Mosby's Guide to Physical Examination (Book with CD-ROM): Seidel, Henry M.: 9780323001786: Book: : eCampus.com

"Mosby's Guide to Physical Examination" presents a comprehensive approach to physical examination that is appropriate for all health care disciplines (nursing, medical, chiropractic, and allied health).

1 THE HISTORY AND INTERVIEWING PROCESS

(35)

ETHICAL CONSIDERATIONS IN PATIENT RELATIONSHIPS

(2)

An ethical context to the partnership with the patient

(2)

COMMUNICATING WITH THE PATIENT

(11)

Factors that enhance communication

(4)

Moments of tension

(4)

Knowing yourself

(3)

THE HISTORY

(21)

Setting for the interview

(1)

Structure of the history

(1)

Taking the history

(1)

An approach to sensitive issues

(3)

Outline of clinical history

(15)

2 CULTURAL AWARENESS

(11)

A definition of culture

(1)

Distinguishing physical characteristics

(1)

Impact of culture

(1)

The blurring of cultural distinctions

(1)

The primacy of the individual in health care

(2)

Relationships within the health professions

(1)

Cultural impact on disease

(1)

The components of a cultural response

(1)

Communications

(1)

Health beliefs and practices

(1)

Diet practices

(1)

Family relationships

(1)

Summing up

(1)

3 EXAMINATION TECHNIQUES AND EQUIPMENT

(31)

PRECAUTIONS TO PREVENT INFECTION

(2)

LATEX ALLERGY

(2)

EXAMINATION TECHNIQUES

(4)

Inspection

(1)

Palpation

(1)

Percussion

(2)

Ausculatation

(1)

MEASUREMENT OF VITAL SIGNS

(3)

Pulse

(1)

Respiration

(1)

Blood pressure

(1)

Temperature

(1)

MEASUREMENT OF HEIGHT AND WEIGHT

(2)

INSTRUMENTATION

(18)

Stethoscope

(3)

Doppler

(1)

Fetal monitoring equipment (fetoscope, Left scope, stethoscope, and electronic verification of the fetal heartbeat)

(1)

Ophthaknisciope

(1)

Strabismoscope

(1)

Snellen Visual Acuity Chart

(1)

Near vision charts

(1)

Amsler grid

(2)

Otoscope

(1)

Tympanometer

(1)

Nasal speculum

(1)

Tuning fork

(1)

Percussion (reflex) hammer

(1)

Neurologic hammer

(1)

Tape measure

(1)

Transilluminator

(1)

Vaginal speculum

(2)

Goniometer

(1)

Wood's lamp

(1)

Episcope

(1)

Calipers for skinfold thickness

(1)

Monofilament

(2)

4 MENTAL STATUS

(19)

ANATOMY AND PHYSIOLOGY

(2)

REVIEW OF RELATED HISTORY

(1)

Present problem

(1)

Past medical history

(1)

Family history

(1)

Personal and social history

(1)

EXAMINATION AND FINDINGS

(13)

Physical appearance and behavior

(1)

Congnitive abilities

(4)

Emotional stability

(1)

Speech and language skills

(1)

Additional procedures

(6)

COMMON ABNORMALITIES

(3)

Disorders of altered mental status

(3)

5 GROWTH AND MEASUREMENT

(36)

ANATOMY AND PHYSIOLOGY

(5)

Endocrine Influences

(1)

Differences in growth by organ system

(4)

REVIEW OF RELATED HISTORY

102

(2)

Present problem

102

(1)

Past medical history

103

(1)

Family history

103

(1)

Personal and social history

103

(1)

EXAMINATION AND FINDINGS

104

(23)

Equipment

104

(1)

Weight and Standing height

104

(1)

Triceps skinfold thickness

105

(4)

Recumbent length

109

(1)

Weight

109

(1)

Head circumference

110

(1)

Chest circumference

110

(1)

Gestational age

111

(2)

Size for gestational age

113

(2)

Stature and weight

115

(3)

Skinfold thickness

118

(1)

Sitting height

118

(1)

Arm Span

119

(8)

COMMON ABNORMALITIES

127

(6)

