Evidence-Based Physical Diagnosis
McGee, Steven, M.D.
Elsevier Science Health Science 2017/02
736 p. 116 illus. 22 cm
soft, with online (Expert Consult)
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations. Prev. ed.: 2012.
Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones. Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios. Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations. Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices. NEW two-color format improves readability and helps you find essential information faster. NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.
Table of Contents
Part 1 Introduction 1 What Is Evidence-Based Physical Diagnosis? Part 2 Understanding the Evidence 2 Diagnostic Accuracy of Physical Findings 3 Using the Tables in This Book 4 Using the EBM calculator (Expert Consult) 5 Reliability of Physical Findings Part 3 General Appearance of the Patient 6 Mental Status Examination 7 Stance and Gait 8 Jaundice 9 Cyanosis 10 Anemia 11 Hypovolemia 12 Protein-Energy Malnutrition and Weight Loss 13 Obesity 14 Cushing Syndrome Part 4 Vital Signs 15 Pulse Rate and Contour 16 Abnormalties of Pulse Rhythm 17 Blood Pressure 18 Temperature 19 Respiratory Rate and Abnormal Breathing Patterns 20 Pulse Oximetry Part 5 Head and Neck 21 The Pupils 22 Diabetic Retinopathy 23 The Red Eye 24 Hearing 25 Thyroid and Its Disorders 26 Meninges 27 Peripheral Lymphadenopathy Part 6 The Lungs 28 Inspection of the Chest 29 Palpation and Percussion of the Chest 30 Auscultation of the Lungs 31 Ancillary Tests Part 7 Selected Pulmonary Disordered 32 Pneumonia 33 Chronic Obstructive Lung Disease 34 Pulmonary Embolism 35 Pleural Effusion Part 8 The Heart 36 Inspection of the Neck Veins 37 Percussion of the Heart 38 Palpation of the Heart 39 Auscultation of the Heart: General Principles 40 The First and Second Heart Sounds 41 The Third and Fourth Heart Sounds 42 Miscellaneous Heart Sounds 43 Heart Murmurs: General Principles Part 9 Selected Cardiac Disordered 44 Aortic Stenosis 45 Aortic Regurgitation 46 Miscellaneous Heart Murmurs 47 Disorders of the Pericardium 48 Congestive Heart Failure 49 Coronary Artery Disease Part 10 Abdomen 50 Inspection of the Abdomen 51 Palpation and Percussion of the Abdomen 52 Abdominal Pain and Tenderness 53 Auscultation of the Abdomen Part 11 Extremities 54 Peripheral Vascular Disease 55 The Diabetic Foot 56 Edema and Deep Vein Thrombosis 57 Examination of the Musculoskeletal System Part 12 Neurologic Examination 58 Visual Field Testing 59 Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia 60 Miscellaneous Cranial Nerves 61 Examination of the Motor System: Approach to Weakness 62 Examination of the Sensory System 63 Examination of the Reflexes 64 Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves 65 Coordination and Cerebellar Testing Part 13 Selected Neurologic Disordered 66 Tremor and Parkinson Disease 67 Hemorrhagic versus Ischemic Stroke 68 Acute Vertigo and Imbalance 69 Examination of Nonorganic Neurologic Disorders Part 14 Examination in the Intensive Care Unit 70 Examination of Patients in the Intensive Care Unit Appendix 71 Likelihood Ratios, Confidence Intervals, and Pretest Probability