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    Mosby's guide to physical examination / Henry M. Seidel [and others].

    • Title:Mosby's guide to physical examination / Henry M. Seidel [and others].
    •    
    • Variant Title:Guide to physical examination
    • Other Contributors/Collections:Seidel, Henry M.
    • Published/Created:St. Louis, Mo. : Mosby/Elsevier, ©2011.
    • Holdings

       
    • Library of Congress Subjects:Physical diagnosis.
    • Medical Subjects: Physical Examination--methods.
      Medical History Taking--methods.
    • Genre/Form:Textbooks.
    • Edition:7th ed.
    • Description:xxv, 883 pages : illustrations (chiefly color) ; 29 cm
    • 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.
    • Notes:Includes bibliographical references and index.
    • ISBN:9780323055703 (hardcover : alk. paper)
      0323055702 (hardcover : alk. paper)
    • 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.
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