Guidelines 751
Testing for Developmental Milestones 752
HEALTH PROMOTION AND COUNSELING 755
TECHNIQUES OF EXAMINATION 756
General Survey and Vital Signs 756
The Skin 760
The Head 765
The Eyes 768
The Ears 770
The Nose and Sinuses 771
The Mouth and Pharynx 771
The Neck 773
The Thorax and Lungs 773
The Heart 776
The Breasts 783
The Abdomen 783
Male Genitalia 784
Female Genitalia 785
Rectal Examination 786
The Musculoskeletal System 786
The Nervous System 790
I Assessing Vbung and School-Aged Children 797
DEVELOPMENT 797
Early Childhood: 1 to 4 Years 797
Middle Childhood: 5 to 10 Years 798
THE HEALTH HISTORY 799
Assessing Younger Children 799
Assessing Older Children 801
HEALTH PROMOTION AND COUNSELING 804
Children 1 to 4 Years 804
Children 5 to 10 Years 805
TECHNIQUES OF EXAMINATION 806
General Survey and Vital Signs 806
The Skin 810
The Head 810
The Eyes 811
The Ears 812
The Nose and Sinuses 815
The Mouth and Pharynx 816
The Neck 819
The Thorax and Lungs 820
The Heart 821
The Abdomen 823
Male Genitalia 825
Female Genitalia 826
The Rectal Examination 830
The Musculoskeletal System 830
The Nervous System 832
I Assessing Adolescents 834
DEVELOPMENT: 11 TO 20 YEARS 834
THE HEALTH HISTORY 836
HEALTH PROMOTION AND COUNSELING 838
TECHNIQUES OF EXAMINATION 839
General Survey and Vital Signs 839
The Skin 839
Head, Ears, Eyes, Throat, and Neck 840
The Heart 840
The Breasts 841
The Abdomen 842
Male Genitalia 843
Female Genitalia 844
The Musculoskeletal System 846
The Nervous System 850
I Recording Your Findings 850
Bibliography 853
CHAPTER 19
The Pregnant Woman 871
I Anatomy and Physiology 871
I The Healfh History 876
I Health Promotion and Counseling 878
I Techniques of Examination 881
GENERAL INSPECTION 882
VITAL SIGNS, HEIGHT, AND WEIGHT 882
HEAD AND NECK 883
THORAX AND LUNGS 883
HEART 884
BREASTS 884
ABDOMEN 884
GENITALIA, ANUS, AND RECTUM 886
EXTREMITIES 888
SPECIAL TECHNIQUES 888
Modified Leopold's Maneuvers 888
CONCLUDING THE VISIT 891
I Recording Your Findings 891
Bibliography 891
CHAPTER 20
The Older Adult 893
I Anatomy and Physiology 894
I The Health History 901
APPROACH TO THE PATIENT 901
SPECIAL AREAS OF CONCERN WHEN ASSESSING
COMMON OR CONCERNING SYMPTOMS 905
I Health Promotion and Counseling 909
I Techniques of Examination 913
ASSESSING FUNCTIONAL STATUS:
THE "SIXTH VITAL SIGN" 913
PHYSICAL EXAMINATION OF THE OLDER ADULT 916
I Recording Your findings 924
Bibliography 926
Index 935
LIM Of T A B L € S
CHAPTER 2
Clinical Reasoning, Assessment,
and Recording Your Findings 25
TABLE 2-1: Sample Progress Note 53
CHAPTER 4
Beginning the Physical Examination:
General Survey, Vital Signs, and Pain 101
TABLE 4-1: Eating Disorders and Excessively
LowBMI 128
TABLE 4-2: Nutrition Screening 129
TABLE 4-3: Obesity-Related Risk Factors
and Diseases 130
TABLE 4-4: Obesity: Stages of Change Model
and Assessing Readiness 131
TABLE 4-5: Healthy Eating: U.S.D.A.
