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. vii 2. Multimedia Resources: EBM Calculator - p. viii 3. Part 1: Introduction - p. viii 4. Chapter 1. What is Evidence-Based Physical Diagnosis? - p. 3 5. Part 2: Understanding the Evidence - p. 5 6. Chapter 2. Diagnostic Accuracy of Physical Findings - p. 9 7. Chapter 3. Using the Tables in This Book - p. 21 8. Chapter 4. Using the Online EBM Calculator - p. 27 9. Chapter 5. Reliability of Physical Findings - p. 31 10. Part 3: General Appearance of the Patient - p. 40.e1 11. Chapter 6. Mental Status Examination - p. 43 12. Chapter 7. Stance and Gait - p. 49 13. Chapter 8. Jaundice - p. 63 14. Chapter 9. Cyanosis - p. 71 15. Chapter 10. Anemia - p. 75 16. Chapter 11. Hypovolemia - p. 79 17. Chapter 12. Protein-Energy Malnutrition and Weight Loss - p. 81 18. Chapter 13. Obesity - p. 85 19. Chapter 14. Cushing Syndrome - p. 89 20. Part 4: Vital Signs - p. p94.e1 21. Chapter 15. Pulse Rate and Contour - p. 97 22. Chapter 16. Abnormalities of Pulse Rhythm - p. 109 23. Chapter 17. Blood Pressure - p. 119 24. Chapter 18. Temperature - p. 133 25. Chapter 19. Respiratory Rate and Abnormal Breathing Patterns - p. 143 26. Chapter 20. Pulse Oximetry - p. 155 27. Part 5: Head and Neck - p. p158.e1 28. Chapter 21. The Pupils - p. 161 29. Chapter 22. Diabetic Retinopathy - p. 179 30. Chapter 23. The Red Eye - p. 185 31. Chapter 24. Hearing - p. 191 32. Chapter 25. Thyroid and Its Disorders - p. 199 33. Chapter 26. Meninges - p. 215 34. Chapter 27. Peripheral Lymphadenopathy - p. 221 35. Part 6: The Lungs - p. p232.e1 36. Chapter 28. Inspection of the Chest - p. 235 37. Chapter 29. Palpation and Percussion of the Chest - p. 245 38. Chapter 30. Auscultation of the Lungs - p. 255 39. Chapter 31. Ancillary Tests - p. 269 40. Part 7: Selected Pulmonary Disorders - p. p271.e1 41. Chapter 32. Pneumonia - p. 273 42. Chapter 33. Chronic Obstructive Lung Disease - p. 279 43. Chapter 34. Pulmonary Embolism - p. 285 44. Chapter 35. Pleural Effusion - p. 291 45. Part 8: The Heart - p. 292.e1 46. Chapter 36. Inspection of the Neck Veins - p. 295 47. Chapter 37. Percussion of the Heart - p. 309 48. Chapter 38. Palpation of the Heart - p. 311 49. Chapter 39. Auscultation of the Heart: General Principles - p. 321 50. Chapter 40. The First and Second Heart Sounds - p. 325 51. Chapter 41. The Third and Fourth Heart Sounds - p. 335 52. Chapter 42. Miscellaneous Heart Sounds - p. 343 53. Chapter 43. Heart Murmurs: General Principles - p. 349 54. Part 9: Selected Cardiac Disorders - p. p366.e1 55. Chapter 44. Aortic Stenosis - p. 369 56. Chapter 45. Aortic Regurgitation - p. 375 57. Chapter 46. Miscellaneous Heart Murmurs - p. 383 58. Chapter 47. Disorders of the Pericardium - p. 395 59. Chapter 48. Congestive Heart Failure - p. 401 60. Chapter 49. Coronary Artery Disease - p. 409 61. Part 10: Abdomen - p. p416.e1 62. Chapter 50. Inspection of the Abdomen - p. 419 63. Chapter 51. Palpation and Percussion of the Abdomen - p. 421 64. Chapter 52. Abdominal Pain and Tenderness - p. 433 65. Chapter 53. Auscultation of the Abdomen - p. 443 66. Part 11: Extremities - p. p446.e1 67. Chapter 54. Peripheral Vascular Disease - p. 449 68. Chapter 55. The Diabetic Foot - p. 457 69. Chapter 56. Edema and Deep Vein Thrombosis - p. 461 70. Chapter 57. Examination of the Musculoskeletal System - p. 467 71. Part 12: Neurologic Examination - p. 496.e1 72. Chapter 58. Visual Field Testing - p. 499 73. Chapter 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 507 74. Chapter 60. Miscellaneous Cranial Nerves - p. 523 75. Chapter 61. Examination of the Motor System: Approach to Weakness - p. 533 76. Chapter 62. Examination of the Sensory System - p. 551 77. Chapter 63. Examination of the Reflexes - p. 563 78. Chapter 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 575 79. Chapter 65. Coordination and Cerebellar Testing - p. 591 80. Part 13: Selected Neurologic Disorders - p. 596.e1 81. Chapter 66. Tremor and Parkinson Disease - p. 599 82. Chapter 67. Hemorrhagic Versus Ischemic Stroke - p. 605 83. Chapter 68. Acute Vertigo and Imbalance - p. 611 84. Chapter 69. Examination of Nonorganic Neurologic Disorders - p. 617 85. Part 14: Examination in the Intensive Care Unit - p. 622.e1 86. Chapter 70. Examination of Patients in the Intensive Care Unit - p. 625 87. Appendix - p. 632.e1 88. Chapter 71. Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 671 89. Index - p. 673
