Textbook of Physical Diagnosis: History and Examination

 

Description:

Mastering each aspect of the patient interview and physical exam is fundamental to medical education, resulting in more accurate diagnostic skills, more effective patient management, and better patient outcomes! Dr. Swartz’s Textbook of Physical Diagnosis is a highly respected reference in this critical area, offering a compassionate, humanistic approach to the art and science of interviewing and physical examination. From cover to cover, you’ll learn how your interpersonal awareness is just as important in physical diagnosis as your level of skill – and why clinical competence in this area is essential for physicians, nurse practitioners, physician assistants, and all members of the healthcare profession.

 

Table of Contents:

 

Section 1 Mastering the Art of Interviewing

1 The Interviewer's Questions

Basic Principles

Using an Interpreter

Important Interviewing Concepts

Symptoms and Signs

Conducting an Interview

Basic Interviewing Techniques

Format of the History

Taking Notes

Concluding Thoughts

Bibliography

2 The Patient's Responses

Responses to Illness

Responses to the Interviewer

Influence of Background and Age on Patient Response

Influence of Disease on Patient Response

Bibliography

3 Understanding Complementary and Alternative Medicine

General Considerations

Classifications of Complementary and Alternative Medicine

Traditional Chinese Medicine

Concluding Thoughts

Bibliography

4 Putting the History Together

Interview of Mr. John Doe

Written History of Mr. John Doe

Section 2 Valuing Diversity: Race, Gender, and Ethnicity

5 Deconstructing Racism and Bias in Clinical Medicine

Introduction

Before the Clinical Encounter (Pre-Visit Preparation)

During the Clinical Encounter

After the Clinical Encounter

Biased Patient Behavior

Conclusion

Acknowledgments

Bibliography

Section 3 Understanding the Science of the Physical Examination

6 The Physical Examination

The Basic Procedures

Preparation for the Examination

Health Care Infection Prevention Practices

Goal of the Physical Examination

Bibliography

7 Assessment of Nutritional Status

Medical History

Physical Examination

Special Populations

Clinicopathologic Correlations

Concluding Thoughts

Bibliography

8 The Skin

General Considerations

Structure and Physiologic Characteristics

Review of Specific Symptoms

Effect of Skin Disease on the Patient

Physical Examination

Description of Lesions

Clinicopathologic Correlations

Bibliography

9 The Head and Neck

General Considerations

Structure and Physiology

Effect of Head and Neck Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

10 The Eye

Historical and General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Blindness on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

11 The Ear and Nose

General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Deafness on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

12 The Oral Cavity and Pharynx

General Considerations

Structure and Physiologic Characteristics

The Pharynx

The Larynx

Review of Specific Symptoms

Effect of a Voice Disorder on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

13 The Chest

General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Lung Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

14 The Heart

General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Cardiac Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

15 The Peripheral Vascular System

General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Vascular Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

16 The Breast

General Considerations

Structure and Physiology

Review of Specific Symptoms

Impact of Breast Disease on the Woman

Physical Examination

The Male Breast

Clinicopathologic Correlations

Bibliography

17 The Abdomen

General Considerations

Structure and Physiology

Review of Specific Symptoms

Impact of Inflammatory Bowel Disease on the Patient

Physical Examination

Bibliography

18 Male Genitalia and Hernias

General Considerations

Structure and Physiologic Characteristics

Review of Specific Symptoms

Impact of Erectile Dysfunction on the Man

Physical Examination

Clinicopathologic Correlations

Bibliography

19 Female Genitalia

General Considerations

Structure and Physiologic Characteristics

The Ob-Gyn History

Review of Specific Symptoms

Effect of Infertility on the Woman

Physical Examination

Preparation for the Examination

Clinicopathologic Correlations

Bibliography

20 The Musculoskeletal System

General Considerations

Structure and Physiology

Review of Specific Symptoms

Effect of Musculoskeletal Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

21 The Nervous System

General Considerations

Structure and Physiologic Characteristics

Review of Specific Symptoms

Effect of Chronic Neurologic Disease on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

22 Putting the Examination Together

The Techniques

The Written Physical Examination

Bibliography

Section 4 Evaluating Specifi c Patients

23 The Pregnant Patient

General Considerations

Structure and Physiologic Characteristics

Review of Specific Symptoms

Obstetric Risk Assessment

Calculation of Due Date

Effect of Pregnancy on the Patient

Physical Examination

Clinicopathologic Correlations

Bibliography

24 The Pediatric Patient

General Considerations

Pediatric History

Neonatal: Under 1 Month of Age

Infancy: 1 Month to 12 Months

Early Childhood: 1 Year to 4 Years

Middle Childhood: 5 Years to 10 Years

Adolescence: 11 Years to 21 Years

Clinicopathologic Correlations

Sample Write-Up of a Newborn's History and Physical Exam

Bibliography

25 The Geriatric Patient

General Considerations

The Geriatric Assessment

Core Components of a Comprehensive Geriatrics Assessment

Goals of Care and Advance Care Preferences

Structure and Physiologic Characteristics

Basic Principles of Geriatric Medicine

The Geriatric Examination

Clinicopathologic Correlations

Bibliography

26 The Acutely Ill or Injured Patient

Personal Safety

Approach to the Unconscious Patient

Current Cardiopulmonary Resuscitation Guidelines

C-A-B

Cardiopulmonary Resuscitation Survey

Summary of Cardiopulmonary Resuscitation Guidelines for Adults, Children, and Infants

Assessment of the Acutely Ill or Injured Patient

The Pediatric Emergency

Bibliography

Section 5 Putting the Data to Work

27 Precision, Accuracy, and Critical Thinking in Clinical Assessment

Art, Science, and Observation

Diagnostic Reasoning From Signs and Symptoms

Critical Thinking

The Rational Clinical Examination

Bibliography

28 The Clinical Record

Putting the History and Physical Examination Together

Electronic Medical Record

Protecting Patient's Right to Privacy

The Human Dimension

Bibliography

29 The Focused History and Physical Examination

General Considerations

Illustrative Case

Diagnostic Evaluation

Bibliography

Section 6 Analyzing Ethical Issues in Clinical Medicine

30 Clinical Ethics and Professionalism

Introduction

Principlism

Moral Philosophy: Deontology Vs. Utilitarianism

Casuistry

Privacy and Confidentiality

Informed Consent

Decisional Capacity

Advanced Directives

Surrogate Decision Making

Ethical Issues at the End of Life

Ethics Committees and Clinical Ethics Consultation—Where to Find Assistance

Closing Remarks

Bibliography

Appendices

Appendix A Commonly Abused Drugs

Appendix B Signs and Symptoms of Deficiency States

Appendix C Conversion Tables

Appendix D English-to-Spanish Translations Useful in the Medical Setting

Appendix E The Rational Clinical Examination: Additional References

The Rational Clinical Examination: Additional References

Appendix F CDC Recommended Immunization Schedule

Index

 

An aparitie	15 May 2020
Autor	Mark H. Swartz
Dimensiuni	22.86 x 3.18 x 28.58 cm
Editura	Elsevier
Format	Hardcover
ISBN	9780323672924
Limba	Engleza
Nr pag	704