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• Title:Clinical examination : a systematic guide to physical diagnosis / Nicholas J. Talley, Simon O'Connor.
  
•    
• Author/Creator:Talley, Nicholas Joseph, author.
  
• Other Contributors/Collections:O'Connor, Simon, author.
  
• Published/Created:Chatswood, NSW : Churchill Livingstone Elsevier, [2014]
  

• Holdings

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  • Location:BMB LIBRARY (VGH) stacksWhere is this?
    
  • Call Number: WB200 .T34 2014
    
  • Number of Items:1
    
  • Status:Available
    

   
• Library of Congress Subjects:Physical diagnosis.
  
• Medical Subjects: Physical Examination--methods.
  
• Edition:Seventh edition.
  
• Description:xxvii, 590 pages : illustrations (chiefly color) ; 26 cm
  
• Summary:Since 1988 this textbook has provided a clear and easily grasped explanation of the origins of physical signs when examining a patient, (both historically and physiologically). Much has been rewritten to reflect new thinking and new techniques.
  
• Notes:Includes bibliographical references and index.
  
• ISBN:9780729541473 (pbk.)
  0729541479 (pbk.)
  
• Contents:Machine generated contents note: SECTION 1 GENERAL PRINCIPLES OF HISTORY TAKING AND PHYSICAL EXAMINATION
  ch. 1 general principles of history taking
  T&O'C essentials
  Bedside manner and establishing rapport
  Obtaining the history
  Introductory questions
  T&O'C essentials
  Presenting (principal) symptom
  History of the presenting illness
  Current symptoms
  Associated symptoms
  effect of the illness
  Drug and treatment history
  Past history
  Menstrual history
  Social history
  T&O'C essentials
  Upbringing and education level
  Marital status, social support and living conditions
  Diet and exercise
  Occupation and hobbies
  Overseas travel
  Smoking
  Alcohol use
  Analgesics and street drugs
  Mood
  Sexual history
  Family history
  Systems review
  Skills in history-taking
  T&O'C essentials
  References
  ch. 2 Advanced history taking
  Taking a good history
  differential diagnosis
  Fundamental considerations when taking the history
  Personal history taking
  Sexual history
  Cross-cultural history taking
  `uncooperative' or `difficult' patient
  Self-harming and Munchhausen's syndrome
  History taking for the maintenance of good health
  elderly patient
  Activities of daily living
  Polypharmacy
  Adherence
  Mental state
  Specific problems in the elderly
  Advanced care planning and living wills (advance health directives)
  Evidence-based history taking and differential diagnosis
  clinical assessment
  Concluding the consultation
  T&O'C essentials
  References
  ch. 3 general principles of physical examination
  Clinical examination
  How to start
  First impressions
  Vital signs
  Facies
  Jaundice
  Cyanosis
  Pallor
  Hair
  Weight, body habitus and posture
  Hydration
  hands and nails
  Temperature
  Smell
  Preparing the patient for examination
  Evidence-based clinical examination
  Inter-observer agreement (reliability) and the K-statistic
  T&O'C essentials
  Introduction to the OSCE
  References
  SECTION 2 CARDIOVASCULAR SYSTEM
  ch. 4 cardiovascular history
  Presenting symptoms
  Chest pain
  Dyspnoea
  Ankle swelling
  Palpitations
  Syncope, presyncope and dizziness
  Fatigue
  Intermittent claudication and peripheral vascular disease
  Risk factors for coronary artery disease
  Drug and treatment history
  Past history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: CVS history
  OSCE example: CVS history
  References
  ch. 5 cardiac examination
  Examination anatomy
  Positioning the patient
  General appearance
  Hands
  Arterial pulse
  Rate of pulse
  Rhythm
  Radiofemoral and radial-radial delay
  Character and volume
  Condition of the vessel wall
  Blood pressure
