did-you-know? rent-now

Amazon no longer offers textbook rentals. We do!

did-you-know? rent-now

Amazon no longer offers textbook rentals. We do!

We're the #1 textbook rental company. Let us show you why.

9781405104333

Advanced Clinical Skills and Physical Diagnosis, 2nd Edition

by
  • ISBN13:

    9781405104333

  • ISBN10:

    1405104333

  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2004-05-01
  • Publisher: Wiley-Blackwell
  • Purchase Benefits
  • Free Shipping Icon Free Shipping On Orders Over $35!
    Your order must be $35 or more to qualify for free economy shipping. Bulk sales, PO's, Marketplace items, eBooks and apparel do not qualify for this offer.
  • eCampus.com Logo Get Rewarded for Ordering Your Textbooks! Enroll Now
List Price: $50.95 Save up to $0.25
  • Buy New
    $50.70
    Add to Cart Free Shipping Icon Free Shipping

    PRINT ON DEMAND: 2-4 WEEKS. THIS ITEM CANNOT BE CANCELLED OR RETURNED.

Supplemental Materials

What is included with this book?

Summary

With nearly 200 photographs to enhance understanding of examination procedures and diagnoses, the new updated edition of Advanced Clinical Skills and Physical Diagnosis is guaranteed to be the only pocket reference you will need. Topics are organized in head to toe order with each chapter organized into three sections: Basic Examination, Advanced Examination, and Diagnoses. Over 200 black & white and color photographs enhance understanding of conditions and examination procedures. New features for the 2nd edition includes keys in each chapter which include tips on how to record findings and points to tell the attending or resident.

Author Biography

Dale Berg, MD, Director of Education, Jefferson Clinical Skills Center, Course Director Advanced Physical Diagnosis, Jefferson Medical College and Harvard Medical School; Associate Professor of Medicine, Jefferson Medical College, Philadelphia, Pennsylvania