Metabolic disorders

127

(1)

Other disorders

128

(5)

6 NUTRITION

133

(28)

ANATOMY AND PHYSIOLOGY

133

(6)

Macronutrients

133

(3)

Micronutrients

136

(1)

Water

136

(1)

Energy requirements

136

(5)

REVIEW OF RELATED HISTORY

141

(8)

24-hour diet recall

142

(1)

Food diary

142

(1)

Measures of nutrient analysis

142

(4)

Measures of nutrient adequacy

146

(1)

Present problem

146

(1)

Past Medical history

147

(1)

Family history

147

(1)

Personal and social history

147

(2)

EXAMINATION AND FINDINGS

149

(8)

Equipment

149

(1)

Anthropometrics

150

(3)

Biochemical measurement

153

(4)

COMMON ABNORMALITIES

157

(4)

7 SKIN, HAIR, AND NAILS,

161

(57)

ANATOMY AND PHYSIOLOGY

161

(4)

Epidermis

161

(1)

Dermis

162

(1)

Hypodermis

162

(1)

Appendages

162

(3)

REVIEW OF RELATED HISTORY

165

(3)

Present problem

165

(1)

Past medical history

166

(1)

Family history

166

(1)

Personal and social history

166

(2)

EXAMINATION AND FINDINGS

168

(30)

Equipment

168

(1)

Skin

168

(11)

Skin lesions

172

(11)

Hair

183

(1)

Nails

183

(15)

COMMON ABNORMALITIES

198

(20)

Skin: nonmalignant abnormalities

198

(6)

Skin: malignant abnormalities

204

(2)

Hair

206

(1)

Nails: infection

207

(1)

Nails: injury

207

(2)

Nails: changes associated with systemic disease

209

(1)

Nails: Periungual growths

210

(8)

8 LYMPHATIC SYSTEM

218

(26)

ANATOMY AND PHYSIOLOGY

218

(11)

Lymph nodes,

224

(1)

Lymphocytes

224

(2)

Thymus

226

(1)

Spleen

226

(1)

Tonsils and adenoids

226

(1)

Peyer patches

226

(3)

REVIEW OF RELATED HISTORY

229

(1)

Present problem

229

(1)

Past medical history

229

(1)

Family history

229

(1)

EXAMINATION AND FINDINGS

230

(8)

Equipment

230

(1)

Inspection and palpation

230

(3)

Head and neck

233

(1)

Axillae

234

(1)

Other lympth nodes

235

(3)

COMMON ABNORMALITIES

238

(6)

9 HEAD AND NECK

244

(28)

ANATOMY AND PHYSIOLOGY

244

(6)

REVIEW OF RELATED HISTORY

250

(2)

Present problem

250

(1)

Past medical history

251

(1)

Personal and social history

251

(1)

Family history

251

(1)

EXAMINATION AND FINDINGS

252

(10)

Equipment

252

(1)

Head and face

252

(1)

Neck

253

(9)

COMMON ABNORMALITIES

262

(10)

Head

262

(5)

Neck

267

(2)

Thyroid

269

(3)

10 EYES

272

(36)

ANATOMY AND PHYSIOLOGY

272

(5)

External eye

272

(1)

Internal eye

273

(4)

REVIEW OF RELATED HISTORY

277

(1)

Past medical history

277

(1)

Family history

277

(1)

Personal and social history

278

(1)

EXAMINATION AND FINDINGS

278

(19)

Equipment

278

(1)

Visual testing

278

(2)

External examination

280

(5)

Extraocular eye muscles

285

(2)

Ophthalmoscopic examination

287

(10)

COMMON ABNORMALITIES

297

(11)

External eye

297

(2)

Extraocular muscles

299

(1)

Internal eye

300

(6)

Visual fields

306

(2)

11 EARS, NOSE, AND THROAT

308

(44)

ANATOMY AND PHYSIOLOGY

308

(10)

Ears,

308

(3)

Nose and nasopharynx

311

(2)

Mouth and oropharynx

313

(5)

REVIEW OF RELATED HISTORY

318

(3)

Present problem

318

(2)