  Measuring the blood pressure with the sphygmomanometer
  Variations in blood pressure
  High blood pressure
  Postural blood pressure
  Face
  Neck
  Jugular venous pressure
  Praecordium
  Inspection
  Palpation
  Percussion
  Auscultation
  Abnormalities of the heart sounds
  Murmurs of the heart
  Auscultation of the neck
  back
  abdomen
  T&O'C essentials
  OSCE example: CVS examination
  OSCE revision topics: CVS examination
  References
  ch. 6 lower limb examination and peripheral vascular disease
  Examination anatomy
  Arms
  Legs
  Lower limbs
  Peripheral vascular disease
  Acute arterial occlusion
  Deep venous thrombosis
  Varicose veins
  T&O'C essentials
  OSCE example: peripheral vascular disease
  References
  ch. 7 Correlation of physical signs and cardiovascular disease
  Cardiac failure
  Left ventricular failure (LVF)
  Right ventricular failure (RVF)
  Chest pain
  Myocardial infarction
  Pulmonary embolism
  Acute aortic dissection
  Pericardial disease
  Acute pericarditis
  Chronic constrictive pericarditis
  Acute cardiac tamponade
  Infective endocarditis
  Systemic hypertension
  Causes of systemic hypertension
  Complications of hypertension
  Malignant (accelerated) hypertension
  Pulmonary hypertension
  Causes of pulmonary hypertension
  Innocent murmurs
  Valve diseases of the left heart
  Mitral stenosis
  Mitral regurgitation (chronic)
  Acute mitral regurgitation
  Mitral valve prolapse (systolic-click murmur syndrome)
  Aortic stenosis
  Aortic regurgitation
  Valve diseases of the right heart
  Tricuspid stenosis
  Tricuspid regurgitation
  Pulmonary stenosis (in adults)
  Pulmonary regurgitation
  Prosthetic heart valves
  Cardiomyopathy
  Hypertrophic cardiomyopathy
  Dilated cardiomyopathy
  Restrictive cardiomyopathy
  Acyanotic congenital heart disease
  Ventricular septal defect
  Atrial septal defect
  Patent ductus arteriosus
  Coarctation of the aorta
  Ebstein's anomaly
  Cyanotic congenital heart disease
  Eisenmenger's syndrome (pulmonary hypertension and a right-to-left shunt)
  Tetralogy of Fallot
  `Grown-up' congenital heart disease
  Tetralogy of Fallot
  Transposition of the great arteries
  T&O'C essentials
  OSCE example: cardiovascular examination
  OSCE revision topics: cardiovascular examination
  References
  ch. 8 summary of the cardiovascular examination and extending the cardiovascular examination
  Extending the cardiovascular physical examination
  chest X-ray: a systematic approach
  echocardiogram
  T&O'C essentials
  SECTION 3 RESPIRATORY SYSTEM
  ch. 9 respiratory history
  Presenting symptoms
  Cough and sputum
  Haemoptysis
  Breathlessness (dyspnoea)
  Wheeze
  Chest pain
  Other presenting symptoms
  Treatment
  Past history
  Occupational history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: the respiratory history
  References
  ch. 10 respiratory examination
  Examination anatomy
  Positioning the patient
  General appearance
  Dyspnoea
  Characteristic signs of COPD
  Cyanosis
  Character of the cough
  Sputum
  Stridor
  Hoarseness
  Hands
  Clubbing
  Staining
  Wasting and weakness
  Pulse rate
  Flapping tremor (asterixis)
  Face
  Trachea
  Chest
  Inspection
  Palpation
  Percussion
  Auscultation
  heart
  abdomen
  Other
  Pemberton's sign
  Legs
  Respiratory rate on exercise
  Temperature
  T&O'C essentials
  OSCE revision topics: the respiratory examination
  References
  ch. 11 Correlation of physical signs and respiratory disease
  Respiratory distress: respiratory failure
  Consolidation (lobar pneumonia)
  Symptoms
  Signs
  Causes of community-acquired pneumonia
  Atelectasis (collapse)
  Signs
  Causes
  Pleural effusion
  Signs
  Causes
  Yellow nail syndrome
  Pneumothorax
  Signs
  Causes
  Tension pneumothorax
  Signs
  Causes
  Bronchiectasis
  Signs
  Causes
