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Mosby's Guide to Physical Examination,9780323028882
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Mosby's Guide to Physical Examination


Edition: 6th
Author(s): Seidel, Ball, Dains & Benedict
ISBN10:  0323028888
ISBN13:  9780323028882
Format:  Hardcover
Pub. Date:  3/8/2006
Publisher(s): Mosby
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SummaryTable of Contents
Mosby's Guide to Physical Examination is a comprehensive textbook of physical examination, history-taking, and health assessment with a unique emphasis on differential diagnosis and variations across the lifespan. Written by a team of two physicians and two nurses with a special blend of expertise in adult health and pediatrics, the book conveys a uniquely compassionate, patient-centered approach to physical examination with a strong evidence-based foundation. A completely updated art and media program -- consisting of 260 new illustrations, with all new examination photos, full motion video exams on the companion CD-ROM, a completely new 15-part video series, and expanded Health Assessment Online asset library -- further solidify Seidel's reputation as the best-illustrated, most media rich, physical examination textbook on the market.

  • Lifespan considerations are highlighted in clearly delineated subsections called Infants and Children, Adolescents, Pregnant Women, and Older Adults.
  • Highlights key points of abnormal findings and medical diagnosis in Differential Diagnosis boxes.
  • Risk Factors boxes equip examiners to focus on high-risk problems.
  • Functional Assessment boxes help practitioners focus on the impact of diseases and disorders on patient function.
  • Evidence-Based Practice in Physical Examination boxes support time-tested exam practices with current research
  • Documentation content is featured throughout the book in Sample Documentation: History and Physical Examination boxes, and includes both subjective and objective sections.
  • Summary of Examination boxes serve as a handy review, with page numbers, to help readers ensure that they have mastered the necessary examination steps.
  • Mnemonics boxes highlight practical memory aids to essential physical characteristics.
  • Physical Variations boxes highlight key differences in particular racial/ethnic/cultural groups.
  • Clinical Pearls boxes help transmit the time-tested wisdom of the author team to new practitioners.


  • New video-enhanced Companion CD-ROM packaged with each textbook. Unique icons throughout the text refer the user to the Companion CD-ROM where there are relevant video clips for that specific exam.
  • Staying Well boxes provide helpful patient-teaching hints and can be used to encourage health promotion in patients.
  • 200 new color photographs and 60 new full-color drawings demonstrate key exam steps
  • Expanded SOAP content
  • Expanded Domestic violence content
  • Separate chapters on Pain and Sports Participation Evaluation, as well as a fresh emphasis on health promotion throughout with the inclusion of Staying Well boxes.
  • A new Dietary Reference Intakes appendix
The History and Interviewing Process
1(37)
Knowing Yourself
2(1)
Partnership with the Patient
2(1)
An Ethical Context to the Partnership with the Patient
2(1)
The Varieties of Care
3(1)
Allopathic, Complementary, and Alternative Care
3(1)
Communicating with the Patient
4(9)
Factors That Enhance Communication
4(1)
The Basic Requirements of Healthy Communication
5(3)
Moments of Tension
8(5)
The History
13(24)
Setting for the Interview
14(1)
Structure of the History
14(1)
Taking the History
15(2)
An Approach to Sensitive Issues
17(5)
Outline of Clinical History
22(15)
The Next Step
37(1)
Cultural Awareness
38(13)
Cultural Competence
38(1)
A Definition of Culture
39(1)
Distinguishing Physical Characteristics
39(1)
The Impact of Culture
39(2)
The Blurring of Cultural Distinctions
41(1)
The Primacy of the Individual in Health Care
41(1)
Professional Cultures Within the Health Professions
42(2)
The Impact of Culture on Illness
44(1)
The Components of a Cultural Response
45(5)
Modes of Communication
45(2)
Health Beliefs and Practices
47(1)
Family Relationships
48(1)
Diet and Nutritional Practices
48(2)
Summing Up
50(1)
Examination Techniques and Equipment
51(35)
Precautions to Prevent Infection
51(2)