Food Pyramid 132
TABLE 4-6: Nutrition Counseling: Sources
of Nutrients 133
TABLE 4-7: Patients With Hypertension:
Recommended Changes in Diet 133
TABLE 4-8: Abnormalities in Rate and Rhythm
of Breathing 134
CHAPJfJ 5
Behavior and Mental Status 135
TABLE 5-1: Somatoform Disorders: Types
and Approach to Symptoms 158
TABLE 5-2: Disorders of Mood 160
TABLE 5-3: Anxiety Disorders 161
TABLE 5-4: Psychotic Disorders 162
CHAPTER 6
The Skin, Hair, and Nails 163
TABLE 6-1: Skin Colors 174
TABLE 6-2: Skin Lesions—Anatomic Location
and Distribution 176
TABLE 6-3: Skin Lesions—Patterns and Shapes 177
TABLE 6-4: Primary Skin Lesions
(initial presentation) 178
TABLE 6-5: Secondary Skin Lesions (seen in
overtreatment, excess scratching,
infection of primary lesions) 181
TABLE 6-6: Secondary Skin Lesions—
Depressed 182
TABLE 6-7: AcneVulgaris-Primaryand
Secondary Lesions 183
TABLE 6-8: Vascular and Purpuric Lesions
of the Skin 184
TABLE 6-9: Skin Tumors 185
TABLE 6-10: Benign and Malignant Nevi 186
TABLE 6-11: Skin Lesions in Context 187
TABLE 6-12: Diseases and Related
Skin Conditions 189
TABLE 6-13: Pressure Ulcers 191
TABLE 6-14: Hair Loss 192
TABLE 6-15: Findings in or Near the Nails 193
CHAPTER 7
The Head and Neck 195
TABLE 7-1: Primary Headaches 249
TABLE 7- 2: Secondary Headaches;
Cranial Neuralgias 250
TABLE 7-3: Dizziness and Vertigo 252
TABLE 7-4: Selected Fades 253
TABLE 7-5: Visual Field Defects 254
TABLE 7-6: Variations and Abnormalities of
the Eyelids 255
TABLE 7-7: Lumps and Swellings in
and Around the Eyes 256
TABLE 7-8: Red Eyes 257
TABLE 7-9: Opacities of the Cornea and Lens 258
TABLE 7-10: Pupillary Abnormalities 259
TABLE 7-11: Dysconjugate Gaze 260
TABLE 7-12: Normal Variations of
the Optic Disc 261
TABLE 7-13: Abnormalities of the Optic Disc 262
TABLE 7-14: Retinal Arteries and Arteriovenous
Crossings: Normal
and Hypertensive 263
TABLE 7-15: Red Spots and Streaks in the Fundi 264
TABLE 7-16: Ocular Fundi: Normal and
Hypertensive Retinopathy 265
T A B L E 7-17: Ocular Fundi: Diabetic Retinopathy 266
TABLE 7-18: Light-Colored Spots in the Fundi 267
TABLE 7-19: Lumps on or Near the Ear 268
TABLE 7-20: Abnormalities of the Eardrum 269
TABLE 7-21: Patterns of Hearing Loss 271
TABLE 7-22: Abnormalities of the Lips 272
TABLE 7-23: Findings in the Pharynx, Palate,
and Oral Mucosa 274
TABLE 7-24: Findings in the Gums and Teeth 277
TABLE 7-25: Findings in or Under the Tongue 279
TABLE 7-26: Thyroid Enlargement and Function 281
TABLE 7-27: Symptoms and Signs of
Thyroid Dysfunction 281
CHAPTER 8
The Thorax and Lungs 283
TABLE 8-1: Chest Pain 312
TABLE 8-2: Dyspnea 314
TABLE 8-3: Cough and Hemoptysis 316
TABLE 8-4: Deformities of the Thorax 317
TABLE 8-5: Normal and Altered Breath
and Voice Sounds 318
TABLE 8-6: Adventitious (Added) Lung Sounds:
Causes and Qualities 319
TABLE 8-7: Physical Findings in Selected
Chest Disorders 320
CHAPTER 9
The Cardiovascular System 323
T A B L E 9-1: Selected Heart Rates
and Rhythms 375
TABLE 9-2: Selected Irregular Rhythms 376
TABLE 9-3: Abnormalities of the Arterial Pulse
and Pressure Waves 377
TABLE 9-4: Variations and Abnormalities of the
Ventricular Impulses 378
T A B L E 9-5: Variations in the First Heart
Sound—S, 379
TABLE 9-6: Variations in the Second Heart
Sound—S2 380
TABLE 9-7: Extra Heart Sounds in Systole 381
TABLE 9-8: Extra Heart Sounds in Diastole 382
TABLE 9-9: Pansystolic (Holosystolic) Murmurs 383
TABLE 9-10: Midsystolic Murmurs 384
TABLE 9-11: Diastolic Murmurs 386
TABLE 9-12: Cardiovascular Sounds With
Both Systolic and Diastolic
Components 387
CHAPTER 10
The Breasts and Axillae 389
TABLE 10-1: Common Breast Masses 413
TABLE 10-2: Visible Signs of Breast Cancer 414
CWAPIC-R 11
The Abdomen 415
TABLE 11-1: Abdominal Pain 454
TABLE 11-2: Dysphagia 456
TABLE 11-3: Constipation 457
TABLE 11-4: Diarrhea 458
TABLE 11 -5: Black and Bloody Stools 460
TABLE 11-6: Frequency, Nocturia, and Polyuria 461
TABLE 11-7: Urinary Incontinence 462
TABLE 11-8: Localized Bulges in the
Abdominal Wall 464