  Bronchial asthma
  Signs
  Chronic obstructive pulmonary disease
  Signs
  Causes of generalised emphysema
  Chronic bronchitis
  Signs
  Causes
  Interstitial lung disease (ILD)
  Signs
  Causes
  Tuberculosis
  Primary tuberculosis
  Post-primary tuberculosis
  Miliary tuberculosis
  Mediastinal compression
  Signs
  Carcinoma of the lung
  Respiratory and chest signs
  Apical (Pancoast's) tumour
  Distant metastases
  Non-metastatic extrapulmonary manifestations
  Sarcoidosis
  Pulmonary signs
  Extrapulmonary signs
  Pulmonary embolism (PE)
  Signs
  T&O'C essentials
  OSCE revision topics: respiratory disease
  References
  ch. 12 summary of the respiratory examination and extending the respiratory examination
  Extending the respiratory physical examination
  Bedside assessment of lung function
  chest X-ray and CT scan in respiratory medicine
  Chest X-ray checklist
  T&O'C essentials
  OSCE revision topics: respiratory investigations
  References
  SECTION 4 GASTROINTESTINAL SYSTEM
  ch. 13 gastrointestinal history
  Presenting symptoms
  Abdominal pain
  Patterns of pain
  Appetite and weight change
  Early satiation and postprandial fullness
  Nausea and vomiting
  Heartburn and acid regurgitation
  Dysphagia
  Diarrhoea
  Constipation
  Mucus
  Bleeding
  Jaundice
  Pruritus
  Abdominal bloating and swelling
  Lethargy
  Treatment
  Past history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: the gastrointestinal history
  References
  ch. 14 gastrointestinal examination
  Examination anatomy
  Positioning the patient
  General appearance
  Jaundice
  Weight and wasting
  Skin
  Mental state
  Hands
  Nails
  Palms
  Hepatic flap (asterixis)
  Arms
  Face
  Eyes
  Salivary glands
  Mouth
  Neck and chest
  Abdomen
  Inspection
  Palpation
  Percussion
  Ascites
  Auscultation
  Hernias
  Examination anatomy
  Hernias in the groin
  Epigastric hernia
  Incisional hernias
  Rectal examination
  pelvic floor
  -special tests for pelvic floor dysfunction
  Ending the rectal exam
  Proctosigmoidoscopy
  Procedure
  Common abnormalities seen on sigmoidoscopy
  Testing of the stools for blood
  Other
  Examination of the gastrointestinal contents
  Faeces
  Vomitus
  Urinalysis
  T&O'C essentials
  Contents note continued: OSCE revision topics: the gastrointestinal examination
  References
  ch. 15 Correlation of physical signs and gastrointestinal disease
  Examination of the acute abdomen
  Acute abdomen after blunt trauma
  Liver disease
  Signs
  Portal hypertension
  Signs
  Causes
  Hepatic encephalopathy
  Grading
  Causes
  Dysphagia
  Signs
  Gastrointestinal bleeding
  Assessing degree of blood loss
  Determining the possible bleeding site
  Inflammatory bowel disease
  Ulcerative colitis
  Crohn's disease
  Malabsorption and nutritional status
  Signs
  Causes
  Classification of malabsorption
  T&O'C essentials
  References
  ch. 16 summary of the gastrointestinal examination and extending the gastrointestinal examination
  Extending the gastrointestinal examination
  Endoscopy
  Biochemistry
  Imaging the gastrointestinal system
  Abdominal X-rays
  Abdominal ultrasound
  CT of the abdomen
  SECTION 5 GENITOURINARY SYSTEM
  ch. 17 genitourinary history
  Presenting symptoms
  Change in appearance of the urine
  Urinary tract infection
  Urinary obstruction
  Urinary incontinence
  Chronic kidney disease
  Menstrual and sexual history
  Treatment
  Past history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: genitourinary history
  References
  ch. 18 genitourinary examination
  Examination anatomy
  examination
  General appearance
  Hands
  Arms
  Face
  Neck
  Chest
  abdominal examination
  Inspection
  Palpation
  Ballotting
  Percussion
  Auscultation
  Rectal and pelvic examination
  back
  Legs
  Blood pressure
  Fundi
  Male genitalia