Latex Allergy
53(2)
Examination Technique
55(4)
Patient Positions and Draping
55(1)
Inspection
55(1)
Palpation
56(1)
Percussion
57(2)
Auscultation
59(1)
Measurement of Vital Signs
59(3)
Pulse
59(1)
Respirations
59(1)
Blood Pressure
60(1)
Temperature
61(1)
Pain
62(1)
Measurement of Height and Weight
62(2)
Modifications for Patients with Disabilities
64(3)
Patients with Mobility Impairments
65(1)
Patients with Sensory Impairment
66(1)
Special Concerns for Patients with Disabilities
66(1)
Instrumentation
67(19)
Stethoscope
67(2)
Doppler
69(1)
Fetal Monitoring Equipment
70(1)
Ophthalmoscope
70(2)
Strabismoscope
72(1)
Visual Acuity Charts
72(4)
Near Vision Charts
76(1)
Amsler Grid
76(1)
Otoscope
76(1)
Tympanometer
77(1)
Nasal Speculum
78(1)
Tuning Fork
79(1)
Percussion (Reflex) Hammer
79(1)
Neurologic Hammer
80(1)
Tape Measure
80(1)
Transilluminator
81(1)
Vaginal Speculum
81(1)
Goniometer
82(1)
Wood's Lamp
82(1)
Dermatoscope
83(1)
Calipers for Skinfold Thickness
84(1)
Monofilament
84(2)
Mental Status
86(20)
Anatomy and Physiology
86(2)
Review of Related History
88(1)
History of Present Illness
88(1)
Past Medical History
88(1)
Family History
88(1)
Personal and Social History
89(1)
Examination and Findings
89(13)
Physical Appearance and Behavior
90(1)
Cognitive Abilities
90(5)
Emotional Stability
95(1)
Speech and Language Skills
96(1)
Additional Procedures
97(5)
Common Abnormalities
102(4)
Disorders of Altered Mental Status
102(2)
Disorders of Mood
104(1)
Anxiety Disorders
104(2)
Growth and Measurement
106(32)
Anatomy and Physiology
106(6)
Differences in Growth by Organ System
107(5)
Review of Related History
112(2)
History of Present Illness
112(1)
Past Medical History
113(1)
Family History
113(1)
Personal and Social History
113(1)
Examination and Findings
114(18)
Equipment
114(1)
Weight and Standing Height
114(1)
Waist-to-Hip Circumference Ratio
115(1)
Triceps Skinfold Thickness
115(2)
Recumbent Length
117(1)
Weight
118(1)
Head Circumference
118(1)
Chest Circumference
119(2)
Gestational Age
121(1)
Stature and Weight
121(3)
Skinfold Thickness
124(1)
Upper-to-Lower Segment Ratio
125(1)
Arm Span
125(7)
Common Abnormalities
132(6)
Metabolic Disorders
132(1)
Other Disorders
133(5)
Nutrition
138(23)
Anatomy and Physiology
138(4)
Macronutrients
138(2)
Micronutrients
140(1)
Water
140(1)
Energy Requirements
140(2)
Review of Related History
142(3)
History of Present Illness
142(1)
Past Medical History
142(1)
Family History
143(1)
Personal and Social History
143(2)
Examination and Findings
145(11)
Equipment
145(1)
Anthropometries
145(2)
Determination of Diet Adequacy
147(1)
Measures of Nutrient Analysis
147(1)
Measures of Nutrient Adequacy
148(6)
Special Procedures
154(1)
Biochemical Measurement
155(1)
Common Abnormalities
156(5)
Assessment of Pain
161(8)
Anatomy and Physiology
162(1)
Review of Related History
162(1)
Present Problem
162(1)
Personal and Social History
162(1)
Examination and Findings
163(6)
Pain Assessment Scales
164(5)
Skin, Hair, and Nails
169(61)
Anatomy and Physiology
169(3)
Epidermis
169(1)
Dermis
170(1)
Hypodermis
170(1)
Appendages
170(2)
Review of Related History
172(3)
History of Present Illness
173(1)
Past Medical History
173(1)
Family History
174(1)
Personal and Social History
174(1)
Examination and Findings
175(30)
Equipment
175(1)
Skin
175(16)
Hair
191(1)
Nails
191(14)
Common Abnormalities
205(25)
Skin: Nonmalignant Abnormalities
205(8)
Skin: Malignant Abnormalities
213(3)
Hair Disorders
216(1)
Nails: Infection
217(1)
Nails: Injury
218(2)
Nails: Changes Associated with Systemic Disease
220(1)
Nails: Periungual Growths
221(9)
Lymphatic System
230(24)
Anatomy and Physiology
230(10)
Lymph Nodes
236(1)
Lymphocytes
236(2)
Thymus
238(1)
Spleen
239(1)
Tonsils and Adenoids
239(1)
Peyer Patches
239(1)
Review of Related History
240(2)
History of Present Illness
240(1)
Past Medical History
241(1)
Family History
242(1)
Examination and Findings
242(8)
Equipment
242(1)
Inspection and Palpation
242(2)
Head and Neck
244(3)
Axillae
247(1)
Other Lymph Nodes
247(3)
Common Abnormalities
250(4)
Head and Neck
254(26)
Anatomy and Physiology
254(5)
Review of Related History
259(3)
History of Present Illness
260(1)
Past Medical History
261(1)
Family History
261(1)
Personal and Social History
261(1)
Examination and Findings
262(9)
Equipment
262(1)
Head and Face
262(2)
Neck
264(7)
Common Abnormalities
271(9)
Head
271(4)
