Offering a compassionate, humanistic approach in this critical area, Swartz Textbook of Physical Diagnosis, Nineth Edition, helps you master each aspect of the art and science of interviewing and physical examination. This highly regarded text clearly teaches how your interpersonal awareness is just as crucial during the patient interview and physical exam as your level of skill—and why clinical competence in this area is essential for physicians, osteopathic physicians, nurse practitioners, physician assistants, nurses, and all other members of the healthcare profession. From cover to cover, you’ll learn fundamental skills and concepts that result in more accurate diagnoses, more effective patient management, and better patient outcomes.
1. Swartz Textbook of Physical Diagnosis: History and Examination - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Dedication - p. vi 8. Preface - p. vii 9. Contributors - p. viii 10. Acknowledgments - p. xiii 11. List of Illustrations - p. xxi 12. List of Tables - p. xxii 13. Videos - p. xviii 14. SECTION 1. Mastering the Art of Interviewing - p. 1 15. 1. The interviewer’s questions - p. 2 16. Basic principles - p. 2 17. Using an interpreter - p. 2 18. Important interviewing concepts - p. 4 19. Symptoms and signs - p. 7 20. Conducting an interview - p. 7 21. Basic interviewing techniques - p. 10 22. Format of the history - p. 15 23. Taking notes - p. 30 24. Concluding thoughts - p. 30 25. Review questions - p. 31 26. References - p. 32 27. Bibliography - p. 32.e1 28. 2. The patient’s responses - p. 33 29. 3. Understanding complementary and alternative medicine - p. 47 30. 4. Putting the history together - p. 61 31. SECTION 2. Valuing Diversity: Race, Gender, and Ethnicity - p. 67 32. 5. Anti-racist and anti-oppressive clinical skills - p. 68 33. SECTION 3. Understanding the Science of the Physical Examination - p. 93 34. 6. The physical examination - p. 94 35. 7. Assessment of nutritional status - p. 102 36. 8. The skin - p. 118 37. General considerations - p. 118 38. Structure and physiologic characteristics - p. 118 39. Review of specific symptoms - p. 120 40. Effect of skin disease on the patient - p. 122 41. Physical examination - p. 123 42. Description of lesions - p. 127 43. Clinicopathologic correlations - p. 130 44. Warts - p. 131 45. Squamous cell carcinoma - p. 133 46. Basal cell carcinoma - p. 134 47. Melanomas - p. 134 48. Lipoma - p. 137 49. Café au lait spots - p. 138 50. Neurofibroma - p. 138 51. Contact dermatitis - p. 138 52. Psoriasis - p. 139 53. Fungal infections - p. 141 54. Pityriasis rosea - p. 143 55. Herpes zoster - p. 143 56. Herpesvirus - p. 144 57. Acne - p. 144 58. Tinea versicolor - p. 145 59. Ganglion cyst - p. 145 60. Spider angioma - p. 146 61. Vitiligo - p. 146 62. Urticaria - p. 147 63. Erythema multiforme - p. 147 64. Scabies - p. 148 65. Pyoderma gangrenosum - p. 149 66. Insect bites - p. 150 67. Kaposi sarcoma - p. 150 68. Mpox - p. 152 69. Scleroderma - p. 154 70. Erythema nodosum - p. 155 71. Lichen planus - p. 156 72. Seborrheic dermatitis - p. 156 73. Seborrheic warts - p. 156 74. Cutaneous horn - p. 157 75. Keloid - p. 158 76. Nevi - p. 158 77. Pemphigus vulgaris, pemphigus vegetans, and bullous pemphigoid - p. 158 78. Atopic dermatitis - p. 159 79. Lyme disease - p. 160 80. AIDS - p. 161 81. Diabetes - p. 161 82. Tuberous sclerosis - p. 162 83. Cutaneous larva migrans - p. 163 84. Anthrax, smallpox, and plague - p. 163 85. Skin self-examination - p. 165 86. Review questions - p. 168 87. References - p. 171 88. Bibliography - p. 171.e1 89. 9. The head and neck - p. 172 90. 10. The eye - p. 185 91. Historical and general considerations - p. 185 92. Structure and physiology - p. 185 93. Review of specific symptoms - p. 190 94. Effect of blindness on the patient - p. 192 95. Physical examination - p. 194 96. Clinicopathologic correlations - p. 222 97. Full video - p. 245 98. Review questions - p. 245 99. Bibliography - p. 246 100. 11. The ear and nose - p. 247 101. 12. The oral cavity and pharynx - p. 270 102. 13. The chest - p. 297 103. 14. The heart - p. 319 104. General considerations - p. 319 105. Structure and physiology - p. 321 106. Review of specific symptoms - p. 327 107. Effect of cardiac disease on the patient - p. 331 108. Physical examination - p. 331 109. Clinicopathologic correlations - p. 346 110. Full videos - p. 352 111. Review questions - p. 352 112. References - p. 353 113. Bibliography - p. 353.e1 114. 