  Differential diagnosis of a scrotal mass
  Pelvic examination
  Taking a cervical (Pap) smear
  T&O'C essentials
  OSCE revision topics: genitourinary examination
  References
  ch. 19 summary of the examination of chronic kidney disease and extending the genitourinary examination
  Extending the genitourinary examination
  Investigations
  Imaging the kidneys
  T&O'C essentials
  Reference
  SECTION 6 HAEMATOLOGICAL SYSTEM
  ch. 20 haematological history
  Haematological disorders
  Presenting symptoms
  Red cell abnormalities
  Platelets
  Recurrent infection
  Treatment history
  Past history
  Social history
  Family history
  T&O'C essentials
  ch. 21 haematological examination
  Examination anatomy
  General appearance
  Hands
  Forearms
  Epitrochlear nodes
  Axillary nodes
  Face
  Cervical and supraclavicular nodes
  Bone tenderness
  abdominal examination
  Inguinal nodes
  Legs
  Fundi
  T&O'C essentials
  References
  ch. 22 summary of the haematological examination and extending the haematological examination
  Extending the haematological physical examination
  Haematology tests
  Examination of the peripheral blood film
  Anaemia
  Pancytopenia
  Acute leukaemia
  Chronic leukaemia
  Myeloproliferative disease
  Lymphoma
  Multiple myeloma
  Haematological imaging
  T&O'C essentials
  OSCE revision topics: the haematological system
  SECTION 7 RHEUMATOLOGICAL SYSTEM
  ch. 23 rheumatological history
  Presenting symptoms
  Peripheral joints
  Back pain
  Limb pain
  Raynaud's phenomenon
  Dry eyes and mouth
  Red eyes
  Systemic symptoms
  Treatment history
  Past history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: the rheumatological history
  References
  ch. 24 rheumatological examination
  Examination anatomy
  General inspection
  Principles of joint examination
  Look
  Feel
  Move
  Measure
  Assessment of individual joints
  Hands and wrists
  Elbows
  Shoulders
  Temporomandibular joints
  Neck
  Thoracolumbar spine and sacroiliac joints
  Hips
  Knees
  T&O'C essentials
  OSCE revision topics: the rheumatological examination
  References
  ch. 25 Correlation of physical signs and rheumatological disease
  Rheumatoid arthritis
  General inspection
  Hands
  Wrists
  Elbows
  Shoulders and axillae
  Eyes
  Parotids
  Mouth
  Temporomandibular joints
  Neck
  Chest
  Heart
  Abdomen
  Lower limbs
  Ankles and feet
  Seronegative spondyloarthritides
  Ankylosing spondylitis
  Reactive arthritis (Reiter's syndrome)
  Psoriatic arthritis
  Enteropathic arthritis
  Gouty arthritis
  Calcium pyrophosphate arthritis (pseudogout)
  Calcium hydroxyapatite arthritis
  Systemic lupus erythematosus
  General inspection
  Hands
  Forearms
  Head and neck
  Chest
  Abdomen
  Hips
  Legs
  Urine and blood pressure
  Systemic sclerosis (scleroderma)
  General inspection
  Hands
  Arms
  Face
  Chest
  Legs
  Urinalysis and blood pressure
  Rheumatic fever
  Examining the patient with suspected rheumatic fever
  vasculitides
  Soft-tissue rheumatism
  Fibromyalgia syndrome
  Shoulder syndromes
  Elbow epicondylitis (tennis and golfer's elbow)
  Tenosynovitis of the wrist
  Bursitis
  Nerve entrapment syndromes
  Carpal tunnel syndrome
  Meralgia paraesthetica
  Tarsal tunnel syndrome
  Morton's `neuroma'
  T&O'C essentials
  OSCE revision topics: rheumatological disease
  References
  ch. 26 summary of the rheumatological examination and extending the rheumatological examination
  Extending the rheumatological system examination
  Rheumatology investigations
  Imaging
  T&O'C essentials
  References
  SECTION 8 ENDOCRINE SYSTEM
  ch. 27 endocrine history
  Presenting symptoms
  Changes in appetite and weight
  Changes in bowel habit
  Changes in sweating
  Changes in hair distribution
  Lethargy
  Changes in the skin and nails
  Changes in pigmentation
  Changes in stature
