Clinical Examination: A Systematic Guide to Physical Diagnosis / Edition 6

Paperback (Print)
Used and New from Other Sellers
Used and New from Other Sellers
from $119.60
Usually ships in 1-2 business days
(Save 8%)
Other sellers (Paperback)
  • All (1) from $119.60   
  • New (1) from $119.60   
Close
Sort by
Page 1 of 1
Showing All
Note: Marketplace items are not eligible for any BN.com coupons and promotions
$119.60
Seller since 2011

Feedback rating:

(7)

Condition:

New — never opened or used in original packaging.

Like New — packaging may have been opened. A "Like New" item is suitable to give as a gift.

Very Good — may have minor signs of wear on packaging but item works perfectly and has no damage.

Good — item is in good condition but packaging may have signs of shelf wear/aging or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Acceptable — item is in working order but may show signs of wear such as scratches or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Used — An item that has been opened and may show signs of wear. All specific defects should be noted in the Comments section associated with each item.

Refurbished — A used item that has been renewed or updated and verified to be in proper working condition. Not necessarily completed by the original manufacturer.

New
2009 Paperback New Book New and in stock. 12/30/2009. *****PLEASE NOTE: This item is shipping from an authorized seller in Europe. In the event that a return is necessary, you ... will be able to return your item within the US. To learn more about our European sellers and policies see the BookQuest FAQ section***** Read more Show Less

Ships from: Morden, United Kingdom

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
Page 1 of 1
Showing All
Close
Sort by

Overview

The sixth edition of Clinical Examination continues to serve all medical trainees with a clear explanation of history taking and clinical examination. Set out systematically, this best-selling textbook has comprehensive coverage of the essential skills necessary for clinically evaluating patients.

Features

StudentConsult - free and complete online access

full colour with superior artwork and design

thoroughly evidence-based

New to this edition

includes coverage of ENT and ophthalmology

expanded history taking sections including new differential diagnosis tables

more anatomy content and illustrations - new 'examination anatomy' sections with drawings and descriptions to assist in examination technique and understanding

expanded evidence-based medicine references - the only physical examination trainees book with detailed references and an evidence-based approach; new section on inter-observer variability and kappa values

vital history questions suggesting urgent or important diagnoses specially marked

'Questions to ask the patient' boxes help with history taking for most important areas

new material on DVD includes OSCEs, ECGs and an imaging library

The authors are particularly grateful to Professor Steven McGee for the use of evidence-based medicine tables and information from his important and highly recommended book, Evidence Based Clinical Examination, 2nd edn. St Louis: Elsevier. 2007

Read More Show Less

Product Details

  • ISBN-13: 9780729539050
  • Publisher: Elsevier Health Sciences
  • Publication date: 1/12/2010
  • Edition number: 6
  • Pages: 480
  • Product dimensions: 7.70 (w) x 10.20 (h) x 1.00 (d)

Table of Contents

Foreword v

Preface xi

Acknowledgments xii

Clinical methods: an historical perspective xiv

The Hippocratic oath xvi

Credits xvii

Chapter 1 The general principles of history taking 1

Bedside manner and establishing rapport 1

Obtaining the history 2

Introductory questions 2

The presenting (principal) symptom 3

History of the presenting illness 3

Current symptoms

associated symptoms

current treatment and drug allergies

menstrual history

the effect of the illness

The past history 5

The social and personal history 6

Smoking

alcohol

occupation and education

overseas travel and immunization

marital status, social support and living conditions

The family history 8

Systems review 8

Skills in history taking 11

References 11

Chapter 2 Advanced history taking 13

Taking a good history 13

The differential diagnosis 13

Fundamental considerations when taking the history 14

Personal history taking 14

The sexual history

Cross-cultural history taking 16

The 'uncooperative' or 'difficult' patient and the history 16

History taking for the maintenance of good health 17

The elderly patient 18

Activities of daily living (ADL)

