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Evidence-Based Physical Diagnosis, 5ed

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.

• Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
• Features a reader-friendly outline format, including dozens of “EBM boxes” and accompanying “EBM ruler” illustrations.
• Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
• Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
• Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
• Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

Contents

۱. What Is Evidence-Based Physical Diagnosis?
۲. Diagnostic Accuracy of Physical Findings
۳. Using the Tables in This Book
۴. Using the Evidence-Based Medicine Calculator (Expert Consult)
۵. Reliability of Physical Findings
۶. Mental Status Examination
۷. Stance and Gait
۸. Jaundice
۹. Cyanosis
۱۰. Anemia
۱۱. Hypovolemia
۱۲. Protein-Energy Malnutrition and Weight Loss
۱۳. Obesity
۱۴. Cushing Syndrome
۱۵. Pulse Rate and Contour
۱۶. Abnormalities of Pulse Rhythm
۱۷. Blood Pressure
۱۸. Temperature
۱۹. Respiratory Rate and Abnormal Breathing Patterns
۲۰. Pulse Oximetry
۲۱. The Pupils
۲۲. Diabetic Retinopathy
۲۳. The Red Eye
۲۴. Hearing
۲۵. Thyroid and Its Disorders
۲۶. Meninges
۲۷. Peripheral Lymphadenopathy
۲۸. Inspection of the Chest
۲۹. Palpation and Percussion of the Chest
۳۰. Auscultation of the Lungs
۳۱. Ancillary Tests
۳۲. Pneumonia
۳۳. Chronic Obstructive Lung Disease
۳۴. Pulmonary Embolism
۳۵. Pleural Effusion
۳۶. Inspection of the Neck Veins
۳۷. Percussion of the Heart
۳۸. Palpation of the Heart
۳۹. Auscultation of the Heart : General Principles
۴۰. The First and Second Heart Sounds
۴۱. The Third and Fourth Heart Sounds
۴۲. Miscellaneous Heart Sounds
۴۳. Heart Murmurs : General Principles
۴۴. Aortic Stenosis
۴۵. Aortic Regurgitation
۴۶. Miscellaneous Heart Murmurs
۴۷. Disorders of the Pericardium
۴۸. Congestive Heart Failure
۴۹. Coronary Artery Disease
۵۰. Inspection of the Abdomen
۵۱. Palpation and Percussion of the Abdomen
۵۲. Abdominal Pain and Tenderness
۵۳. Auscultation of the Abdomen
۵۴. Peripheral Vascular Disease
۵۵. The Diabetic Foot
۵۶. Edema and Deep Vein Thrombosis
۵۷. Examination of the Musculoskeletal System
۵۸. Visual Field Testing
۵۹. Nerves of the Eye Muscles (III, IV, and VI) : Approach to Diplopia
۶۰. Miscellaneous Cranial Nerves
۶۱. Examination of the Motor System : Approach to Weakness
۶۲. Examination of the Sensory System
۶۳. Examination of the Reflexes
۶۴. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves
۶۵. Coordination and Cerebellar Testing
۶۶. Tremor and Parkinson Disease
۶۷. Hemorrhagic Versus Ischemic Stroke
۶۸. Acute Vertigo and Imbalance
۶۹. Examination of Nonorganic Neurologic Disorders
۷۰. Examination of Patients in the Intensive Care Unit