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Mosby's guide to physical examination / Henry M. Seidel [and others].
Bibliographic Record Display
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Title:Mosby's guide to physical examination / Henry M. Seidel [and others].
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Variant Title:Guide to physical examination
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Other Contributors/Collections:Seidel, Henry M.
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Published/Created:St. Louis, Mo. : Mosby/Elsevier, ©2011.
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Holdings
Holdings Record Display
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Location:BMB LIBRARY (VGH) stacksWhere is this?
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Call Number: WB205 .M894 2011
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Number of Items:1
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Status:Available
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Links:Donor bookplate
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Location:WOODWARD LIBRARY stacksWhere is this?
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Call Number: WB205 .M894 2011
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Number of Items:1
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Status:Available
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Location:BMB LIBRARY (VGH) stacksWhere is this?
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Library of Congress Subjects:Physical diagnosis.
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Medical Subjects: Physical Examination--methods.
Medical History Taking--methods.
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Genre/Form:Textbooks.
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Edition:7th ed.
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Description:xxv, 883 pages : illustrations (chiefly color) ; 29 cm
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Summary:From the Publisher: Mosby's Guide to Physical Examination is a comprehensive textbook of physical examination, history-taking, and health assessment with a unique emphasis on differential diagnosis and variations across the lifespan. The book conveys a uniquely compassionate, patient-centered approach to physical examination with a strong evidence-based foundation. Clinical Pearls boxes give brief clinical insights with expert tips on techniques, findings, and patient teaching. Mnemonic boxes deliver engaging auditory, visual, and other memory cues to help you remember series of assessment or exam steps. Physical Variations boxes detail multicultural considerations for assessing patients from diverse ethnic and cultural groups. Staying Well boxes describe holistic approaches to health promotion and patient teaching. Risk Factors boxes highlight modifiable and nonmodifiable risk factors for a variety of conditions. Differential Diagnosis boxes give comparisons of expected findings for similar conditions and explain how disease presentations vary. Physical Examination boxes provide current data on the most effective techniques for delivering quality patient care. Functional Assessment boxes focus on the patient's functional abilities and present a holistic approach to patient care. Downloadable text and PDA summaries allow for quick review of the key steps in each system exam. Dynamic learning exercises on the companion website test your knowledge and provide instant feedback on your progress. Updates throughout reflect the latest research findings and evidence-based practice for techniques, normal and abnormal findings, genetics, and assessment. 60 video clips demonstrate exam techniques for each system and are downloadable for use on Video iPod devices. 25 new anatomy and physiology animations provide narrated explanations of processes beneath the skin. New audio chapter summaries, downloadable for use on MP3 players, offer a convenient way to review key content on the go. New 3-column tables featuring Pathophysiology, Subjective Data, and Objective Data provide an illustrated reference that allows for quick and accurate comparisons. 75 new illustrations and dozens of new photos of normal and abnormal findings help to clarify anatomic concepts and exam techniques.
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Notes:Includes bibliographical references and index.
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ISBN:9780323055703 (hardcover : alk. paper)
0323055702 (hardcover : alk. paper)
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Contents:1: Partnership With Patients: Building A History
Developing a relationship with the patient
Ethical context
Effective communication
Patient history
Setting for the interview
Structure of the history
Building the history
Sensitive issues
Outline of the history
Adaptations for age, gender, and possible disabilities
Next step
2: Cultural Awareness
Cultural competence
Definition of culture
Distinguishing physical characteristics
Impact of culture
Blurring of cultural distinctions
Primacy of the individual in health care
Professional cultures within the health professions
Impact of culture on illness
Components of a cultural response
Modes of communication
Health beliefs and practices
Family relationships