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. vii 2. Multimedia Resources: EBM Calculator - p. viii 3. Part 1: Introduction - p. viii 4. Chapter 1. What is Evidence-Based Physical Diagnosis? - p. 3 5. Part 2: Understanding the Evidence - p. 5 6. Chapter 2. Diagnostic Accuracy of Physical Findings - p. 9 7. Chapter 3. Using the Tables in This Book - p. 21 8. Chapter 4. Using the Online EBM Calculator - p. 27 9. Chapter 5. Reliability of Physical Findings - p. 31 10. Part 3: General Appearance of the Patient - p. 40.e1 11. Chapter 6. Mental Status Examination - p. 43 12. Chapter 7. Stance and Gait - p. 49 13. Chapter 8. Jaundice - p. 63 14. Chapter 9. Cyanosis - p. 71 15. Chapter 10. Anemia - p. 75 16. Chapter 11. Hypovolemia - p. 79 17. Chapter 12. Protein-Energy Malnutrition and Weight Loss - p. 81 18. Chapter 13. Obesity - p. 85 19. Chapter 14. Cushing Syndrome - p. 89 20. Part 4: Vital Signs - p. p94.e1 21. Chapter 15. Pulse Rate and Contour - p. 97 22. Chapter 16. Abnormalities of Pulse Rhythm - p. 109 23. Chapter 17. Blood Pressure - p. 119 24. Chapter 18. Temperature - p. 133 25. Chapter 19. Respiratory Rate and Abnormal Breathing Patterns - p. 143 26. Chapter 20. Pulse Oximetry - p. 155 27. Part 5: Head and Neck - p. p158.e1 28. Chapter 21. The Pupils - p. 161 29. Chapter 22. Diabetic Retinopathy - p. 179 30. Chapter 23. The Red Eye - p. 185 31. Chapter 24. Hearing - p. 191 32. Chapter 25. Thyroid and Its Disorders - p. 199 33. Chapter 26. Meninges - p. 215 34. Chapter 27. Peripheral Lymphadenopathy - p. 221 35. Part 6: The Lungs - p. p232.e1 36. Chapter 28. Inspection of the Chest - p. 235 37. Chapter 29. Palpation and Percussion of the Chest - p. 245 38. Chapter 30. Auscultation of the Lungs - p. 255 39. Chapter 31. Ancillary Tests - p. 269 40. Part 7: Selected Pulmonary Disorders - p. p271.e1 41. Chapter 32. Pneumonia - p. 273 42. Chapter 33. Chronic Obstructive Lung Disease - p. 279 43. Chapter 34. Pulmonary Embolism - p. 285 44. Chapter 35. Pleural Effusion - p. 291 45. Part 8: The Heart - p. 292.e1 46. Chapter 36. Inspection of the Neck Veins - p. 295 47. Chapter 37. Percussion of the Heart - p. 309 48. Chapter 38. Palpation of the Heart - p. 311 49. Chapter 39. Auscultation of the Heart: General Principles - p. 321 50. Chapter 40. The First and Second Heart Sounds - p. 325 51. Chapter 41. The Third and Fourth Heart Sounds - p. 335 52. Chapter 42. Miscellaneous Heart Sounds - p. 343 53. Chapter 43. Heart Murmurs: General Principles - p. 349 54. Part 9: Selected Cardiac Disorders - p. p366.e1 55. Chapter 44. Aortic Stenosis - p. 369 56. Chapter 45. Aortic Regurgitation - p. 375 57. Chapter 46. Miscellaneous Heart Murmurs - p. 383 58. Chapter 47. Disorders of the Pericardium - p. 395 59. Chapter 48. Congestive Heart Failure - p. 401 60. Chapter 49. Coronary Artery Disease - p. 409 61. Part 10: Abdomen - p. p416.e1 62. Chapter 50. Inspection of the Abdomen - p. 419 63. Chapter 51. Palpation and Percussion of the Abdomen - p. 421 64. Chapter 52. Abdominal Pain and Tenderness - p. 433 65. Chapter 53. Auscultation of the Abdomen - p. 443 66. Part 11: Extremities - p. p446.e1 67. Chapter 54. Peripheral Vascular Disease - p. 449 68. Chapter 55. The Diabetic Foot - p. 457 69. Chapter 56. Edema and Deep Vein Thrombosis - p. 461 70. Chapter 57. Examination of the Musculoskeletal System - p. 467 71. Part 12: Neurologic Examination - p. 496.e1 72. Chapter 58. Visual Field Testing - p. 499 73. Chapter 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 507 74. Chapter 60. Miscellaneous Cranial Nerves - p. 523 75. Chapter 61. Examination of the Motor System: Approach to Weakness - p. 533 76. Chapter 62. Examination of the Sensory System - p. 551 77. Chapter 63. Examination of the Reflexes - p. 563 78. Chapter 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 575 79. Chapter 65. Coordination and Cerebellar Testing - p. 591 80. Part 13: Selected Neurologic Disorders - p. 596.e1 81. Chapter 66. Tremor and Parkinson Disease - p. 599 82. Chapter 67. Hemorrhagic Versus Ischemic Stroke - p. 605 83. Chapter 68. Acute Vertigo and Imbalance - p. 611 84. Chapter 69. Examination of Nonorganic Neurologic Disorders - p. 617 85. Part 14: Examination in the Intensive Care Unit - p. 622.e1 86. Chapter 70. Examination of Patients in the Intensive Care Unit - p. 625 87. Appendix - p. 632.e1 88. Chapter 71. Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 671 89. Index - p. 673