Past medical history

320

(1)

Family history

320

(1)

Personal and social history

320

(1)

EXAMINATION AND FINDINGS

321

(25)

Equipment,

321

(1)

Ears

321

(6)

Nose and nasopharynx

327

(2)

Mouth and oropharynx

329

(7)

Additional procedures

336

(1)

Ears

337

(1)

Nose and sinuses

338

(1)

Mouth

338

(2)

Ears

340

(1)

Nose and sinuses

340

(1)

Mouth

341

(2)

Ears and hearing

343

(1)

Nose

343

(1)

Mouth

343

(3)

COMMON ABNORMALITIES

346

(6)

Ear

346

(2)

Nose and sinuses

348

(1)

Mouth and oropharynx

349

(3)

12 CHEST AND LUNGS

352

(57)

ANATOMY AND PHYSIOLOGY

352

(8)

Chemical and neurologic control of respiration

358

(1)

Anatomic landmarks

358

(2)

REVIEW OF RELATED HISTORY

360

(3)

Present problem

360

(1)

Past medical history

361

(1)

Family history

361

(1)

Personal and social history

361

(2)

EXAMINATION AND FINDINGS

363

(29)

Equipment

363

(1)

Inspection

363

(3)

Respiration

366

(1)

Descriptors of respiration

366

(5)

Palpation

371

(2)

Percussion

373

(4)

Auscultation

377

(15)

COMMON ABNORMALITIES

392

(17)

13 HEART AND BLOOD VESSELS

409

(77)

ANATOMY AND PHYSIOLOGY

409

(16)

Heart

409

(8)

Blood circulation

417

(8)

REVIEW OF RELATED HISTORY

425

(5)

Present problem

425

(2)

Past medical history

427

(1)

Family history

427

(1)

Personal and social history

427

(3)

EXAMINATION AND FINDINGS

430

(37)

Equipment

430

(1)

Heart

430

(14)

Peripheral arteries

444

(11)

Peripheral veins

455

(12)

COMMON ABNORMALITIES

467

(19)

Cardiac disorders

467

(7)

Abnormalities in heart rates and rhythms

474

(2)

Congenital defects

476

(4)

Vessel disorders

480

(2)

Jugular venous pressure disorders

482

(4)

14 BREASTS AND AXILLAE

486

(27)

ANATOMY AND PHYSIOLOGY

486

(4)

REVIEW OF RELATED HISTORY

490

(3)

Present problem

490

(1)

Past medical history

490

(1)

Family history

490

(1)

Personal and social history

491

(2)

EXAMINATION AND FINDINGS

493

(15)

Equipment

493

(1)

Inspection

494

(4)

Reinspection in varied positions

498

(1)

Palpation

498

(10)

COMMON ABNORMALITIES

508

(5)

15 ABDOMEN

513

(60)

ANATOMY AND PHYSIOLOGY

513

(7)

Alimentary tract

513

(3)

Liver

516

(1)

Gallbladder

516

(1)

Pancreas

517

(1)

Spleen

517

(1)

Kidneys, ureters, and bladder

517

(1)

Musculature and connective tissues

518

(1)

Vasculature

518

(2)

REVIEW OF RELATED HISTORY

520

(4)

Present problem

520

(2)

Past medical history

522

(1)

Family history

523

(1)

Personal and social history

523

(1)

EXAMINATION AND FINDINGS

524

(38)

Equipment

524

(1)

Preparation

524

(1)

Inspection

524

(5)

Auscultation

529

(1)

Percussion

530

(4)

Palpation

534

(9)

Additional procedures

543

(9)

Inspection

552

(1)

Auscultation and percussion

553

(1)

Palpation

553

(2)

Gestational age

555

(1)

Fetal well-being

556

(1)

Fetal position

557

(3)

Contractions

560

(2)

COMMON ABNORMALITIES

562

(11)

Alimentary tract

562

(3)

Hepatobiliary system

565

(2)

Pancreas

567

(1)

Spleen

567

(1)

Kidneys

567

(6)

16 FEMALE GENITALIA

573

(71)

ANATOMY AND PHYSIOLOGY

573

(10)