Diet and nutritional practices
Summing up
3: Examination Techniques And Equipment
Precautions to prevent infection
Latex allergy
Examination technique
Patient positions and draping
Inspection
Palpation
Percussion
Auscultation
Measurement of vital signs
Pulse
Respirations
Blood pressure
Temperature
Oxygen saturation
Pain
Measurement of height and weight
Modifications for patients with disabilities
Patients with mobility impairments
Patients with sensory impairment
Special concerns for patients with disabilities
Instruments
Stethoscope
Pulse oximeter
Doppler
Fetal monitoring equipment
Ophtalmoscope
Strabismoscope
Visual acuity charts
Near vision charts
Amsler grid
Otoscope
Tympanometer
Nasal speculum
Tuning fork
Percussion (reflex) hammer
Neurologic hammer
Tape measure
Transilluminator
Vaginal speculum
Goniometer
Wood's lamp
Dermatoscope
Calipers for skinfold thickness
Monofilament
4: Mental Status
Anatomy and physiology
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Physical appearance and behavior
Grooming
Emotional status
Body language
State of consciousness
Cognitive abilities
Analogies
Abstract reasoning
Arithmetic calculation
Writing ability
Execution of motor skills
Memory
Attention span
Judgment
Speech and language skills
Voice quality
Articulation
Comprehension
Coherence
Emotional stability
Mood and feelings
Thought process and content
Perceptual distortions and hallucinations
Additional procedures
Glasgow coma scale
Abnormalities
5: Growth And Measurement
Anatomy and physiology
Differences in growth by organ system
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Weight and standing height
Body mass index
Sexual maturation
Abnormalities
6: Nutrition
Anatomy and physiology
Macronutrients
Carbohydrate
Protein
Fat
Micronutrients
Water
Energy requirements
Resting energy expenditure
Physical activity
Thermogenesis
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Anthropometrics
Waist circumference
Waist-to-hip circumference ratio
Determination of diet adequacy
Twenty-four-hour recall diet
Food diary
Measures of nutrient analysis
MyPyramid food guide
Vegetarian diets
Ethnic food guide pyramids
Measures of nutrient adequacy
Special procedures
Triceps skinfold thickness
Mid-upper arm circumference
Midarm muscle circumference/midarm muscle area
Biochemical measurement
Abnormalities
7: Assessment Of Pain
Anatomy and physiology
Review of related history
Present problem
Personal and social history
Examination and findings
Self-report pain rating scales
Assessing pain behaviors
Abnormalities
8: Skin, Hair, And Nails
Anatomy and physiology
Epidermis
Dermis
Hypodermis
Appendages
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Skin
Inspection
Palpation
Skin lesions
Hair
Nails
Inspection
Palpation
Abnormalities
9: Lymphatic System
Anatomy and physiology
Lymph nodes
Lymphocytes
Thymus
Spleen
Tonsils and adenoids
Peyer patches
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Inspection and palpation
Head and neck
Axillae
Epitrochlear lymph nodes
Inguinal and popliteal lymph nodes
Spleen
Abnormalities
10: Head And Neck
Anatomy and physiology
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Head and face
Inspection
Palpation
Percussion
Auscultation
Neck
Inspection
Palpation
Lymph nodes
Thyroid gland
Abnormalities
11: Eyes
Anatomy and physiology
External eye
Eyelid
Conjunctiva
Lacrimal gland
Eye muscles
Internal eye
Sclera
Cornea
Uvea
Lens
Retina
Review of related history
History of present illness
Family history
Personal and social history
Examination and findings
Equipment
Visual acuity testing
External examination
Surrounding structures
Eyelids
Palpation
Conjunctiva
Cornea
Iris and pupil
Lens
Sclera
Lacrimal apparatus
Extraocular muscles
Ophtalmoscopic examination
Unexpected findings
Abnormalities
12: Ears, Nose, And Throat
Anatomy and physiology
Ears and hearing
Nose, nasopharynx, and sinuses, mouth and oropharynx
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Ears and hearing
External ear
Otoscopic examination
Hearing evaluation
Nose, nasopharynx, and sinuses
External nose
Nasal cavity
Sinuses
Mouth and oropharynx
Lips
Buccal mucosa, teeth, and gums
Oral cavity
Oropharynx
Abnormalities
13: Chest And Lungs
Anatomy and physiology
Anatomic landmarks
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Equipment
Examination and findings
Inspection
Respiratory patterns
Observing respiration
Looking for clues at the periphery
Palpation
Examining the trachea
Percussion
Diaphragmatic excursion
Auscultation
Breath sounds
Vocal resonance
Coughs
Sputum
Abnormalities
14: Heart
Anatomy and physiology
Structure
Cardiac cycle
Electrical activity
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Basic heart sounds
Extra heart sounds
Heart murmurs
Rhythm disturbance
Abnormalities
15: Blood Vessels
Anatomy and physiology
Blood circulation
Arterial pulse and pressure
Jugular venous pulse and pressure
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination an findings
Equipment
Peripheral arteries
Palpation
Auscultation
Assessment for peripheral arterial disease
Blood pressure
Peripheral veins
Jugular venous pressure
Hepatojugular reflux
Evaluation of hand veins
Assessment for venous obstruction and insufficiency
Abnormalities
16: Breasts And Axillae
Anatomy and physiology
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Inspection
Breasts
Nipples and areolae
