Evidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical problems, and forecast patient outcomes. Evidence-Based Physical Diagnosis, 5th Edition, is an up-to-date, authoritative resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Incorporating more than 200 new studies, this definitive text helps you glean the most from what you hear, see, and feel at the bedside—information that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.
Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.
Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
1. Introduction to the First Edition - p. vi 2. Contents - p. viii 3. List of Illustrations - p. viii 4. List of Tables - p. viii 5. part 1: Introduction - p. viii 6. Chapter 1: What is Evidence-Based Physical Diagnosis? - p. viii 7. Part 2: Understanding the Evidence - p. 5 8. Chapter 2: Diagnostic Accuracy of Physical Findings - p. 5 9. Chapter 3: Using the Tables in This Book - p. 20.e1 10. Chapter 4: Using the Online EBM Calculator - p. 26.e1 11. Chapter 5: Reliability of Physical Findings - p. 30 12. Part 3: General Appearance of the Patient - p. 40.e1 13. Chapter 6: Mental Status Examination - p. 40.e1 14. Chapter 7: Stance and Gait - p. 48.e1 15. Chapter 8: Jaundice - p. 62.e1 16. Chapter 9: Cyanosis - p. 70.e1 17. Chapter 10: Anemia - p. 74.e1 18. Chapter 11: Hypovolemia - p. 78.e1 19. Chapter 12: Protein-Energy Malnutrition and Weight Loss - p. 80.e1 20. Chapter 13: Obesity - p. 84.e1 21. Chapter 14: Cushing Syndrome - p. 88.e1 22. Part 4: Vital Signs - p. 94.e1 23. Chapter 15: Pulse Rate and Contour - p. 94.e1 24. Chapter 16: Abnormalities of Pulse Rhythm - p. 108.e1 25. Chapter 17: Blood Pressure - p. 118.e1 26. Chapter 18: Temperature - p. 132.e1 27. Chapter 19: Respiratory Rate and Abnormal Breathing Patterns - p. 142.e1 28. Chapter 20: Pulse Oximetry - p. 154.e1 29. Part 5: Head and Neck - p. 158.e1 30. Chapter 21: The Pupils - p. 158.e1 31. Chapter 22: Diabetic Retinopathy - p. 178.e1 32. Chapter 23: The Red Eye - p. 184.e1 33. Chapter 24: Hearing - p. 190.e1 34. Chapter 25: Thyroid and Its Disorders - p. 198.e1 35. Chapter 26: Meninges - p. 214.e1 36. Chapter 27: Peripheral Lymphadenopathy - p. 220.e1 37. Part 6: The Lungs - p. 232.e1 38. Chapter 28: Inspection of the Chest - p. 232.e1 39. Chapter 29: Palpation and Percussion of the Chest - p. 244.e1 40. Chapter 30: Auscultation of the Lungs - p. 254.e1 41. Chapter 31: Ancillary Tests - p. 268.e1 42. Part 7: Selected Pulmonary Disorders - p. 271.e1 43. Chapter 32: Pneumonia - p. 271.e1 44. Chapter 33: Chronic Obstructive Lung Disease - p. 278.e1 45. Chapter 34: Pulmonary Embolism - p. 284.e1 46. Chapter 35: Pleural Effusion - p. 290.e1 47. Part 8: The Heart - p. 292.e1 48. Chapter 36: Inspection of the Neck Veins - p. 292.e1 49. Chapter 37: Percussion of the Heart - p. 308.e1 50. Chapter 38: Palpation of the Heart - p. 310.e1 51. Chapter 39: Auscultation of the Heart: General Principles - p. 320.e1 52. Chapter 40: The First and Second Heart Sounds - p. 324.e1 53. Chapter 41: The Third and Fourth Heart Sounds - p. 334.e1 54. Chapter 42: Miscellaneous Heart Sounds - p. 342.e1 55. Chapter 43: Heart Murmurs: General Principles - p. 348.e1 56. Part 9: Selected Cardiac Disorders - p. 366.e1 57. Chapter 44: Aortic Stenosis - p. 366.e1 58. Chapter 45: Aortic Regurgitation - p. 374.e1 59. Chapter 46: Miscellaneous Heart Murmurs - p. 382.e1 60. Chapter 47: Disorders of the Pericardium - p. 394.e1 61. Chapter 48: Congestive Heart