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Bates' Guide to Physical Examination and History Taking,9780781735117
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Bates' Guide to Physical Examination and History Taking

by
Edition:
8th
ISBN13:

9780781735117

ISBN10:
0781735114
Format:
Hardcover
Pub. Date:
8/6/2002
Publisher(s):
LIPPINCOTT WILLIAMS & WILKINS
List Price: $79.94
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Summary

A classic in assessment, this Eighth Edition revision still provides the best foundation for learning and performing physical examination techniques and history taking. Features a clean, straightforward approach that retains the two-column format placing examination procedures and proper techniques on the left, and common abnormalities and possible interpretations on the right. Its highly visual four-color design includes 400 new pieces of art and formerly featured black and white photos into color. Also in this edition are four completely revised chapters including pediatrics rewritten by specialist Peter G. Szilaygi, MD. A CD-ROM, Heart Sounds, is available in the back of the book and a separate book of case studies for further study.

For more information, visit connection.LWW.com/go/bickley.

Table of Contents

List of Table
xv
Introduction xix
An Overview of Physical Examination and History Taking
1(20)
The Health History: Structure and Purposes
2(2)
The Comprehensive Adult Health History
4(5)
Chief Complaint(s)
4(1)
Present Illness
4(1)
Past History
5(1)
Family History
5(1)
Personal and Social History
6(1)
Review of Systems
6(3)
The Physical Examination: Approach and Overview
9(4)
The Comprehensive Physical Examination
10(1)
General Survey
10(1)
Vital Signs
10(1)
Skin
10(1)
Heent
10(1)
Neck
10(1)
Back
10(1)
Posterior Thorax and Lungs
11(1)
Breasts, Axillae, and Epitrochlear Nodes
11(1)
Anterior Thorax and Lungs
11(1)
Cardiovascular System
11(1)
Abdomen
11(1)
Lower Extremities
11(1)
Nervous System
12(1)
Additional Examinations
13(1)
Recording Your Findings
13(6)
The Case of Mrs. N
14(5)
Learning History Taking and Physical Examination
19(2)
Interviewing and the Health History
21(38)
Getting Ready: The Approach to the Interview
23(1)
Taking Time for Self-Reflection
23(1)
Reviewing the Chart
23(1)
Setting Goals for the Interview
23(1)
Reviewing Clinician Behavior and Appearance
24(1)
Improving the Environment
24(1)
Taking Notes
24(1)
Learning About the Patient: The Process of Interviewing
24(1)
Greeting the Patient and Establishing Rapport
25(1)
Inviting the Patient's Story
26(1)
Establishing the Agenda for the Interview
27(1)
Expanding and Clarifying the Health History (The Patient's Perspective)
27(1)
Generating and Testing Diagnostic Hypotheses (The Clinician's Perspective)
28(1)
Creating a Shared Understanding of the Problem
28(1)
Negotiating a Plan
29(1)
Planning for Follow-Up and Closing
30(1)
Facilitating the Patient's Story: The Techniques of Skilled Interviewing
30(1)
Active Listening
31(1)
Adaptive Questioning
31(1)
Nonverbal Communication
32(1)
Facilitation
32(1)
Echoing
32(1)
Empathic Responses
32(1)
Validation
33(1)
Reassurance
33(1)
Summarization
33(1)
Highlighting Transitions
33(1)
Adapting Interviewing Techniques to Specific Situations
34(1)
The Silent Patient
34(1)
The Talkative Patient
34(1)
The Anxious Patient
35(1)
The Crying Patient
35(1)
The Confusing Patient
35(1)
The Angry or Disruptive Patient
36(1)
The Patient With a Language Barrier
37(1)
The Patient With Reading Problems
38(1)
The Patient With Impaired Hearing
38(1)
The Patient With Impaired Vision
38(1)
The Patient With Limited Intelligence
39(1)
The Poor Historian
39(1)
The Patient With Personal problems
40(1)
Special Aspects of Interviewing
40(1)
Cultural Competence
41(2)
The Alcohol and Drug History
43(2)
The Sexual History
45(1)
Domestic and Physical Violence
46(1)
The Mental Health History