  Erectile dysfunction (impotence)
  Galactorrhoea
  Menstruation
  Polyuria
  Past history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: the endocrine history
  ch. 28 endocrine examination
  thyroid
  thyroid gland
  Hyperthyroidism (thyrotoxicosis)
  Hypothyroidism (myxoedema)
  pituitary
  Panhypopituitarism
  Acromegaly
  Other pituitary syndromes
  adrenals
  Cushing's syndrome
  Addison's disease
  T&O'C essentials
  OSCE revision topics: the endocrine examination
  References
  ch. 29 Correlation of physical signs and endocrine disease
  Calcium metabolism
  Primary hyperparathyroidism
  MEN syndromes
  Hypoparathyroidism
  Osteoporosis and osteomalacia
  Syndromes associated with short stature
  Tumer's syndrome (45X0)
  Down syndrome (Trisomy 21)
  Achondroplasia (dwarfism)
  Rickets
  Hirsutism
  Gynaecomastia
  Diabetes mellitus
  Paget's disease
  T&O'C essentials
  OSCE revision topics: endocrine system
  References
  ch. 30 summary of the endocrine examination and extending the endocrine examination
  endocrine examination: a suggested method
  Extending the endocrine physical examination
  Diagnostic testing
  T&O'C essentials
  OSCE revision topics: endocrine system
  SECTION 9 NERVOUS SYSTEM
  ch. 31 neurological history
  Presenting symptoms
  Headache and facial pain
  Faints and fits
  Dizziness
  Visual disturbances and deafness
  Disturbances of gait
  Disturbed sensation or weakness in the limbs
  Tremor and involuntary movements
  Speech and mental status
  Past health
  Medication history
  Social history
  Family history
  T&O'C essentials
  OSCE revision topics: the neurological history
  References
  ch. 32 neurological examination: the cranial nerves
  Examination anatomy
  General signs
  Consciousness
  Neck stiffness
  Handedness
  Orientation
  cranial nerves
  Examination anatomy
  General inspection
  first (olfactory) nerve
  second (optic) nerve
  third (oculomotor), fourth (trochlear) and sixth (abducens) nerves
  -the ocular nerves
  fifth (trigeminal) nerve
  seventh (facial) nerve
  eighth (acoustic) nerve
  ninth (glossopharyngeal) and tenth (vagus) nerves
  eleventh (accessory) nerve
  twelfth (hypoglossal) nerve
  Multiple cranial nerve lesions
  Head and neck
  Carotid bruits
  T&O'C essentials
  References
  OSCE example: introduction (stem)
  ch. 33 neurological examination: speech and higher centres
  Examination of speech
  Dysphasia
  Dysarthria
  Dysphonia
  cerebral hemispheres
  Parietal lobe function
  Temporal lobe function
  Frontal lobe function
  T&O'C essentials
  OSCE revision topics: speech and higher centres
  References
  ch. 34 neurological examination: the peripheral nervous system
  Limbs and trunk
  History
  Examination anatomy
  General examination approach
  General inspection
  Upper limbs
  Lower limbs
  Gait
  T&O'C essentials
  OSCE revision topics: the peripheral nervous system
  References
  ch. 35 Correlation of physical signs and neurological syndromes and disease
  Upper motor neurone lesions
  Causes of hemiplegia (upper motor neurone lesion)
  Lower motor neurone lesions
  Motor neurone disease
  Peripheral neuropathy
  Guillain-Barre syndrome (acute inflammatory polyradiculoneuropathy)
  Multiple sclerosis
  Thickened peripheral nerves
  Spinal cord compression
  Contents note continued: Important spinal cord syndromes
  Brown-Sequard syndrome
  Subacute combined degeneration of the cord (vitamin B12 deficiency)
  Dissociated sensory loss
  Syringomyelia (a central cavity in the spinal cord)
  extensor plantar response plus absent knee and ankle jerks
  Myopathy
  Dystrophia myotonica
  Myasthenia gravis
  cerebellum
  Parkinson's disease
  Inspection
  Gait and movements
  Tremor
  Tone
  Face
  Writing
  Causes of Parkinson's syndrome
  Other extrapyramidal movement disorders (dyskinesia)