Reinspection in varied positions
Palpation
Patient in seated position
Patient in supine position
Abnormalities
17: Abdomen
Anatomy and physiology
Alimentary tract
Liver
Gallbladder
Pancreas
Spleen
Kidneys, ureters, and bladder
Musculature and connective tissues
Vasculature
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Preparation
Inspection
Surface characteristics
Contour
Movement
Auscultation
Bowel sounds
Additional sounds and bruits
Percussion
Liver span
Spleen
Gastric bubble
Kidneys
Palpation
Light palpation
Moderate palpation
Deep palpation
Masses
Umbilical ring
Palpation of specific organs and structures
Additional procedures
Ascites assessment
Pain assessment
Abdominal signs
Rebound tenderness
Illiopsoas muscle test
Obturator muscle test
Ballottement
Abnormalities
18: Female Genitalia
Anatomy and physiology
External genitalia
Internal genitalia
Bony pelvis
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Preparation
Positioning
Draping and gloving
External examination
Inspection and palpation
Labia majora
Labia minora
Clitoris
Uretharal orifice
Vaginal introitus
Skene and Bartholin glands
Muscle tone
Perineum
Anus
Internal examination
Preparation
Insertion of speculum
Cervix
Withdrawal of speculum
Bimanual examination
Cervix
Uterus
Adnexa and ovaries
Rectovaginal examination
Preparation
Anal sphincter
Rectal walls and rectovaginal septum
Uterus
Adnexa
Stool
Completion
Abnormalities
19: Male Genitalia
Anatomy and physiology
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Inspection and palpation
Genital hair distribution
Penis
Urethral meatus
Penile shaft
Scrotum
Hernia
Testes
Cremasteric reflex
Abnormalities
20: Anus, Rectum, And Prostate
Anatomy and physiology
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Preparation
Positioning
Sacrococcygeal and perianal areas
Anus
Sphincter
Anal ring
Lateral and posterior rectal walls
Bidigital palpation
Anterior rectal wall
Prostrate
Uterus and cervix
Stool
Abnormalities
21: Musculoskeletal System
Anatomy and physiology
Upper extremities
Head and spine
Lower extremities
Review of related history
History of present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Inspection
Palpation
Range of motion
Muscle strength
Specific joints and muscles
Hands and wrists
Elbows
Shoulders
Temporomandibular joint
Cervical spine
Thoracic and lumbar spine
Hips
Legs and knees
Feet and ankles
Additional procedures
Hand and wrist assessment
Shoulder assessment
Lower spine assessment
Hip assessment
Knee assessment
Limb measurement
Abnormalities
22: Neurologic System
Anatomy and physiology
Brain
Cerebrum
Cerebellum
Brainstem
Cranial nerves
Spinal cord and spinal tracts
Spinal nerves
Review of related history
History or present illness
Past medical history
Family history
Personal and social history
Examination and findings
Equipment
Cranial nerves
Olfactory (I)
Optic (II)
Oculomotor, trochlear, and abducens (III, IV, and VI)
Trigeminal (V)
Facial (VII)
Acoustic (VIII)
Glossopharyngeal (IX)
Vagus (X)
Spinal accessory (XI)
Hypoglossal (XII)
Proprioception and cerebellar function
Coordination and fine motor skills
Balance
Sensory function
Primary sensory functions
Cortical sensory functions
Reflexes
Superficial reflexes
Deep tendon reflexes
Additional procedures
Protective sensation
Meningeal signs
Posturing
Abnormalities
23: Sports Participation Evaluation
24: Putting It All Together
At the start
Accuracy
Potential for error
Uncertainty
Examination sequence
General inspection
Preparation
Measurements
Patient seated, wearing gown
Patient seated, back exposed
Patient seated, chest exposed
Patient reclining 45 degrees
Patient supine, chest exposed
Patient supine, abdomen exposed
Patient supine, legs exposed
Patient sitting, lap draped
Patient standing
Female patient, lithotomy position
Male patient, bending forward (lateral decubitus or knee-chest positions are also possible)
Examination sequence with children
General inspection
Death and grief
Alliance and compliance
25: Taking The Next Steps: Clinical Judgment
Clinical examination
Critical thinking
Assessment, judgment, and evidence
Problem identification
Valid hypotheses
Possible barriers to critical thinking
Validity of the clinical examination
Bays Theorem
Evaluation and management plan and setting priorities
26: Recording Information
General guidelines
Subjective data
Objective data
Illustrations
Problem-oriented medical record
Comprehensive health history and physical examination
Problem list
Assessment
Plan
SOAP notes
Notes from subsequent evaluations
Problem-oriented medical record format
History
Review of systems
Physical examination findings
Assessment (for each problem on problem list)
Plan (for each problem on problem list)
Sample records
Inpatient admission note
Ambulatory adult
Summary
27: Emergency Or Life-Threatening Situations
Emergency assessment
Primary assessment
Secondary assessment
Primary assessment of the injured patient
Secondary assessment of the injured patient
Acute medical emergencies
Injury assessment
Blunt trauma
Penetrating trauma
Burns
Legal considerations
Records
Consent for treatment
Advance directives, living wills, and durable power of attorney for health care
Summary
Abnormalities
Illustration and photo credits
References and readings
Glossary
Appendix A: Height/weight growth charts
Appendix B: Conversion tables and body mass index.