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.
1. Introduction to the First Edition - p. vii 2. part 1: Introduction - p. 1 3. Chapter 1. What is Evidence-Based Physical Diagnosis? - p. 3 4. Part 2: Understanding the Evidence - p. 7 5. Chapter 2. Diagnostic Accuracy of Physical Findings - p. 9 6. Chapter 3. Using the Tables in This Book - p. 21 7. Chapter 4. Using the Online EBM Calculator - p. 27 8. Chapter 5. Reliability of Physical Findings - p. 31 9. Part 3: General Appearance of the Patient - p. 41 10. Chapter 6. Mental Status Examination - p. 43 11. Chapter 7. Stance and Gait - p. 49 12. Chapter 8. Jaundice - p. 63 13. Chapter 9. Cyanosis - p. 71 14. Chapter 10. Anemia - p. 75 15. Chapter 11. Hypovolemia - p. 79 16. Chapter 12. Protein-Energy Malnutrition and Weight Loss - p. 81 17. Chapter 13. Obesity - p. 85 18. Chapter 14. Cushing Syndrome - p. 89 19. Part 4: Vital Signs - p. 95 20. Chapter 15. Pulse Rate and Contour - p. 97 21. Chapter 16. Abnormalities of Pulse Rhythm - p. 109 22. Chapter 17. Blood Pressure - p. 119 23. Chapter 18. Temperature - p. 133 24. Chapter 19. Respiratory Rate and Abnormal Breathing Patterns - p. 143 25. Chapter 20. Pulse Oximetry - p. 155 26. Part 5: Head and Neck - p. 159 27. Chapter 21. The Pupils - p. 161 28. Chapter 22. Diabetic Retinopathy - p. 179 29. Chapter 23. The Red Eye - p. 185 30. Chapter 24. Hearing - p. 191 31. Chapter 25. Thyroid and Its Disorders - p. 199 32. Chapter 26. Meninges - p. 215 33. Chapter 27. Peripheral Lymphadenopathy - p. 221 34. Part 6: The Lungs - p. 233 35. Chapter 28. Inspection of the Chest - p. 235 36. Chapter 29. Palpation and Percussion of the Chest - p. 245 37. Chapter 30. Auscultation of the Lungs - p. 255 38. Chapter 31. Ancillary Tests - p. 269 39. Part 7: Selected Pulmonary Disorders - p. 271 40. Chapter 32. Pneumonia - p. 273 41. Chapter 33. Chronic Obstructive Lung Disease - p. 279 42. Chapter 34. Pulmonary Embolism - p. 285 43. Chapter 35. Pleural Effusion - p. 291 44. Part 8: The Heart - p. 293 45. Chapter 36. Inspection of the Neck Veins - p. 295 46. Chapter 37. Percussion of the Heart - p. 309 47. Chapter 38. Palpation of the Heart - p. 311 48. Chapter 39. Auscultation of the Heart: General Principles - p. 321 49. Chapter 40. The First and Second Heart Sounds - p. 325 50. Chapter 41. The Third and Fourth Heart Sounds - p. 335 51. Chapter 42. Miscellaneous Heart Sounds - p. 343 52. Chapter 43. Heart Murmurs: General Principles - p. 349 53. Part 9: Selected Cardiac Disorders - p. 367 54. Chapter 44. Aortic Stenosis - p. 369 55. Chapter 45. Aortic Regurgitation - p. 375 56. Chapter 46. Miscellaneous Heart Murmurs - p. 383 57. Chapter 47. Disorders of the Pericardium - p. 395 58. Chapter 48. Congestive Heart Failure - p. 401 59. Chapter 49. Coronary Artery Disease - p. 409 60. Part 10: Abdomen - p. 417 61. Chapter 50. Inspection of the Abdomen - p. 419 62. Chapter 51. Palpation and Percussion of the Abdomen - p. 421 63. Chapter 52. Abdominal Pain and Tenderness - p. 433 64. Chapter 53. Auscultation of the Abdomen - p. 443 65. Part 11: Extremities - p. 447 66. Chapter 54. Peripheral Vascular Disease - p. 449 67. Chapter 55. The Diabetic Foot - p. 457 68. Chapter 56. Edema and Deep Vein Thrombosis - p. 461 69. Chapter 57. Examination of the Musculoskeletal System - p. 467 70. Part 12: Neurologic Examination - p. 497 71. Chapter 58. Visual Field Testing - p. 499 72. Chapter 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 507 73. Chapter 60. Miscellaneous Cranial Nerves - p. 523 74. Chapter 61. Examination of the Motor System: Approach to Weakness - p. 533 75. Chapter 62. Examination of the Sensory System - p. 551 76. Chapter 63. Examination of the Reflexes - p. 563 77. Chapter 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 575 78. Chapter 65. Coordination and Cerebellar Testing - p. 591 79. Part 13: Selected Neurologic Disorders - p. 597 80. Chapter 66. Tremor and Parkinson Disease - p. 599 81. Chapter 67. Hemorrhagic Versus Ischemic Stroke - p. 605 82. Chapter 68. Acute Vertigo and Imbalance - p. 611 83. Chapter 69. Examination of Nonorganic Neurologic Disorders - p. 617 84. Part 14: Examination in the Intensive Care Unit - p. 623 85. Chapter 70. Examination of Patients in the Intensive Care Unit - p. 625 86. Appendix - p. 633 87. Chapter 71. Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 635 88. 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.