mental state

specific problems in the elderly

Evidence-based history taking and differential diagnosis 19

The clinical assessment 19

Concluding the interview 20

References 20

Suggested reading 21

Chapter 3 The general principles of physical examination 23

First impressions 24

Vital signs 24

Facies 25

Jaundice

cyanosis

pallor

hair

Weight, body habitus and posture 26

Hydration 27

The hands and nails 28

Temperature 28

Smell 29

Preparing the patient for examination 30

Evidence-based clinical examination 30

Inter-observer agreement (reliability) and the κ-statistic

References 32

Suggested reading 34

Chapter 4 The cardiovascular system 35

The cardiovascular history 35

Presenting symptoms

risk factors for coronary artery disease

treatment

past history

social history

Examination anatomy 45

The cardiovascular examination 47

Positioning the patient

general appearance

hands

arterial pulse

blood pressure

face

neck

praecordium

the back

abdomen

lower limbs

peripheral vascular disease

acute arterial occlusion

deep venous thrombosis

varicose veins

Correlation of physical signs and cardiovascular disease 76

Cardiac failure

chest pain

pericardial disease

systemic hypertension

pulmonary hypertension

innocent murmurs

valve diseases of the left heart

valve diseases of the right heart

cardiomyopathy

acyanotic and cyanotic congenital heart disease

'grown-up' congenital heart disease

The chest X-ray: a systematic approach 96

Frontal film

lateral film

examples of chest X-rays in cardiac diseas

Summary 102

The cardiovascular examination: a suggested method

References 104

Suggested reading 105

Chapter 5 The respiratory system 107

The respiratory history 107

Presenting symptoms

treatment

past history

occupational history

social history

family history

The respiratory examination 115

Examination anatomy

positioning the patient

general appearance

hands

face

trachea

chest

heart

abdomen

other

bedside assessment of lung function

Correlation of physical signs and respiratory disease 128

Consolidation (lobar pneumonia)

atelectasis (collapse)