TABLE 11-9: Protuberant Abdomens 465
TABLE 11-10: Sounds in the Abdomen 466
TABLE 11-11: Tender Abdomens 467
TABLE 11-12: Liver Enlargement:
Apparent and Real 469
CHAPTER 12
The Peripheral Vascular System 471
TAB LE 12-1: Painful Peripheral Vascular Disorders
and Their Mimics 494
TABLE 12-2: Using the Ankle-Brachial Index 496
TABLE 12-3: Chronic Insufficiency of Arteries
and Veins 497
TABLE 12-4: Common Ulcers of the Ankles
and Feet 498
TABLE 12-5: Some Peripheral Causes
of Edema 499
CHAPTER 13
Male Genitalia and Hernias 501
TABLE 13-1: Abnormalities of the Penis
and Scrotum 515
TABLE 13-2: Sexually Transmitted Diseases of
Male Genitalia 516
TABLE 13-3: Abnormalities of the Testis 517
TABLE 13-4: Abnormalities of the Epididymis
and Spermatic Cord 518
TABLE 13-5: Course, Presentation, and Differentiation
of Hernias in the Groin 519
CHAPTER 14
Female Genitalia 521
TABLE 14-1: Lesions of the Vulva 546
TABLE 14-2: Bulges and Swelling of the Vulva,
Vagina, and Urethra 547
TABLE 14-3: Variations in the Cervical Surface 548
TABLE 14-4: Shapes of the Cervical Os 549
TABLE 14-5: Abnormalities of the Cervix 549
TABLE 14-6: Vaginal Discharge 550
TABLE 14-7: Positions of the Uterus 551
TABLE 14-8: Abnormalities of the Uterus 552
TABLE 14-9: Adnexal Masses 553
CHAPTER 15
The Anus, Rectum, and Prostate 555
TABLE 15-1: BPH Symptom Score Index: American
Urological Association (AUA) 567
TABLE 15-2: Abnormalities of the Anus, Surrounding
Skin, and Rectum 568
TABLE 15-3: Abnormalities of the Prostate 570
CHAPTER 16
The Musculoskeletal System 571
TABLE 16-1: Low Back Pain 642
TABLE 16-2: Pains in the Neck 643
TABLE 16-3: Patterns of Pain In and
Around the Joints 644
TABLE 16-4: Painful Shoulders 646
TABLE 16-5: Swollen or Tender Elbows 648
TABLE 16-6: Arthritis in the Hands 649
TABLE 16-7: Swellings and Deformities
of the Hands 650
TABLE 16-8: Tendon Sheath, Palmar Space,
and Finger Infections 651
TABLE 16-9: Abnormalities of the Feet 652
TABLE 16-10: Abnormalities of the Toes
and Soles 653
CHAPTER 17
The Nervous System 655
TABLE 17-1: Types of Stroke 714
TABLE 17-2: Syncope and Similar Disorders 716
TABLE 17-3: Seizure Disorders 718
TABLE 17-4: Tremors and Involuntary
Movements 720
TABLE 17-5: Disorders of Speech 722
TABLE 17-6: Nystagmus 723
TABLE 17-7: Types of Facial Paralysis 725
TABLE 17-8: Disorders of Muscle Tone 726
TABLE 17-9: Disorders of the Central and
Peripheral Nervous Systems 727
TABLE 17-10: Abnormalities of Gait
and Posture 730
TABLE 17-11: Metabolic and Structural Coma 731
TABLE 17-12: Pupils in Comatose Patients 732
TABLE 17-13: Abnormal Postures
in Comatose Patients 733
CHAPTER 18
Assessing Children: Infancy Through
Adolescence 737
TABLE 18-1: Abnormalities in Heart Rhythm
and Blood Pressure 856
TABLE 18-2: Common Skin Rashes and Skin Findings
in Newborns and Infants 857
TABLE 18-3: Warts, Lesions that Resemble Warts,
and Other Raised Lesions 858
TABLE 18-4: Common Skin Lesions
During Childhood 858
TABLE 18-5: Abnormalities of the Head 859
TABLE 18-6: Diagnostic Facies in Infancy
and Childhood 860
TABLE 18-7: Abnormalities of the Eyes,
Ears, and Mouth 862
TABLE 18-8: Abnormalities of the Teeth,
Pharynx, and Neck 863
TABLE 18-9: Cyanosis in Children 864
TABLE 18-10: Congenital Heart Murmurs 865
TABLE 18-11: Physical Signs of Sexual Abuse 867
TABLE 18-12: The Male Genitourinary System 868
TABLE 18-13: Common Musculoskeletal Findings
in Young Children 868
TABLE 18-14: The Power of Prevention:
Vaccine-Preventable Diseases 869
CHAPTER 20
The Older Adult 893
TABLE 20-1: Minimum Geriatric
Competencies 930
TABLE 20-2: Delirium and Dementia 931
TABLE 20-3: Screening for Dementia:
The Mini-Cog 932
TABLE 20-4: Managing Older Adults: The Siebens
Domain Management Model 933 |
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| edition | 10. ed., internat. ed. |
| format | Book |
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| id | DE-604.BV035053548 |
| illustrated | Illustrated |
| index_date | 2024-07-02T21:57:35Z |
| indexdate | 2024-07-09T21:21:08Z |