15. The peripheral vascular system - p. 354 115. 16. The breast - p. 369 116. 17. The abdomen - p. 383 117. General considerations - p. 383 118. Structure and physiology - p. 384 119. Review of specific symptoms - p. 386 120. Impact of inflammatory bowel disease on the patient - p. 391 121. Physical examination - p. 392 122. Clinicopathologic correlations - p. 407 123. Full video - p. 411 124. Review questions - p. 411 125. References - p. 412 126. Bibliography - p. 412.e1 127. 18. Male genitalia and hernias - p. 413 128. 19. Female genitalia - p. 441 129. 20. The musculoskeletal system - p. 467 130. General considerations - p. 467 131. Structure and physiology - p. 468 132. Review of specific symptoms - p. 476 133. Effect of musculoskeletal disease on the patient - p. 481 134. Physical examination - p. 481 135. Clinicopathologic correlations - p. 502 136. Review questions - p. 510 137. References - p. 510 138. Bibliography - p. 510.e1 139. 21. The nervous system - p. 511 140. General considerations - p. 511 141. Structure and physiologic characteristics - p. 512 142. Review of specific symptoms - p. 516 143. Effect of chronic neurologic disease on the patient - p. 523 144. Physical examination - p. 523 145. Clinicopathologic correlations - p. 546 146. Review questions - p. 550 147. References - p. 551 148. Bibliography - p. 551.e1 149. 22. Putting the examination together - p. 552 150. SECTION 4. Evaluating Specific Patients - p. 559 151. 23. The pregnant patient - p. 560 152. 24. The pediatric patient - p. 577 153. General considerations - p. 577 154. Pediatric history - p. 579 155. Neonatal: Under 1 month of age - p. 588 156. Infancy: 1 month to 12 months - p. 605 157. Early childhood: 1 year to 4 years - p. 613 158. Middle childhood: 5 years to 10 years - p. 619 159. Adolescence: 11 years to 21 years - p. 623 160. Clinicopathologic correlations - p. 629 161. Child maltreatment - p. 629 162. Vascular anomalies - p. 632 163. Kawasaki disease - p. 632 164. Exanthematous diseases - p. 634 165. Pediatric murmurs - p. 638 166. Telephone triage - p. 638 167. Sample documentation of a newborn’s history and physical examp - p. 638 168. Review questions - p. 639 169. References - p. 641 170. Bibliography - p. 641.e1 171. 25. The geriatric patient - p. 642 172. 26. The transgender patient - p. 654 173. 27. The acutely ill or injured patient - p. 662 174. SECTION 5. Putting the Data to Work - p. 675 175. 28. Precision, accuracy, and critical thinking in clinical assessment - p. 676 176. 29. The clinical record - p. 686 177. 30. The focused history and physical examination - p. 691 178. 31. Artificial intelligence in clinical encounters: Opportunities and challenges - p. 695 179. 32. Telehealth: Adapting clinical assessment - p. 704 180. SECTION 6. Analyzing Ethical Issues in Clinical Medicine - p. 713 181. 33. Clinical ethics and professionalism - p. 714 182. Epilogue: A journey through physical diagnosis - p. 727 183. Appendix A: Answers to review questions - p. 728 184. e-Appendix B: Commonly misused substances - p. e1 185. e-Appendix C: Signs and symptoms of deficiency states - p. e8 186. e-Appendix D: Conversion tables - p. e11 187. e-Appendix E: English to Spanish translations useful in the medical setting - p. e13 188. e-Appendix F: The rational clinical examination: Evidence based clinical diagnosis - p. e23 189. Index - p. 732
Offering a compassionate, humanistic approach in this critical area, Swartz Textbook of Physical Diagnosis, Nineth Edition, helps you master each aspect of the art and science of interviewing and physical examination. This highly regarded text clearly teaches how your interpersonal awareness is just as crucial during the patient interview and physical exam as your level of skill—and why clinical competence in this area is essential for physicians, osteopathic physicians, nurse practitioners, physician assistants, nurses, and all other members of the healthcare profession. From cover to cover, you’ll learn fundamental skills and concepts that result in more accurate diagnoses, more effective patient management, and better patient outcomes.