Table of Contents

Preface xvii
Contributors xix
Vital Signs
Basic Examination
1(3)
Measure temperature: auricular or oral probe
1(1)
Measure temperature: rectal probe
1(1)
Measure blood pressure: sphygmomanometer
1(1)
Measure pulse rate and rhythm
1(1)
Inspect respiratory pattern
2(1)
Measure weight
3(1)
Advanced Examination
4(3)
Approach to a patient with a fever
4(1)
Approach to a patient with elevated blood pressure
4(3)
Diagnoses
7(2)
Head, Ears, Nose, and Throat (Hent)
Basic Examination
9(9)
Inspect auricles
9(1)
Direct otoscopic examination: external ear canal
9(1)
Direct otoscopic examination: tympanic membrane
9(2)
Palpate and inspect external nose
11(1)
Visually inspect oropharynx
11(1)
Palpate and inspect gingiva
12(1)
Visually inspect teeth
12(1)
Palpate and visually inspect lips
13(1)
Palpate and visually inspect tongue
14(2)
Palpate and visually inspect soft and hard palates
16(1)
Palpate and visually inspect posterior pharynx
16(2)
Advanced Examination
18(12)
Approach to a patient with bumps on, or painful, auricles
18(1)
Approach to a patient with external canal problems
18(1)
Approach to a patient with earache and/or tympanic membrane findings
18(1)
Approach to a patient with a nose complaint
18(1)
Approach to a patient with neck lumps and bumps
19(1)
Approach to a patient with suspected hyperthyroidism
20(2)
Approach to a patient with suspected hypothyroidism
22(1)
Approach to a patient with oral cavity bumps and lesions
23(1)
Approach to a patient with gingival lesions
23(1)
Approach to a patient with tooth problems
24(1)
Approach to a patient with a sore throat complaint
24(1)
Approach to a patient with a headache
24(2)
Approach to a patient with recent head trauma
26(4)
Diagnoses
30(12)
Eye
Basic Examination
42(6)
Snellen chart: 20 feet
42(1)
Snellen chart: 15 and 10 feet
42(1)
Finger counting test: 3 feet, 2 feet, and 1 foot
42(1)
Hand movement test: 3 feet, 2 feet, and 1 foot
43(1)
Shine a light from 3 feet away to test light perception
43(1)
Snellen chart: with eyeglasses on
43(1)
Snellen chart: through pinhole
43(1)
Visually inspect pupils in darkened room
43(1)
Shine light into pupils
44(1)
Observe accommodation-constriction of pupils
44(1)
Visually inspect anterior chamber, lens, and iris using slit lamp or direct light
45(1)
Administer extraocular eye movements examination
46(1)
Test visual field by confrontation
46(1)
Perform direct fundoscopic examination
47(1)
Advanced Examination
48(11)
Approach to a patient with a red eye
48(1)
Approach to a patient with scleral/corneal findings
49(1)
Approach to a patient with suspected cataract
50(1)
Approach to a patient with potential chronic open angle glaucoma
50(1)
Approach to a patient with suspected papilledema
51(1)
Approach to a patient with yellow/white blotches on the retina
51(1)
Approach to a patient with black or pigmented blotches on the retina
51(1)
Approach to a patient with red blotches on the retina
52(1)
Approach to a patient with diabetes and/or hypertension or vessel changes
52(1)
Approach to a patient with periorbital structure abnormalities
53(2)
Approach to a patient with strabismus
55(1)
Approach to a patient with acute monocular blindness
56(3)
Diagnoses
59(11)
Cardiology
Basic Examination
70(3)
Palpate chest wall
70(1)
Auscult chest; note and grade intensity of murmur
70(1)
Auscult murmur; note position in cycle and site where it is loudest
70(2)
Auscult for radiation
72(1)
Advanced Examination
73(17)
Approach to a patient with a murmur of equal intensity at base and apex
73(1)
Approach to a patient with a systolic murmur loudest at base
73(5)
Approach to a patient with a diastolic murmur loudest at base
78(1)
Approach to a patient with a diastolic murmur loudest at apex
79(1)
Approach to a patient with a systolic murmur loudest at apex
80(2)
Approach to a patient with second heart sound splitting
82(1)
Approach to a patient with gallop/diastolic sounds
82(1)
Approach to a patient with potential peripheral arterial disease
83(2)
Approach to a patient with syncope or near syncope
85(1)
Approach to a patient with peripheral edema/venous disease
86(2)
Approach to a patient with suspected pericardial disease
88(2)
Diagnoses
90(9)
Chest/Lungs