47(1)
Death and the Dying Patient
47(2)
Sexuality in the Clinician-Patient Relationship
49(1)
Ethical Considerations
49(3)
Interviewing Patients of Different Ages
52(1)
Talking With Children
52(3)
Talking With Adolescents
55(1)
Talking With Aging Patients
56(3)
Beginning the Physical Examination: General Survey and Vital Signs
59(36)
Anatomy and Physiology
59(3)
Calculating the BMI
60(1)
Interpreting and Acting on the BMI
61(1)
The Health History
62(3)
Changes in Weight
62(1)
Fatigue and Weakness
63(1)
Fever and Chills
64(1)
Health Promotion and Counseling
65(2)
Optimal Weight and Nutrition
65(1)
Exercise
65(1)
Blood Pressure and Diet
65(2)
Techniques of Examination
67(5)
Beginning the Examination: Setting the Stage
67(1)
Approaching the Patient
67(1)
Scope of the Examination: How Complete Should It Be?
68(1)
Choosing the Examination Sequence, Examining Position and Handedness
68(2)
Adjusting Lighting and the Environment
70(1)
Promoting the Patient's Comfort
71(1)
The General Survey
72(3)
Apparent State of Health
73(1)
Level of Consciousness
73(1)
Signs of Distress
73(1)
Height and Build
73(1)
Weight
73(1)
Skin Color and Obvious Lesions
73(1)
Dress, Grooming, and Personal Hygiene
73(1)
Facial Expression
74(1)
Odors of the Body and Breath
74(1)
Posture, Gait and Motor Activity
74(1)
The Vital Signs
75(20)
Blood Pressure
75(4)
Special Problems
79(1)
Heart Rate and Rhythm
80(1)
Respiratory Rate and Rhythm
81(1)
Temperature
81(14)
The Skin
95(20)
Anatomy and Physiology
95(3)
Changes with Aging
97(1)
The Health History
98(1)
Health Promotion and Counseling
98(2)
Techniques of Examination
100(15)
Skin
100(2)
Nails
102(1)
Hair
102(1)
Skin Lesions in Context
102(13)
The Head and Neck
115(94)
Anatomy and Physiology
115(21)
The Head
115(1)
The Eye
115(8)
The Ear
123(2)
The Nose and Paranasal Sinuses
125(3)
The Mouth and Pharynx
128(3)
The Neck
131(3)
Changes With Aging
134(2)
The Health History
136(5)
The Head
136(1)
The Eyes
137(1)
The Ears
138(1)
The Nose and Sinuses
139(1)
The Mouth, Throat, and Neck
140(1)
Health Promotion and Counseling
141(3)
Techniques of Examination
144(65)
The Head
144(1)
The Hair
144(1)
The Scalp
144(1)
The Skull
144(1)
The Face
144(1)
The Skin
144(1)
The Eyes
144(1)
Visual Acuity
144(1)
Visual Fields by Confrontation
145(2)
Position and Alignment of the Eyes
147(1)
Eybrows
147(1)
Eyelids
147(1)
Lacrimal Apparatus
147(1)
Conjunctive and Sclera
147(1)
Cornea and Lens
148(1)
Iris
148(1)
Pupils
148(1)
Extraocular Muscles
149(2)
Ophthalmoscopic Examination
151(5)
The Ears
156(1)
The Auricle
156(1)
Ear Canal and Drum
156(1)
Auditory Acuity
157(1)
Air and Bone Conduction
157(2)
The Nose and Paranasal Sinuses
159(1)
The Mouth and Pharynx
160(1)
The Lips
160(1)
The Oral Mucosa
160(1)
The Gums and Teeth
161(1)
The Roof of the Mouth
161(1)
The Tongue and the Floor of the Mouth
161(1)
The Pharynx
162(1)
The Neck
163(1)
Lymph Nodes
163(2)
The Trachea and the Thyroid Gland
165(3)
The Carotid Arteries and Jugular Veins
168
Special Techniques
167(1)
For Assessing Prominent Eyes
167(1)
For Nasolacrimal Duct Obstruction
167(1)
For Inspection of the Upper Palpebral Conjunctiva
168(1)
Swinging Flashlight Test
169(1)
Transillumination of the Sinuses
169(40)
The Thorax and Lungs
209(36)
Anatomy and Physiology
209(7)
Locating Findings on the Chest
210(2)
Lungs, Fissures, and Lobes
212(2)
Locations on the Chest
214(1)
The Trachea and Major Bronchi
214(1)
The Pleurae
214(1)
Breathing
215(1)
Changes With Aging
216(1)
The Health History
216(2)
Health Promotion and Counseling
218(2)
Techniques of Examination
220(25)
Initial Survey of Respiration and the Thorax
220(1)
Examination of the Posterior Chest
221(8)
Examination of the Anterior Chest
229(4)
Special Techniques
233(1)
Clinical Assessment of Pulmonary Function
233(1)
Forced Expiratory Time
233(1)
Identification of a Fractured Rib
233(12)
The Cardiovascular System