1. Swartz Textbook of Physical Diagnosis: History and Examination - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Dedication - p. vi 8. Preface - p. vii 9. Contributors - p. viii 10. Acknowledgments - p. xiii 11. List of Illustrations - p. xxi 12. List of Tables - p. xxii 13. Videos - p. xviii 14. SECTION 1. Mastering the Art of Interviewing - p. 1 15. 1. The interviewer’s questions - p. 2 16. Basic principles - p. 2 17. Using an interpreter - p. 2 18. Important interviewing concepts - p. 4 19. Symptoms and signs - p. 7 20. Conducting an interview - p. 7 21. Basic interviewing techniques - p. 10 22. Format of the history - p. 15 23. Taking notes - p. 30 24. Concluding thoughts - p. 30 25. Review questions - p. 31 26. References - p. 32 27. Bibliography - p. 32.e1 28. 2. The patient’s responses - p. 33 29. 3. Understanding complementary and alternative medicine - p. 47 30. 4. Putting the history together - p. 61 31. SECTION 2. Valuing Diversity: Race, Gender, and Ethnicity - p. 67 32. 5. Anti-racist and anti-oppressive clinical skills - p. 68 33. SECTION 3. Understanding the Science of the Physical Examination - p. 93 34. 6. The physical examination - p. 94 35. 7. Assessment of nutritional status - p. 102 36. 8. The skin - p. 118 37. General considerations - p. 118 38. Structure and physiologic characteristics - p. 118 39. Review of specific symptoms - p. 120 40. Effect of skin disease on the patient - p. 122 41. Physical examination - p. 123 42. Description of lesions - p. 127 43. Clinicopathologic correlations - p. 130 44. Warts - p. 131 45. Squamous cell carcinoma - p. 133 46. Basal cell carcinoma - p. 134 47. Melanomas - p. 134 48. Lipoma - p. 137 49. Café au lait spots - p. 138 50. Neurofibroma - p. 138 51. Contact dermatitis - p. 138 52. Psoriasis - p. 139 53. Fungal infections - p. 141 54. Pityriasis rosea - p. 143 55. Herpes zoster - p. 143 56. Herpesvirus - p. 144 57. Acne - p. 144 58. Tinea versicolor - p. 145 59. Ganglion cyst - p. 145 60. Spider angioma - p. 146 61. Vitiligo - p. 146 62. Urticaria - p. 147 63. Erythema multiforme - p. 147 64. Scabies - p. 148 65. Pyoderma gangrenosum - p. 149 66. Insect bites - p. 150 67. Kaposi sarcoma - p. 150 68. Mpox - p. 152 69. Scleroderma - p. 154 70. Erythema nodosum - p. 155 71. Lichen planus - p. 156 72. Seborrheic dermatitis - p. 156 73. Seborrheic warts - p. 156 74. Cutaneous horn - p. 157 75. Keloid - p. 158 76. Nevi - p. 158 77. Pemphigus vulgaris, pemphigus vegetans, and bullous pemphigoid - p. 158 78. Atopic dermatitis - p. 159 79. Lyme disease - p. 160 80. AIDS - p. 161 81. Diabetes - p. 161 82. Tuberous sclerosis - p. 162 83. Cutaneous larva migrans - p. 163 84. Anthrax, smallpox, and plague - p. 163 85. Skin self-examination - p. 165 86. Review questions - p. 168 87. References - p. 171 88. Bibliography - p. 171.e1 89. 9. The head and neck - p. 172 90. 10. The eye - p. 185 91. Historical and general considerations - p. 185 92. Structure and physiology - p. 185 93. Review of specific symptoms - p. 190 94. Effect of blindness on the patient - p. 192 95. Physical examination - p. 194 96. Clinicopathologic correlations - p. 222 97. Full video - p. 245 98. Review questions - p. 245 99. Bibliography - p. 246 100. 11. The ear and nose - p. 247 101. 12. The oral cavity and pharynx - p. 270 102. 13. The chest - p. 297 103. 14. The heart - p. 319 104. General considerations - p. 319 105. Structure and physiology - p. 321 106. Review of specific symptoms - p. 327 107. Effect of cardiac disease on the patient - p. 331 108. Physical examination - p. 331 109. Clinicopathologic correlations - p. 346 110. Full videos - p. 352 111. Review questions - p. 352 112. References - p. 353 113. Bibliography - p. 353.e1 114. 