External genitalia

573

(1)

Internal genitalia

574

(3)

The bony pelvis

577

(6)

REVIEW OF RELATED HISTORY

583

(5)

Present problem

583

(2)

Past medical history

585

(1)

Family history

586

(1)

Personal and social history

586

(2)

EXAMINATION AND FINDINGS

588

(39)

Equipment

588

(1)

Preparation

588

(1)

Positioning

588

(1)

Draping and gloving

589

(1)

External examination

589

(4)

Internal examination

593

(6)

Bimanual examination

599

(4)

Rectovaginal examination

603

(5)

Rectal examination

608

(19)

COMMON ABNORMALITIES

627

(17)

Lesions from sexually transmitted diseases

627

(3)

Vulva and vagina

630

(4)

Cervix

634

(2)

Uterus

636

(3)

Adnexa

639

(5)

17 MALE GENITALIA

644

(26)

ANATOMY AND PHYSIOLOGY

644

(4)

Sexual physiology

647

(1)

REVIEW OF RELATED HISTORY

648

(2)

Present problem

648

(1)

Past medical history

649

(1)

Family history

649

(1)

Personal and social history

649

(1)

EXAMINATION AND FINDINGS

650

(9)

Equipment

650

(1)

Inspection and palpation

650

(6)

Inspection and palpation in infants

656

(2)

Inspection and palpation in children

658

(1)

COMMON ABNORMALITIES

659

(11)

Penis

661

(4)

Scrotum

665

(5)

18 ANUS, RECTUM, AND PROSTATE

670

(19)

ANATOMY AND PHYSIOLOGY

670

(3)

REVIEW OF RELATED HISTORY

673

(2)

Present problem

673

(1)

Past medical history

673

(1)

Family history

673

(1)

Personal and social history

674

(1)

EXAMINATION AND FINDINGS

675

(7)

Equipment

675

(1)

Preparation

675

(1)

Positioning

675

(1)

Sacrococcygeal and perianal areas

675

(1)

Anus

675

(1)

Sphincter

675

(1)

Anal ring

676

(1)

Lateral and posterior rectal walls

676

(1)

Bidigital palpation

676

(1)

Anterior rectal wall and prostate

676

(2)

Uterus and cervix

678

(1)

Stool

678

(4)

COMMON ABNORMALITIES

682

(7)

Anus, rectum, and surrounding skin,

682

(4)

Prostate

686

(3)

19 MUSCULOSKELETAL SYSTEM

689

(66)

ANATOMY AND PHYSIOLOGY

689

(13)

Head and spine

695

(1)

Upper extremities

695

(3)

Lower extremities

698

(4)

REVIEW OF RELATED HISTORY

702

(2)

Present problem

702

(1)

Past medical history

702

(1)

Family history

703

(1)

Personal and social history

703

(1)

EXAMINATION AND FINDINGS

704

(42)

Equipment

704

(1)

Inspection

705

(1)

Palpation

706

(1)

Range of motion

706

(1)

Muscle strength

707

(1)

Specific joints and muscles

707

(20)

Additional procedures

727

(19)

COMMON ABNORMALITIES

746

(9)

Sports injuries

749

(6)

20 NEUROLOGIC SYSTEM

755

(50)

ANATOMY AND PHYSIOLOGY

755

(13)

Brain

758

(4)

Spinal cord and spinal tracts

762

(6)

REVIEW OF RELATED HISTORY

768

(3)

Present problem

768

(1)

Past medical history

769

(1)

Family history

770

(1)

Personal and social history

770

(1)

EXAMINATION AND FINDINGS

771

(27)

Equipment

771

(1)

Cranial nerves

772

(6)

Proprioception and cerebellar function

778

(5)

Sensory function

783

(3)

Reflexes

786

(3)

Additional procedures

789

(9)

COMMON ABNORMALITIES

798

(7)

Disorders of the central nervous system

798

(3)

Disorders of the peripheral nervous system

801

(4)

21 PUTTING IT ALL TOGETHER

805

(30)

GENERAL GUIDELINES

806

(6)

Reliability

809

(3)