245(52)
Anatomy and Physiology
245(15)
Surface Projections of the Heart and Great Vessels
245(2)
Cardiac Chambers, Valves, and Circulation
247(1)
Events in the Cardiac Cycle
248(2)
The Splitting of Heart Sounds
250(1)
Heart Murmurs
251(1)
Relation of Auscultatory Findings to the Chest Wall
252(1)
The Conduction System
253(1)
The Heart as a Pump
254(1)
Arterial Pulses and Blood Pressure
255(1)
Jugular Venous Pressure and Pulses
256(2)
Changes With Aging
258(1)
The Apical Impulse and Heart Sounds
258(1)
Cardiac Murmurs
259(1)
Arteries and Blood Pressure
260(1)
The Health History
260(2)
Health Promotion and Counseling
262(4)
Techniques of Examination
266(31)
Jugular Venous Pressure and Pulsations
266(3)
The Carotid Pulse
269(1)
Thrills and Bruits
270(1)
The Brachial Artery
270(1)
The Heart
271(12)
A Note on Cardiovascular Assessment
283(1)
Special Techniques
283(1)
Aids to Identify Systolic Murmurs
283(1)
Pulsus Alternans
284(1)
Paradoxical Pulse
285(12)
The Breasts and Axillae
297(20)
Anatomy and Physiology
297(4)
Changes With Aging
299(1)
Adulthood
299(1)
Aging
300(1)
Lymphatics
300(1)
The Health History
301(1)
Health Promotion and Counseling
301(4)
Risk Factors for Breast Cancer
302(2)
Breast Cancer Screening
304(1)
Techniques of Examination
305(12)
The Female Breast
305(5)
The Male Breast
310(1)
The Axillae
310(1)
Special Techniques
311(1)
Assessment of Spontaneous Nipple Discharge
311(1)
Examination of the Mastectomy Patient
312(1)
Instructions for the Breast Self-Examination
312(5)
The Abdomen
317(50)
Anatomy and Physiology
317(3)
Changes With Aging
320(1)
The Health History
320(9)
The Gastrointestinal Tract
321(6)
The Urinary Tract
327(2)
Health Promotion and Counseling
329(3)
Techniques of Examination
332(35)
The Abdomen
332(5)
The Liver
337(3)
The Spleen
340(3)
The Kidneys
343(1)
The Bladder
344(1)
The Aorta
344(1)
Special Techniques
345(1)
Assessing Possible Ascites
345(2)
Assessing Possible Appendicitis
347(1)
Assessing Possible Acute Cholecystitis
348(1)
Assessing Ventral Hernias
348(1)
Mass in the Abdominal Wall
349(18)
Male Genitalia and Hernias
367(16)
Anatomy and Physiology
367(3)
Lymphatics
368(1)
Anatomy of the Groin
369(1)
Changes With Aging
369(1)
The Health History
370(1)
Health Promotion and Counseling
371(2)
Techniques of Examination
373(10)
The Penis
373(1)
The Scrotum and Its Contents
374(1)
Hernias
375(1)
Special Techniques
376(1)
The Testicular Self-Examination
376(7)
Female Genitalia
383(26)
Anatomy and Physiology
383(3)
Lymphatics
385(1)
Changes With Aging
385(1)
The Health History
386(3)
Menarche, Menstruation, Menopause
386(1)
Pregnancy
387(1)
Vulvovaginal Symptoms
388(1)
Sexual Activity
388(1)
Health Promotion and Counseling
389(2)
The Pap Smear
389(1)
Options for Family Planning
389(1)
STDs and HIV
390(1)
Changes in Menopause
390(1)
Techniques of Examination
391(18)
Choosing Equipment
392(1)
Positioning the Patient
393(1)
External Examination
393(1)
Internal Examination
394(6)
Hernias
400(1)
Special Techniques
400(9)
The Pregnant Woman
409(18)
Anatomy and Physiology
409(4)
The Health History
413(1)
Health Promotion and Counseling
414(3)
Techniques of Examination
417(10)
Positioning
417(1)
Equipment
418(1)
General Inspection
418(1)
Vital Signs and Weight
418(1)
Head and Neck
419(1)
Thorax and Lungs
419(1)
Heart
419(1)
Breasts
419(1)
Abdomen
420(2)
Genitalia, Anus, and Rectum
422(1)
Extremities
423(1)
Special Techniques
424(1)
Modified Leopold's Maneuvers
424(2)
Concluding the Visit
426(1)
The Anus, Rectum, and Prostate
427(14)
Anatomy and Physiology
427(2)
Changes With Aging
428(1)
The Health History
429(1)
Health Promotion and Counseling
430(3)
Techniques of Examination
433(8)
Male
433(3)
Female
436(5)
The Peripheral Vascular System
441(24)
Anatomy and Physiology
441(5)
Arteries
441(1)
Veins
442(2)
The Lymphatic System and Lymph Nodes
444(1)
Fluid Exchange and the Capillary Bed