Failure - p. 400.e1 62. Chapter 49: Coronary Artery Disease - p. 408.e1 63. Part 10: Abdomen - p. 416.e1 64. Chapter 50: Inspection of the Abdomen - p. 416.e1 65. Chapter 51: Palpation and Percussion of the Abdomen - p. 420.e1 66. Chapter 52: Abdominal Pain and Tenderness - p. 432.e1 67. Chapter 53: Auscultation of the Abdomen - p. 442.e1 68. Part 11: Extremities - p. 446.e1 69. Chapter 54: Peripheral Vascular Disease - p. 446.e1 70. Chapter 55: The Diabetic Foot - p. 456.e1 71. Chapter 56: Edema and Deep Vein Thrombosis - p. 460.e1 72. Chapter 57: Examination of the Musculoskeletal System - p. 466.e1 73. Part 12: Neurologic Examination - p. 496.e1 74. Chapter 58: Visual Field Testing - p. 496.e1 75. Chapter 59: Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 506.e1 76. Chapter 60: Miscellaneous Cranial Nerves - p. 522.e1 77. Chapter 61: Examination of the Motor System: Approach to Weakness - p. 532.e1 78. Chapter 62: Examination of the Sensory System - p. 549.e1 79. Chapter 63: Examination of the Reflexes - p. 562.e1 80. Chapter 64: Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 574.e1 81. Chapter 65: Coordination and Cerebellar Testing - p. 590.e1 82. Part 13: Selected Neurologic Disorders - p. 596.e1 83. Chapter 66: Tremor and Parkinson Disease - p. 596.e1 84. Chapter 67: Hemorrhagic Versus Ischemic Stroke - p. 604.e1 85. Chapter 68: Acute Vertigo and Imbalance - p. 610.e1 86. Chapter 69: Examination of Nonorganic Neurologic Disorders - p. 616.e1 87. Part 14: Examination in the Intensive Care Unit - p. 622.e1 88. Chapter 70: Examination of Patients in the Intensive Care Unit - p. 622.e1 89. Appendix - p. 632.e1 90. Chapter 71: Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 632.e1 91. Index - p. 671
Evidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical problems, and forecast patient outcomes. Evidence-Based Physical Diagnosis, 5th Edition, is an up-to-date, authoritative resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Incorporating more than 200 new studies, this definitive text helps you glean the most from what you hear, see, and feel at the bedside—information that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.
Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.
Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
1. Introduction to the First Edition - p. vi 2. Contents - p. viii 3. List of Illustrations - p. viii 4. List of Tables - p. viii 5. part 1: Introduction - p. viii 6. Chapter 1: What is Evidence-Based Physical Diagnosis? - p. viii 7. Part 2: Understanding the Evidence - p. 5 8. Chapter 2: Diagnostic Accuracy of Physical Findings - p. 5 9. Chapter 3: Using the Tables in This Book - p. 20.e1 10. Chapter 4: Using the Online EBM Calculator - p. 26.e1 11. Chapter 5: Reliability of Physical Findings - p. 30 12. Part 3: General Appearance of the Patient - p. 40.e1 13. Chapter 6: Mental Status Examination - p. 40.e1 14. Chapter 7: Stance and Gait - p. 48.e1 15. Chapter 8: Jaundice - p. 62.e1 16. Chapter 9: Cyanosis - p. 70.e1 17. Chapter 10: Anemia - p. 74.e1 18. Chapter 11: Hypovolemia - p. 78.e1 19. Chapter 12: Protein-Energy Malnutrition and Weight Loss - p. 80.e1 20. Chapter 13: Obesity - p. 84.e1 21. Chapter 14: Cushing Syndrome - p. 88.e1 22. Part 4: Vital Signs - p. 94.e1 23. Chapter 15: Pulse Rate and Contour - p. 94.e1 24. Chapter 16: Abnormalities of Pulse Rhythm - p. 108.e1 25. Chapter 17: Blood Pressure - p. 118.e1 26. Chapter 18: Temperature - p. 132.e1 27. Chapter 19: Respiratory Rate and Abnormal Breathing Patterns - p. 142.e1 28. Chapter 20: Pulse Oximetry - p. 154.e1 29. Part 5: Head and Neck - p. 158.e1 30. Chapter 21: The Pupils - p. 158.e1 31. Chapter 22: Diabetic Retinopathy - p. 178.e1 32. Chapter 23: The Red Eye - p. 184.e1 33. Chapter 24: Hearing - p. 190.e1 34. Chapter 25: Thyroid and Its Disorders - p. 198.e1 35. Chapter 26: Meninges - p. 214.e1 36. Chapter 27: Peripheral Lymphadenopathy - p. 220.e1 37. Part 6: The Lungs - p. 232.e1 38. Chapter 28: Inspection of the Chest - p. 232.e1 39. Chapter 29: Palpation and Percussion of the Chest - p. 244.e1 40. Chapter 30: Auscultation of the Lungs - p. 254.e1 41. Chapter 31: Ancillary Tests - p. 268.e1 42. Part 7: Selected Pulmonary Disorders - p. 271.e1 43. Chapter 32: Pneumonia - p. 271.e1 44. Chapter 33: Chronic Obstructive Lung Disease - p. 278.e1 45. Chapter 34: Pulmonary Embolism - p. 284.e1 46. Chapter 35: Pleural Effusion - p. 290.e1 47. Part 8: The Heart - p. 292.e1 48. Chapter 36: Inspection of the Neck Veins - p. 292.e1 49. Chapter 37: Percussion of the Heart - p. 308.e1 50. Chapter 38: Palpation of the Heart - p. 310.e1 51. Chapter 39: Auscultation of the Heart: General Principles - p. 320.e1 52. Chapter 40: The First and Second Heart Sounds - p. 324.e1 53. Chapter 41: The Third and Fourth Heart Sounds - p. 334.e1 54. Chapter 42: Miscellaneous Heart Sounds - p. 342.e1 55. Chapter 43: Heart Murmurs: General Principles - p. 348.e1 56. Part 9: Selected Cardiac Disorders - p. 366.e1 57. Chapter 44: Aortic Stenosis - p. 366.e1 58. Chapter 45: Aortic Regurgitation - p. 374.e1 59. Chapter 46: Miscellaneous Heart Murmurs - p. 382.e1 60. Chapter 47: Disorders of the Pericardium - p. 394.e1 61. Chapter 48: Congestive Heart Failure - p. 400.e1 62. Chapter 49: Coronary Artery Disease - p. 408.e1 63. Part 10: Abdomen - p. 416.e1 64. Chapter 50: Inspection of the Abdomen - p. 416.e1 65. Chapter 51: Palpation and Percussion of the Abdomen - p. 420.e1 66. Chapter 52: Abdominal Pain and Tenderness - p. 432.e1 67. Chapter 53: Auscultation of the Abdomen - p. 442.e1 68. Part 11: Extremities - p. 446.e1 69. Chapter 54: Peripheral Vascular Disease - p. 446.e1 70. Chapter 55: The Diabetic Foot - p. 456.e1 71. Chapter 56: Edema and Deep Vein Thrombosis - p. 460.e1 72. Chapter 57: Examination of the Musculoskeletal System - p. 466.e1 73. Part 12: Neurologic Examination - p. 496.e1 74. Chapter 58: Visual Field Testing - p. 496.e1 75. Chapter 59: Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 506.e1 76. Chapter 60: Miscellaneous Cranial Nerves - p. 522.e1 77. Chapter 61: Examination of the Motor System: Approach to Weakness - p. 532.e1 78. Chapter 62: Examination of the Sensory System - p. 549.e1 79. Chapter 63: Examination of the Reflexes - p. 562.e1 80. Chapter 64: Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 574.e1 81. Chapter 65: Coordination and Cerebellar Testing - p. 590.e1 82. Part 13: Selected Neurologic Disorders - p. 596.e1 83. Chapter 66: Tremor and Parkinson Disease - p. 596.e1 84. Chapter 67: Hemorrhagic Versus Ischemic Stroke - p. 604.e1 85. Chapter 68: Acute Vertigo and Imbalance - p. 610.e1 86. Chapter 69: Examination of Nonorganic Neurologic Disorders - p. 616.e1 87. Part 14: Examination in the Intensive Care Unit - p. 622.e1 88. Chapter 70: Examination of Patients in the Intensive Care Unit - p. 622.e1 89. Appendix - p. 632.e1 90. Chapter 71: Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 632.e1 91. Index - p. 671