Basic Examination
99(7)
Percuss lung fields
99(1)
Feel for tactile fremitus
99(2)
Auscult lung fields
101(1)
Inspect mucous membranes
102(1)
Observe patient's positioning
102(1)
Inspect chest wall
103(1)
Inspect sternocleidomastoid muscles
104(1)
Inspect thoracic spine
104(1)
Inspect intercostal muscles
105(1)
Inspect abdomen for movements during respiration
105(1)
Visually inspect expectorated sputum
105(1)
Inspect fingers for signs of clubbing
105(1)
Advanced Examination
106(4)
Approach to a patient with consolidation or effusion
106(1)
Approach to a patient with suspected congestive heart failure
106(1)
Approach to a patient with obstructive lung disease
107(3)
Diagnoses
110(5)
Abdomen
Basic Examination
115(6)
Auscult abdomen
115(1)
Perform general visual inspection of abdomen
115(1)
Palpate abdominal quadrants
116(3)
Palpate abdomen for rebound tenderness
119(1)
Perform liver scratch test
119(2)
Advanced Examination
121(10)
Approach to a patient with abdominal masses
121(1)
Approach to a patient with suspected hepatomegaly
122(1)
Approach to a patient with suspected splenomegaly
123(1)
Approach to a patient with abdominal pain
124(2)
Approach to a patient with abdominal enlargement
126(1)
Approach to a patient with anorectal dysfunction
127(4)
Diagnoses
131(7)
Neurology
Basic Examination
138(15)
Assess strength (power) and/or patterns of weakness in specific muscles
138(1)
Assess tone during passive range of motion
138(1)
Check reflexes: wrist extensor, triceps, patellar, Achilles
139(2)
Perform Jendrassik's maneuver
141(1)
Perform Romberg's test
142(1)
Assess arm movements with gait
142(1)
Assess gait
142(1)
Test vibratory sensation
143(1)
Superficial pain assessment
144(2)
Assess cranial nerves: CN I to XII
146(7)
Advanced Examination
153(15)
Approach to a patient with weakness
153(4)
Approach to a patient with tremor
157(1)
Approach to a patient with suspected dementia
158(1)
Approach to a patient with a waddling gait
159(1)
Approach to a patient with a poker gait
159(1)
Approach to a patient with a spastic/scissors gait
160(1)
Approach to a patient with a steppage gait
160(1)
Approach to a patient with an ataxic, cerebellar gait
160(3)
Approach to a patient with an ataxic, proprioceptive gait
163(1)
Approach to a patient with an ataxic, vestibular gait
164(1)
Approach to a patient with a parkinsonian gait
164(4)
Diagnoses
168(9)
Finger, Thumb, Hand, and Wrist
Basic Examination
177(5)
Test sensation of hands, wrists, and fingers
177(1)
Observe active abduction of digits
177(1)
Observe active dorsiflexion of hand at wrist
177(1)
Test the tip-to-tip ``OK'' sign
177(1)
Perform active and passive range of motion of all joints
178(2)
Examine skin color: Allen's test
180(2)
Advanced Examination
182(14)
Approach to a patient with finger dysfunction/trauma
182(3)
Approach to a patient with thumb dysfunction/trauma
185(3)
Approach to a patient with hand and wrist dysfunction
188(1)
Approach to a patient with suspected ulnar neuropathy
189(3)
Approach to a patient with suspected radial neuropathy
192(1)
Approach to a patient with suspected median neuropathy
192(4)
Diagnoses
196(4)
Elbow
Basic Examination
200(3)
Inspect active and passive range of motion: flexion and extension
200(1)
Inspect active and passive range of motion, supination, and pronation
200(1)
Palpate structures in and around elbow
200(3)
Advanced Examination
203(4)
Approach to a patient with medial (ulnar) elbow pain
203(1)
Approach to a patient with posterior elbow pain
204(1)
Approach to a patient with lateral (radial) elbow pain
204(3)
Diagnoses
207(3)
Shoulder
Basic Examination
210(12)
Inspect and palpate shoulder structures
210(1)
Passive crank test
210(1)
Active crank test
210(2)
Assess the motor function of each nerve root
212(1)
Observe range of motion in shoulder
212(1)
Observe active range of motion
213(5)
Perform Apley scratch test from bottom
218(3)
Perform Apley scratch test from top
221(1)
Advanced Examination
222(6)
Approach to a patient with anterior shoulder pain
222(1)
Approach to a patient with lateral shoulder pain
223(2)
Approach to a patient with neck and shoulder pain
225(3)
Diagnoses
228(5)
Hip/Back
Basic Examination
233(4)
Perform active range of motion of the hip
