Clinical Examination: A Systematic Guide to Physical Diagnosis

Front Cover
Elsevier Health Sciences, Dec 22, 2009 - Medical - 480 pages

Please note that this eBook does not include the DVD accompaniment. If you would like to have access to the DVD content, please purchase the print copy of this title.

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 skills necessary for clinically evaluating patients. Thoroughly evidence based and referenced, in full colour with superior artwork and design, the book comes with free and complete access to Student Consult.

  • Student Consult - full online access
  • full colour with superior artwork and design
  • evidence-based
  • Coverage of ENT and Ophthalmology
  • Expanded history taking sections with new differential diagnosis tables
  • More anatomy content and illustrations
  • Expanded evidence based medicine references – the only physical examination trainees book with detailed references; new section on inter-observer variability and kappa values
  • New material on DVD includes OSCEs, ECGs and an imaging library.
 

Contents

Correlation of physical signs and rheumatological disease
The endocrine history
The endocrine examination
Questions to ask the patient with suspected hyperthyroidism
Questions to ask the patient with suspected hypothyroidism
Questions to ask the patient with suspected Cushings syndrome
Questions to ask the patient with suspected hyperparathyroidism
Questions to ask the patient with suspected hypocalcaemia

Introductory questions
The presenting principal symptom
History of the presenting illness
The systems review
The past history
The social and personal history
The family history
Systems review
Skills in history taking
Taking a good history
The differential diagnosis
Fundamental considerations when taking the history
Personal history taking
Crosscultural history taking
The uncooperative or difficult patient and the history
History taking for the maintenance of good health
The elderly patient
Evidencebased history taking and differential diagnosis
The clinical assessment
Concluding the interview
First impressions
Vital signs
Facies
Weight body habitus and posture
Hydration
The hands and nails
Temperature
Smell
Preparing the patient for examination
Evidencebased clinical examination
The cardiovascular history
Questions to ask the patient with palpitations
Questions to ask about possible cardiovascular risk factors
Questions to ask the patient with hypertension
Examination anatomy
The cardiovascular examination
Correlation of physical signs and cardiovascular disease
Questions to ask the patient with a heart murmur
a systematic approach
Summary
The respiratory history
Questions to ask the breathless patient
The respiratory examination
Correlation of physical signs and respiratory disease Table 519
The chest Xray
Summary
The gastrointestinal history
The gastrointestinal examination
Rectal examination Figure 633
Examination of the gastrointestinal contents
Urinalysis
Examination of the acute abdomen
Correlation of physical signs and gastrointestinal disease
Summary
The genitourinary history
Questions to ask the patient with renal failure or suspected renal disease
Questions to ask the dialysis patient
The genitourinary examination
The urine
Male genitalia
Pelvic examination
Summary
The haematological history
The haematological examination
Examination of the peripheral blood film
Correlation of physical signs and haematological disease
Summary
The rheumatological history
Examination anatomy
The rheumatological examination
Questions to ask the diabetic patient
Summary
The neurological history
Questions to ask the nonaphasic patient with a possible stroke or transient ischaemic attack
Questions to ask the patient with a possible neurological problem
Questions to ask the patient with headache
Questions to ask the patient with syncope or dizziness
The neurological examination
Questions to ask the patient with muscle weakness
Correlation of physical signs and neurological disease
The unconscious patient
Summary
Obtaining the history
The mental state examination
The diagnosis
The eyes
The ears
The nose
The throat
History
Examination
The dermatological history
Questions to ask the patient with a rash
Examination anatomy
General principles of physical examination of the skin
How to approach the clinical diagnosis of a lump
Correlation of physical signs and skin disease
Questions to ask the patient with a blistering eruption
Questions to ask the patient with pustular lesions
The nails
Summary
Pyrexia of unknown origin PUO
General questions to ask the patient with a fever
HIV infection and the acquired immunodeficiency syndrome AIDS
History
Physical examination PE
Problem list and plans
Continuation notes
Presentation
The hands and arms
The face
The front of the neck
The abdomen
Completing the examination
The history
The examination
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
S
T
U
V
W
Copyright

Other editions - View all

Common terms and phrases

About the author (2009)

Simon O’Connor, FRACP DDU FCSANZ, Cardiologist, Canberra Hospital; Clinical Senior Lecturer, Australian National University Medical School, Canberra, ACT, Australia

Bibliographic information