1. Introduction to the First Edition - p. vii 2. part 1: Introduction - p. 1 3. Chapter 1. What is Evidence-Based Physical Diagnosis? - p. 3 4. Part 2: Understanding the Evidence - p. 7 5. Chapter 2. Diagnostic Accuracy of Physical Findings - p. 9 6. Chapter 3. Using the Tables in This Book - p. 21 7. Chapter 4. Using the Online EBM Calculator - p. 27 8. Chapter 5. Reliability of Physical Findings - p. 31 9. Part 3: General Appearance of the Patient - p. 41 10. Chapter 6. Mental Status Examination - p. 43 11. Chapter 7. Stance and Gait - p. 49 12. Chapter 8. Jaundice - p. 63 13. Chapter 9. Cyanosis - p. 71 14. Chapter 10. Anemia - p. 75 15. Chapter 11. Hypovolemia - p. 79 16. Chapter 12. Protein-Energy Malnutrition and Weight Loss - p. 81 17. Chapter 13. Obesity - p. 85 18. Chapter 14. Cushing Syndrome - p. 89 19. Part 4: Vital Signs - p. 95 20. Chapter 15. Pulse Rate and Contour - p. 97 21. Chapter 16. Abnormalities of Pulse Rhythm - p. 109 22. Chapter 17. Blood Pressure - p. 119 23. Chapter 18. Temperature - p. 133 24. Chapter 19. Respiratory Rate and Abnormal Breathing Patterns - p. 143 25. Chapter 20. Pulse Oximetry - p. 155 26. Part 5: Head and Neck - p. 159 27. Chapter 21. The Pupils - p. 161 28. Chapter 22. Diabetic Retinopathy - p. 179 29. Chapter 23. The Red Eye - p. 185 30. Chapter 24. Hearing - p. 191 31. Chapter 25. Thyroid and Its Disorders - p. 199 32. Chapter 26. Meninges - p. 215 33. Chapter 27. Peripheral Lymphadenopathy - p. 221 34. Part 6: The Lungs - p. 233 35. Chapter 28. Inspection of the Chest - p. 235 36. Chapter 29. Palpation and Percussion of the Chest - p. 245 37. Chapter 30. Auscultation of the Lungs - p. 255 38. Chapter 31. Ancillary Tests - p. 269 39. Part 7: Selected Pulmonary Disorders - p. 271 40. Chapter 32. Pneumonia - p. 273 41. Chapter 33. Chronic Obstructive Lung Disease - p. 279 42. Chapter 34. Pulmonary Embolism - p. 285 43. Chapter 35. Pleural Effusion - p. 291 44. Part 8: The Heart - p. 293 45. Chapter 36. Inspection of the Neck Veins - p. 295 46. Chapter 37. Percussion of the Heart - p. 309 47. Chapter 38. Palpation of the Heart - p. 311 48. Chapter 39. Auscultation of the Heart: General Principles - p. 321 49. Chapter 40. The First and Second Heart Sounds - p. 325 50. Chapter 41. The Third and Fourth Heart Sounds - p. 335 51. Chapter 42. Miscellaneous Heart Sounds - p. 343 52. Chapter 43. Heart Murmurs: General Principles - p. 349 53. Part 9: Selected Cardiac Disorders - p. 367 54. Chapter 44. Aortic Stenosis - p. 369 55. Chapter 45. Aortic Regurgitation - p. 375 56. Chapter 46. Miscellaneous Heart Murmurs - p. 383 57. Chapter 47. Disorders of the Pericardium - p. 395 58. Chapter 48. Congestive Heart Failure - p. 401 59. Chapter 49. Coronary Artery Disease - p. 409 60. Part 10: Abdomen - p. 417 61. Chapter 50. Inspection of the Abdomen - p. 419 62. Chapter 51. Palpation and Percussion of the Abdomen - p. 421 63. Chapter 52. Abdominal Pain and Tenderness - p. 433 64. Chapter 53. Auscultation of the Abdomen - p. 443 65. Part 11: Extremities - p. 447 66. Chapter 54. Peripheral Vascular Disease - p. 449 67. Chapter 55. The Diabetic Foot - p. 457 68. Chapter 56. Edema and Deep Vein Thrombosis - p. 461 69. Chapter 57. Examination of the Musculoskeletal System - p. 467 70. Part 12: Neurologic Examination - p. 497 71. Chapter 58. Visual Field Testing - p. 499 72. Chapter 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia - p. 507 73. Chapter 60. Miscellaneous Cranial Nerves - p. 523 74. Chapter 61. Examination of the Motor System: Approach to Weakness - p. 533 75. Chapter 62. Examination of the Sensory System - p. 551 76. Chapter 63. Examination of the Reflexes - p. 563 77. Chapter 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves - p. 575 78. Chapter 65. Coordination and Cerebellar Testing - p. 591 79. Part 13: Selected Neurologic Disorders - p. 597 80. Chapter 66. Tremor and Parkinson Disease - p. 599 81. Chapter 67. Hemorrhagic Versus Ischemic Stroke - p. 605 82. Chapter 68. Acute Vertigo and Imbalance - p. 611 83. Chapter 69. Examination of Nonorganic Neurologic Disorders - p. 617 84. Part 14: Examination in the Intensive Care Unit - p. 623 85. Chapter 70. Examination of Patients in the Intensive Care Unit - p. 625 86. Appendix - p. 633 87. Chapter 71. Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability - p. 635 88. Index - p. 673