15. The peripheral vascular system - p. 354 115. 16. The breast - p. 369 116. 17. The abdomen - p. 383 117. General considerations - p. 383 118. Structure and physiology - p. 384 119. Review of specific symptoms - p. 386 120. Impact of inflammatory bowel disease on the patient - p. 391 121. Physical examination - p. 392 122. Clinicopathologic correlations - p. 407 123. Full video - p. 411 124. Review questions - p. 411 125. References - p. 412 126. Bibliography - p. 412.e1 127. 18. Male genitalia and hernias - p. 413 128. 19. Female genitalia - p. 441 129. 20. The musculoskeletal system - p. 467 130. General considerations - p. 467 131. Structure and physiology - p. 468 132. Review of specific symptoms - p. 476 133. Effect of musculoskeletal disease on the patient - p. 481 134. Physical examination - p. 481 135. Clinicopathologic correlations - p. 502 136. Review questions - p. 510 137. References - p. 510 138. Bibliography - p. 510.e1 139. 21. The nervous system - p. 511 140. General considerations - p. 511 141. Structure and physiologic characteristics - p. 512 142. Review of specific symptoms - p. 516 143. Effect of chronic neurologic disease on the patient - p. 523 144. Physical examination - p. 523 145. Clinicopathologic correlations - p. 546 146. Review questions - p. 550 147. References - p. 551 148. Bibliography - p. 551.e1 149. 22. Putting the examination together - p. 552 150. SECTION 4. Evaluating Specific Patients - p. 559 151. 23. The pregnant patient - p. 560 152. 24. The pediatric patient - p. 577 153. General considerations - p. 577 154. Pediatric history - p. 579 155. Neonatal: Under 1 month of age - p. 588 156. Infancy: 1 month to 12 months - p. 605 157. Early childhood: 1 year to 4 years - p. 613 158. Middle childhood: 5 years to 10 years - p. 619 159. Adolescence: 11 years to 21 years - p. 623 160. Clinicopathologic correlations - p. 629 161. Child maltreatment - p. 629 162. Vascular anomalies - p. 632 163. Kawasaki disease - p. 632 164. Exanthematous diseases - p. 634 165. Pediatric murmurs - p. 638 166. Telephone triage - p. 638 167. Sample documentation of a newborn’s history and physical examp - p. 638 168. Review questions - p. 639 169. References - p. 641 170. Bibliography - p. 641.e1 171. 25. The geriatric patient - p. 642 172. 26. The transgender patient - p. 654 173. 27. The acutely ill or injured patient - p. 662 174. SECTION 5. Putting the Data to Work - p. 675 175. 28. Precision, accuracy, and critical thinking in clinical assessment - p. 676 176. 29. The clinical record - p. 686 177. 30. The focused history and physical examination - p. 691 178. 31. Artificial intelligence in clinical encounters: Opportunities and challenges - p. 695 179. 32. Telehealth: Adapting clinical assessment - p. 704 180. SECTION 6. Analyzing Ethical Issues in Clinical Medicine - p. 713 181. 33. Clinical ethics and professionalism - p. 714 182. Epilogue: A journey through physical diagnosis - p. 727 183. Appendix A: Answers to review questions - p. 728 184. e-Appendix B: Commonly misused substances - p. e1 185. e-Appendix C: Signs and symptoms of deficiency states - p. e8 186. e-Appendix D: Conversion tables - p. e11 187. e-Appendix E: English to Spanish translations useful in the medical setting - p. e13 188. e-Appendix F: The rational clinical examination: Evidence based clinical diagnosis - p. e23 189. Index - p. 732