445(1)
Changes With Aging
446(1)
The Health History
446(2)
Health Promotion and Counseling
448(2)
Techniques of Examination
450(15)
Arms
450(1)
Legs
451(6)
Special Techniques
457(1)
Evaluating the Arterial Supply to the Hand
457(1)
Postural Color Changes of Chronic Arterial Insufficiency
458(1)
Mapping Varicose Veins
459(1)
Evaluating the Competency of Venous Valves
459(6)
The Musculoskeletal System
465(70)
Anatomy and Physiology
465(19)
Structure and Function of Joints
465(2)
Temporomandibular Joint
467(2)
The Shoulder
469(2)
The Elbow
471(2)
The Wrist and Hands
473(2)
The Spine
475(3)
The Hip
478(1)
The Knee
479(4)
The Ankle and Foot
483(1)
Changes With Aging
484(1)
The Health History
484(3)
Health Promotion and Counseling
487(3)
Techniques of Examination
490(45)
The Temporomandibular Joint (TMJ)
491(1)
The Shoulder
492(4)
The Elbow
496(1)
The Wrist and Hand
497(4)
The Spine
501(5)
The Hip
506(5)
The Knee and Lower Leg
511(6)
The Ankle and Foot
517(2)
Special Techniques
519(1)
For the Carpal Tunnel Syndrome
519(1)
For Low Back Pain With Radiation Into the Leg
520(1)
Measuring the Length of Legs
520(1)
Describing Limited Motion of a Joint
521(14)
The Nervous System
535(88)
Anatomy and Physiology
535(13)
Central Nervous System
536(1)
The Brain
536(1)
The Spinal Cord
537(1)
Peripheral Nervous System
538(1)
The Cranial Nerves
538(1)
The Peripheral Nerves
538(2)
Spinal Reflexes: The Deep Tendon Response
540(1)
Motor Pathways
541(1)
Sensory Pathways
542(5)
Changes With Aging
547(1)
The Health History
548(3)
Health Promotion and Counseling
551(4)
Techniques of Examination
555(68)
Mental Status
556(2)
Appearance and Behavior
558(1)
Speech and Language
559(1)
Mood
560(1)
Thought and Perceptions
561(2)
Cognitive Functions
563(2)
Higher Cognitive Functions
565(2)
The Cranial Nerves
567(4)
The Motor System
571(12)
The Sensory System
583(3)
Deep Tendon Reflexes
586(6)
Special Techniques
592(1)
Mini-Mental State Examination (MMSE)
592(1)
Asterixis
592(1)
Winging of the Scapula
593(1)
Meningeal Signs
593(1)
Anal Reflex
594(1)
The Stuporous or Comatose Patient
594(29)
Assessing Children: Infancy Through Adolescence
623(160)
Child Development
625(9)
Key Principles
625(1)
Infancy: The First Year of Life
626(2)
Early Childhood: 1 Through 4 Years
628(2)
Middle Childhood: 5 Through 10 Years
630(1)
Adolescence: 11 Through 20 Years
631(3)
Health Promotion and Counseling
634(2)
Approach to the Examination of Children at Different Ages
636(19)
Sequence of the Examination
638(1)
Assessing the Newborn
639(6)
Assessing the Infant
645(4)
Assessing Early Childhood
649(3)
Assessing Middle Childhood
652(1)
Assessing the Adolescent
653(2)
Techniques of Examination
655(128)
General Survey
655(3)
Vital Signs
658(5)
The Skin
663(3)
The Head
666(4)
The Neck
670(2)
The Eye
672(4)
The Ear
676(4)
The Nose and Paranasal Sinuses
680(1)
The Mouth and Pharynx
681(5)
The Thorax and Lungs
686(4)
The Heart
690(9)
The Breasts
699(1)
The Abdomen
700(4)
Male Genitalia
704(4)
Female Genitalia
708(7)
The Rectal Examination
715(1)
The Musculoskeletal System
715(11)
The Nervous System
726(57)
Clinical Reasoning, Assessment, and Plan
783(18)
Assessment and Plan: The Process of Clinical Reasoning
783(4)
The Case of Mrs. N: Assessment and Plan
787(2)
Approaching the Challenges of Clinical Data
789(1)
Clustering Data into Single Versus Multiple Problems
789(1)
Sifting Through an Extensive Array of Data
790(1)
Assessing the Quality of the Data
790(2)
Displaying Clinical Data
792(2)
Building Your Case: The Interplay of Clinical Reasoning and Assessment of Clinical Data
794(1)
Organizing the Patient Record
795(3)
Generating the Problem List
798(1)
Writing the Progress Note
799(1)
Clinical Assessment: The Journey to Excellence
800(1)
Appendix: Prevalence and Predictive Value 801(2)
Bibliography 803(22)
Index 825


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