EXAMINATION SEQUENCE

812

(20)

General inspection

813

(1)

Patient instructions

813

(1)

Measurements

813

(1)

Patient seated, wearing gown

814

(1)

Patient seated, back exposed

815

(1)

Patient seated, chest exposed

816

(1)

Patient reclining 45 degrees

816

(1)

Patient supine, chest exposed

817

(1)

Patient supine, abdomen exposed

817

(1)

Patient supine, legs exposed

818

(1)

Patient sitting, lap draped

818

(1)

Patient standing

819

(1)

Female patient, lithotomy position

820

(1)

Male patient, bending forward

820

(2)

Newborns

822

(1)

Older infants

823

(1)

Physical examination sequence

823

(5)

Child playing

828

(1)

Child on parent's lap

828

(1)

Child relatively supine, still on lap, diaper loosened

829

(1)

Child standing

829

(1)

Child returns to parent's lap

829

(1)

Functional assessment

830

(2)

ALLIANCE AND COMPLIANCE

832

(3)

22 TAKING THE NEXT STEPS: CRITICAL THINKING

835

(7)

THE CLINICAL EXAMINATION

835

(1)

CRITICAL THINKING

835

(6)

Assessment/judgment

835

(1)

Problem identification

836

(1)

Valid hypotheses

837

(1)

Possible barriers to critical thinking

838

(2)

Validity of the clinical examination

840

(1)

Bayes' formula

840

(1)

THE MANAGEMENT PLAN/SETTING PRIORITIES

841

(1)

23 EMERGENCY OR LIFE-THREATENING SITUATIONS

842

(19)

THE ABCs OF PRIMARY ASSESSMENT

842

(10)

Primary assessment

845

(4)

Secondary assessment

849

(3)

INJURY ASSESSMENT

852

(6)

Blunt trauma

852

(1)

Penetrating trauma

853

(1)

Burns

854

(1)

Assessment in children

855

(3)

RECORDS AND LEGAL CONSIDERATIONS

858

(2)

Records

858

(1)

Consent for treatment

859

(1)

Advance directives, living wills, and durable power of attorney for health care

859

(1)

SUMMARY

860

(1)

24 RECORDING INFORMATION

861

(30)

GENERAL GUIDELINES

862

(3)

Description of findings

862

(3)

PROBLEM-ORIENTED MEDICAL RECORD

865

(1)

Comprehensive health history and physical examination

865

(1)

Problem list

865

(1)

Assessment

866

(1)

Plan

866

(1)

Progress notes

866

(1)

PROBLEM-ORIENTED MEDICAL RECORD FORMAT

866

(12)

The history

866

(3)

Review of systems

869

(1)

Physical examination findings

870

(4)

Assessment (for each problem on problem list)

874

(1)

Plan (for each problem on problem list)

874

(4)

SAMPLE RECORDS

878

(11)

Ambulatory adult

878

(7)

Infant

885

(1)

Episodic illness visit

885

(4)

Episodic illness notes

889

(1)

Episodic note sample write up

889

(1)

SUMMARY

889

(2)

PHOTO AND ILLUSTRATION CREDITS

891

(2)

REFERENCES

893

(5)

GLOSSARY

898

(9)

APPENDIXES

907

A ASSESSMENT OF PAIN

907

(5)

ANATOMY AND PHYSIOLOGY

907

(1)

REVIEW OF RELATED HISTORY

908

(1)

PHYSICAL EXAMINATION

908

(4)

B SPORTS PREPARTICIPATION EVALUATION

912

(13)

C CONVERSION TABLES

925

(1)

D TEMPERATURE EQUIVALENTS

926

(1)

E GROWTH CURVE CHARTS FOR CHILDREN AND ADOLESCENTS

927

(11)

F DENVER II DEVELOPMENTAL SCREENING TOOL

938

(3)

G NUTRITION SCREENING FORMS

941

(12)

H ABBREVIATIONS

953

(3)

I WORD PARTS

956

(4)

J ENGLISH-TO-SPANISH TRANSLATION GUIDE: KEY MEDICAL QUESTIONS

960


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