| institution | BVB |
| isbn | 9781605474007 1605474002 |
| language | English |
| lccn | 2008030391 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016722177 |
| oclc_num | 181600948 |
| open_access_boolean | |
| owner | DE-20 DE-355 DE-BY-UBR |
| owner_facet | DE-20 DE-355 DE-BY-UBR |
| physical | XXII, 964 S. zahlr. Ill., graph. Darst. 1 CD-ROM (12 cm) |
| publishDate | 2009 |
| publishDateSearch | 2009 |
| publishDateSort | 2009 |
| publisher | Wolters Kluwer, Lippincott, Williams & Wilkins |
| record_format | marc |
| spelling | Bates' guide to physical examination and history taking Lynn S. Bickley ; Peter Szilagyi Guide to physical examination and history taking 10. ed., internat. ed. Philadelphia [u.a.] Wolters Kluwer, Lippincott, Williams & Wilkins 2009 XXII, 964 S. zahlr. Ill., graph. Darst. 1 CD-ROM (12 cm) txt rdacontent n rdamedia nc rdacarrier "The 10th edition of the pre-eminent textbook on physical examination and history taking contains foundational content to guide students' approaches to history taking, interviewing, and other core assessment concepts, as well as fully illustrated, step-by-step techniques that outline correct performance of physical examination. The comprehensive content is intended for high-level nursing education and practice markets, medical students, and related health professions (eg, physician assistants). Text includes head-to-toe assessment and techniques of communication videos."--BOOK JACKET. Anamnese (geneeskunde) gtt Diagnostiek gtt Lichamelijk onderzoek gtt Physical diagnosis Medical history taking Physical Examination methods Medical History Taking methods Anamnese (DE-588)4001875-1 gnd rswk-swf Untersuchung Medizin (DE-588)4187104-2 gnd rswk-swf Patient (DE-588)4044903-8 gnd rswk-swf Untersuchung Medizin (DE-588)4187104-2 s Anamnese (DE-588)4001875-1 s DE-604 Patient (DE-588)4044903-8 s 1\p DE-604 Bickley, Lynn S. Sonstige oth Szilagyi, Peter G. Sonstige oth Bates, Barbara Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016722177&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Bates' guide to physical examination and history taking Anamnese (geneeskunde) gtt Diagnostiek gtt Lichamelijk onderzoek gtt Physical diagnosis Medical history taking Physical Examination methods Medical History Taking methods Anamnese (DE-588)4001875-1 gnd Untersuchung Medizin (DE-588)4187104-2 gnd Patient (DE-588)4044903-8 gnd |
| subject_GND | (DE-588)4001875-1 (DE-588)4187104-2 (DE-588)4044903-8 |
| title | Bates' guide to physical examination and history taking |
| title_alt | Guide to physical examination and history taking |
| title_auth | Bates' guide to physical examination and history taking |
| title_exact_search | Bates' guide to physical examination and history taking |
| title_exact_search_txtP | Bates' guide to physical examination and history taking |
| title_full | Bates' guide to physical examination and history taking Lynn S. Bickley ; Peter Szilagyi |
| title_fullStr | Bates' guide to physical examination and history taking Lynn S. Bickley ; Peter Szilagyi |
| title_full_unstemmed | Bates' guide to physical examination and history taking Lynn S. Bickley ; Peter Szilagyi |
| title_short | Bates' guide to physical examination and history taking |
| title_sort | bates guide to physical examination and history taking |
| topic | Anamnese (geneeskunde) gtt Diagnostiek gtt Lichamelijk onderzoek gtt Physical diagnosis Medical history taking Physical Examination methods Medical History Taking methods Anamnese (DE-588)4001875-1 gnd Untersuchung Medizin (DE-588)4187104-2 gnd Patient (DE-588)4044903-8 gnd |
| topic_facet | Anamnese (geneeskunde) Diagnostiek Lichamelijk onderzoek Physical diagnosis Medical history taking Physical Examination methods Medical History Taking methods Anamnese Untersuchung Medizin Patient |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016722177&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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