pleural effusion

pneumothorax

tension pneumothorax

bronchiectasis

bronchial asthma

chronic obstructive pulmonary disease

chronic bronchitis

interstitial lung disease

tuberculosis

mediastinal

compression

carcinoma of the lung

sarcoidosis

pulmonary embolism

The chest X-ray 137

Chest X-ray checklist

Summary 141

The respiratory examination: a suggested method

References 142

Suggested reading 143

Chapter 6 The gastrointestinal system 145

The gastrointestinal history 145

Presenting symptoms

treatment

past history

social history

family history

The gastrointestinal examination 153

Examination anatomy

positioning the patient

general appearance

hands

arms

face

neck and chest

abdomen

hernias

rectal examination

proctosigmoidoscopy

other

Examination of the gastrointestinal contents 183

Faces

vomitus

Urinalysis 184

Examination of the acute abdomen 185

Correlation of physical signs and gastrointestinal disease 187

Liver disease

portal hypertension

hepatic encephalopathy

dysphagia

assessment of gastrointestinal bleeding

malabsorption

inflammatory bowel disease

The abdominal X-ray: a systematic approach 192

Radiography

bowel gas pattern

bowel dilatation

calcification

ascites

Summary 194

The gastrointestinal examination: a suggested method

References 196

Suggested reading 197

Chapter 7 The genitourinary system 199

The genitourinary history 199

Presenting symptoms

menstrual and sexual history

treatment

past history

social history

family history

The genitourinary examination 207

General appearance

hands

arms

face

neck

chest

abdominal examination

back

legs

blood pressure

fundi

The urine 212

Colour

transparency

smell

specific gravity

chemical analysis

pH

protein

glucose and ketones

blood

nitrite

the urine sediment

Male genitalia 215

Differential diagnosis of a scrotal mass

Pelvic examination 217

Summary 219

Examination of a patient with chronic kidney disease: a suggested method

References 219

Suggested reading 221

Chapter 8 The haematological system 223

The haematological history 223

Presenting symptoms

treatment

past history

social history

family history

The haematological examination 224

Examination anatomy

general appearance

hands

forearms

epitrochlear nodes

axillary nodes

face

cervical and supraclavicular nodes

bone tenderness

the abdominal examination

inguinal nodes

legs

fundi

Examination of the peripheral blood film 231

Correlation of physical signs and haematological disease 231

Anaemia

pancytopenia

acute leukaemia

chronic leukaemia

myeloproliferative disease

lymphoma

multiple myeloma

Summary 238

The haematological examination: a suggested method

References 240

Suggested reading 240

Chapter 9 The rheumatological system 241

The rheumatological history 241

Presenting symptoms

treatment history

past history

social history

family history

Examination anatomy 246

Joint structures

The rheumatological examination 247

General inspection

principles of joint examination

assessment of individual joints

Correlation of physical signs and rheumatological disease 276

Rheumatoid arthritis

seronegotive spondyloarthropathies

gouty arthritis

calcium pyrophosphate arthropathy (pseudogout)

calcium hydroxyapatite arthropathy

systemic lupus erythematosus

scleroderma (progressive systemic sclerosis)

rheumatic fever

the vasculitides

softtissue rheumatism

nerve entrapment syndromes

References 292

Suggested reading 293

Chapter 10 The endocrine system 295

The endocrine history 295

Presenting symptoms

past history

social history

family history

The endocrine examination 297

Thyroid

pituitary

adrenals

calcium metabolism

syndromes associated with short stature

hirsutism

gynaecomastia

diabetes mellitus

Paget's disease (osteitis deformans)

Summary 322

The endocrine system: a suggested method of examination

References 322

Suggested reading 322

Chapter 11 The nervous system 323

The neurological history 323

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

The neurological examination 329

Examination anatomy

general signs

cranial nerves

head and neck

limbs and trunk

upper limbs

lower limbs

gait

speech and higher centres

cerebral hemispheres

Correlation of physical signs and neurological disease 383

Upper and lower motor neurone lesions

motor neurone disease

peripheral neuropathy

Guillain-Barré syndrome (acute inflammatory polyradiculoneuropathy)

multiple sclerosis

thickened peripheral nerves

spinal cord compression

important spinal cord syndromes

myopathy

dystrophia myotonica

myasthenia gravis

the cerebellum

Parkinson's disease

other extrapyramidal movement disorders (dyskinesia)

The unconscious patient 400

General inspection

level of consciousness

neck

head and face

upper and lower limbs

body

coma scale

Summary 403

Examining the nervous system: a suggested method

References 406

Suggested reading 407

Chapter 12 The psychiatric history and mental state examination 409

Obtaining the history 409

Introductory questions

history of the presenting illness

past history and treatment history

family history

social and personal history

The mental state examination 416

The diagnosis 416

References 422

Suggested reading 422

Chapter 13 The ears, eyes, nose and throat 423

The eyes 423

Examination anatomy

examination method

diplopia

Horner's syndrome

iritis

glaucoma

shingles

eyelid

The ears 430

Examination anatomy

examination method

The nose 433

Examination method

sinusitis

The throat 433

Examination anatomy

examination method

pharyngitis

epiglottitis

Reference 434

Chapter 14 The breasts 435

History 435

Examination 435

Inspection

palpation

evaluation of a breast lump

References 437

Chapter 15 The skin, nails, and lumps 439

The dermatological history 439

Examination anatomy 440

General principles of physical examination of the skin 441

How to approach the clinical diagnosis of a lump 442

Correlation of physical signs and skin disease 443

Pruritus

erythrosquamous eruptions

blistering eruptions

erythroderma

pustular and crusted lesions

dermal plaques

erythema nodosum

erythema multiforme

hyperpigmentation

flushing and sweating

skin tumours

The nails 451

Summary 452

The dermatological examination in internal medicine: a suggested method

References 454

Suggested reading 454

Chapter 16 A system for the infectious diseases examination 455

Pyrexia of unknown origin 455

History

examination

HIV infection and the acquired immunodeficiency syndrome (AIDS) 457

Examination

References 459

Suggested reading 460

Appendix I Writing and presenting the history and physical examination 461

Appendix II A suggested method for a rapid screening physical examination 464

Appendix III The pre-anaesthetic medical examination (PAME) 466

Index 468

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)