233(1)
Perform active range of motion of the spine
233(1)
Observe gait
233(1)
Inspect erect back
234(1)
Inspect reversal lumbar lordosis
234(1)
Palpate structures of hip and back
234(1)
Percuss spinous processes
235(1)
Perform Fabere (Patrick's) test
235(1)
Actively extend knee
236(1)
Actively dorsiflex foot
236(1)
Actively plantarflex foot
236(1)
Test Achilles reflex
236(1)
Perform sensory examination
236(1)
Advanced Examination
237(7)
Approach to a patient with hip trauma
237(1)
Approach to a patient with hip pain or decreased range of motion, or both
238(1)
Approach to a patient with lower back pain
238(3)
Approach to a patient with suspected ankylosing spondylitis
241(3)
Diagnoses
244(4)
Knee
Basic Examination
248(5)
Inspect varus/valgus
248(1)
Perform a passive range of motion examination
248(1)
Examine for ballotable patella and bulge sign
248(1)
Inspect for fluid displacement
248(2)
Measure Q angle
250(1)
Locate condyles and anterior tibial spine
251(2)
Advanced Examination
253(11)
Approach to a patient with anterior knee pain
253(1)
Approach to a patient with posterior knee/popliteal fossa complaints
254(1)
Approach to a patient with medial knee pain
254(3)
Approach to a patient with lateral knee pain
257(1)
Approach to a patient with knee laxity/clicking/locking
258(6)
Diagnoses
264(6)
Foot/Ankle
Basic Examination
270(4)
Assess passive range of motion at tibiotalar and subtalar joints
270(1)
Actively dorsiflex great toe
270(1)
Actively plantarflex ankle
270(1)
Actively dorsiflex ankle
270(2)
Actively evert foot
272(1)
Actively invert ankle
272(1)
Inspect anterior compartment muscles
272(1)
Perform sensory examination of dorsal foot
272(1)
Perform sensory examination of plantar foot
273(1)
Check reflexes: Achilles
273(1)
Advanced Examination
274(11)
Approach to a patient with foot/ankle trauma
274(3)
Approach to a patient with an anterior foot complaint
277(2)
Approach to a patient with lateral midfoot/ankle pain
279(1)
Approach to a patient with a plantar foot complaint
280(1)
Approach to a patient with posterior heel/foot pain
280(2)
Approach to a patient with medial ankle/foot pain
282(1)
Approach to a patient with lower extremity swelling
283(2)
Diagnoses
285(6)
Dermatology
Basic Examination
291(3)
Visually inspect and palpate skin lesions
291(3)
Advanced Examination
294(27)
Approach to a patient with purple lesions
294(2)
Approach to a patient with pink/red lesions
296(4)
Approach to a patient with cellulitis
300(1)
Approach to a patient with a suspected erythema
301(1)
Approach to a patient with a suspected exanthem
302(1)
Approach to a patient with nonpigmented, flesh-colored lesions
302(2)
Approach to a patient with hypopigmented lesions in skin and hair
304(2)
Approach to a patient with pigmented lesions
306(2)
Approach to a patient with ulcerating/erosive skin lesions
308(2)
Approach to a patient with plaque and plaque-like lesions
310(1)
Approach to a patient with urticaria
311(1)
Approach to a patient with vesicular lesions
312(1)
Approach to a patient with bullous lesions
312(3)
Approach to a patient with pustules/purulent lesions
315(1)
Approach to a patient with hair loss
316(1)
Approach to a patient with fingernail and/or toenail complaints
316(5)
Diagnoses
321(16)
Gynecology and Obstetrics
Basic Examination
337(10)
Inspect breast and nipples
337(1)
Palpate axilla
337(1)
Palpate breasts
338(2)
Inspect and palpate external genitalia
340(2)
Examine vagina and vaginal mucosa using speculum
342(1)
Examine cervix using speculum
342(1)
Obtain a Papanicolaou smear
343(1)
Perform bimanual examination
344(1)
Examine rectovaginal area
344(3)
Advanced Examination
347(5)
Approach to a patient with vulvar/external genitalia lesions
347(1)
Approach to a patient with urinary incontinence
347(1)
Approach to a patient with a vaginal complaint
348(4)
Diagnoses
352(7)
Male Genitalia
Basic Examination
359(2)
Palpate scrotum and groin
359(2)
Advanced Examination
361(4)
Approach to a patient with scrotal mass or tenderness
361(1)
Approach to a patient with a penile complaint
361(4)
Diagnoses
365(4)
References 369(2)
Index 371

Supplemental Materials

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

Rewards Program