  Chorea
  Dystonia
  unconscious patient
  General inspection
  Level of consciousness
  Neck
  Head and face
  Upper and lower limbs
  Body
  Urine
  Blood glucose
  Temperature
  Coma scale
  T&O'C essentials
  OSCE revision topics: neurological syndromes and disorders
  References
  ch. 36 summary of the neurological examination and extending the neurological examination
  Handedness, orientation and speech
  Neck stiffness and Kernig's sign
  Cranial nerves
  Upper limbs
  Lower limbs
  Diagnostic testing
  Lumbar puncture
  Neurological imaging
  T&O'C essentials
  OSCE revision topics: higher centres and cranial nerves
  ch. 37 psychiatric history and mental health examination
  Obtaining the history
  Introductory questions
  History of the presenting illness
  Past history and treatment history
  Family history
  Social and personal history
  mental state examination
  diagnosis
  T&O'C essentials
  OSCE revision topics: the psychiatric history and the mental state examination
  References
  SECTION 10 SPECIALTY EXAMINATIONS
  ch. 38 eyes, ears, nose and throat
  Eyes
  Examination anatomy
  History
  Examination method
  Diplopia
  Horner's syndrome
  Iritis
  Glaucoma
  Shingles
  Eyelid
  Ears
  Examination anatomy
  History
  Examination method
  Nose and sinuses
  Examination anatomy
  History
  Examination method
  Sinusitis
  Mouth and throat
  Examination anatomy
  History
  Examination method
  Pharyngitis
  Supraglottitis (epiglottitis)
  Common investigations
  T&O'C essentials
  OSCE examples
  OSCE revision topics: eyes, ears, nose and throat
  References
  ch. 39 breasts
  Examination anatomy
  History
  Examination
  Inspection
  Palpation
  Evaluation of a breast lump
  T&O'C essentials
  OSCE revision topics: the breasts
  References
  ch. 40 skin, nails and lumps
  Examination anatomy
  Dermatological history
  General principles of physical examination of the skin
  How to approach the clinical diagnosis of a lump
  Correlation of physical signs and skin disease
  Pruritus
  Erythrosquamous eruptions
  Blistering eruptions
  Erythroderma
  Pustular and crusted lesions
  Dermal plaques
  Erythema nodosum
  Erythema multiforme
  Cellulitis and erysipelas
  Folliculitis, furuncles and carbuncles
  Other infections
  Hyperpigmentation
  Flushing and sweating
  Skin tumours
  nails
  T&O'C essentials
  OSCE example: skin
  References
  ch. 41 system for the infectious diseases examination
  Pyrexia of unknown origin
  History
  Examination
  HIV infection and AIDS
  History
  Examination
  T&O'C essentials
  OSCE revision topics: infectious diseases
  References
  ch. 42 Assessment of the geriatric patient
  History taking in geriatric patients: special considerations
  Physical examination in geriatric patients: special considerations
  OSCE revision topics: assessment of the geriatric patient
  References
  ch. 43 Assessment of the acutely ill patient
  Initial assessment
  Level of consciousness
  Further examination
  OSCE example: emergency care
  References
  ch. 44 Assessment of death
  Assessment
  Do-not-resuscitate (DNR) orders
  Do not misdiagnose death
  Examining a suspected death
  Informing relatives
  Completing the death certificate
  Postmortem
  Organ donation
  Appendix I Writing and presenting the history and physical examination
  History
  Physical examination (PE)
  Provisional diagnosis
  Problem list and plans
  Continuation notes
  Presentation
  Suggested reading
  Appendix II suggested method for a rapid screening physical examination
  Hands and arms
  Face
  Front of the neck
  Chest
  Back of the chest and neck
  Abdomen
  Legs
  Neurological examination
  Completing the examination
  Appendix III pre-anaesthetic medical evaluation (PAME)
  history
  Cardiovascular history
  respiratory history
  Other
  examination.