Full Description
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.
Contents
Part 1 Introduction1 What Is Evidence-Based Physical Diagnosis?Part 2 Understanding the Evidence2 Diagnostic Accuracy of Physical Findings3 Using the Tables in This Book4 Using the EBM calculator (Expert Consult)5 Reliability of Physical FindingsPart 3 General Appearance of the Patient6 Mental Status Examination7 Stance and Gait8 Jaundice9 Cyanosis10 Anemia11 Hypovolemia12 Protein-Energy Malnutrition and Weight Loss 13 Obesity14 Cushing SyndromePart 4 Vital Signs 15 Pulse Rate and Contour16 Abnormalties of Pulse Rhythm17 Blood Pressure18 Temperature19 Respiratory Rate and Abnormal Breathing Patterns20 Pulse OximetryPart 5 Head and Neck 21 The Pupils22 Diabetic Retinopathy23 The Red Eye24 Hearing25 Thyroid and Its Disorders26 Meninges27 Peripheral LymphadenopathyPart 6 The Lungs 28 Inspection of the Chest29 Palpation and Percussion of the Chest30 Auscultation of the Lungs31 Ancillary TestsPart 7 Selected Pulmonary Disordered 32 Pneumonia33 Chronic Obstructive Lung Disease34 Pulmonary Embolism35 Pleural EffusionPart 8 The Heart 36 Inspection of the Neck Veins37 Percussion of the Heart38 Palpation of the Heart39 Auscultation of the Heart: General Principles40 The First and Second Heart Sounds41 The Third and Fourth Heart Sounds42 Miscellaneous Heart Sounds43 Heart Murmurs: General PrinciplesPart 9 Selected Cardiac Disordered 44 Aortic Stenosis45 Aortic Regurgitation46 Miscellaneous Heart Murmurs47 Disorders of the Pericardium48 Congestive Heart Failure49 Coronary Artery DiseasePart 10 Abdomen 50 Inspection of the Abdomen51 Palpation and Percussion of the Abdomen52 Abdominal Pain and Tenderness53 Auscultation of the AbdomenPart 11 Extremities 54 Peripheral Vascular Disease55 The Diabetic Foot56 Edema and Deep Vein Thrombosis57 Examination of the Musculoskeletal SystemPart 12 Neurologic Examination 58 Visual Field Testing59 Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia60 Miscellaneous Cranial Nerves61 Examination of the Motor System: Approach to Weakness62 Examination of the Sensory System63 Examination of the Reflexes64 Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves65 Coordination and Cerebellar TestingPart 13 Selected Neurologic Disordered 66 Tremor and Parkinson Disease67 Hemorrhagic versus Ischemic Stroke68 Acute Vertigo and Imbalance69 Examination of Nonorganic Neurologic DisordersPart 14 Examination in the Intensive Care Unit 70 Examination of Patients in the Intensive Care UnitAppendix 71 Likelihood Ratios, Confidence Intervals, and Pretest Probability