Neck
275(2)
Thyroid
277(3)
Eyes
280(36)
Anatomy and Physiology
280(5)
External Eye
280(1)
Internal Eye
281(4)
Review of Related History
285(2)
History of Present Illness
285(1)
Past Medical History
285(1)
Family History
285(1)
Personal and Social History
286(1)
Examination and Findings
287(18)
Equipment
287(1)
Visual Testing
287(1)
External Examination
288(5)
Extraocular Muscles
293(1)
Ophthalmoscopic Examination
294(11)
Common Abnormalities
305(11)
External Eye
305(2)
Extraocular Muscles
307(1)
Internal Eye
307(6)
Visual Fields
313(3)
Ears, Nose, and Throat
316(44)
Anatomy and Physiology
316(9)
Ears and Hearing
316(3)
Nose, Nasopharynx, and Sinuses
319(3)
Mouth and Oropharynx
322(3)
Review of Related History
325(4)
History of Present Illness
325(3)
Past Medical History
328(1)
Family History
328(1)
Personal and Social History
328(1)
Examination and Findings
329(24)
Equipment
329(1)
Ears and Hearing
329(5)
Nose, Nasopharynx, and Sinuses
334(2)
Mouth and Oropharynx
336(7)
Additional Procedures
343(1)
Ears (Infants)
344(1)
Nose and Sinuses (Infants)
345(1)
Mouth (Infants)
346(2)
Ears (Children)
348(1)
Nose and Sinuses (Children)
348(1)
Mouth (Children)
349(1)
Ears and Hearing (Older Adults)
350(1)
Nose (Older Adults)
350(1)
Mouth (Older Adults)
351(2)
Common Abnormalities
353(7)
Ear
353(2)
Nose and Sinuses
355(1)
Mouth and Oropharynx
355(5)
Chest and Lungs
360(54)
Anatomy and Physiology
360(8)
Chemical and Neurologic Control of Respiration
364(2)
Anatomic Landmarks
366(2)
Review of Related History
368(2)
History of Present Illness
368(1)
Past Medical History
368(1)
Family History
369(1)
Personal and Social History
369(1)
Examination and Findings
370(29)
Equipment
370(1)
Inspection
371(6)
Palpation
377(3)
Percussion
380(3)
Auscultation
383(8)
Measures of Pulmonary Function
391(1)
Sputum
392(7)
Common Abnormalities
399(15)
Heart
414(45)
Anatomy and Physiology
414(10)
Structure
414(3)
Cardiac Cycle
417(3)
Electrical Activity
420(4)
Review of Related History
424(4)
History of Present Illness
424(2)
Past Medical History
426(1)
Family History
426(1)
Personal and Social History
427(1)
Examination and Findings
428(18)
Equipment
428(1)
Inspection
429(1)
Palpation
430(2)
Percussion
432(1)
Auscultation
432(14)
Common Abnormalities
446(13)
Heart Murmurs
446(6)
Abnormalities in Heart Rate and Rhythm
452(7)
Blood Vessels
459(33)
Anatomy and Physiology
459(6)
Blood Circulation
459(6)
Review of Related History
465(3)
History of Present Illness
465(1)
Past Medical History
466(1)
Family History
466(1)
Personal and Social History
466(2)
Examination and Findings
468(18)
Equipment
468(1)
Peripheral Arteries
468(6)
Blood Pressure
474(4)
Peripheral Veins
478(8)
Common Abnormalities
486(6)
Vessel Disorders
486(2)
Jugular Venous Pressure Disorders
488(4)
Breasts and Axillae
492(29)
Anatomy and Physiology
492(3)
Review of Related History
495(6)
History of Present Illness
495(1)
Past Medical History
496(1)
Family History
496(1)
Personal and Social History
497(4)
Examination and Findings
501(14)
Equipment
501(1)
Inspection
501(4)
Palpation
505(10)
Common Abnormalities
515(6)
Abdomen
521(58)
Anatomy and Physiology
521(7)
Alimentary Tract
521(3)
Liver
524(1)
Gallbladder
524(1)
Pancreas
524(1)
Spleen
525(1)
Kidneys, Ureters, and Bladder
525(1)
Musculature and Connective Tissues
525(1)
Vasculature
525(3)
Review of Related History
528(4)
History of Present Illness
528(2)
Past Medical History
530(1)
Family History
530(1)
Personal and Social History
531(1)
Examination and Findings
532(35)
Equipment
532(1)
Preparation
532(1)
Inspection
533(3)
Auscultation
536(1)
Percussion
537(3)
Palpation
540(9)
Additional Procedures
549(8)
Inspection
557(1)
Auscultation and Percussion
558(1)
Palpation
559(2)
Gestational Age
561(1)
Fetal Well-Being
562(1)
Fetal Position
562(1)
Contractions
563(4)
Common Abnormalities
567(12)
Alimentary Tract
567(5)
Hepatobiliary System
572(2)
Pancreas
574(1)
Spleen
574(1)
Kidneys
574(5)
Female Genitalia
579(62)
Anatomy and Physiology
579(9)
External Genitalia
579(2)
Internal Genitalia
581(2)
Bony Pelvis
583(5)
Review of Related History
588(6)
History of Present Illness
588(1)
Past Medical History
589(2)
Family History
591(1)
Personal and Social History
591(3)
Examination and Findings
594(30)
Equipment
594(1)
Preparation
594(1)
Positioning
595(1)
Draping and Gloving
595(1)
External Examination
596(2)
Internal Examination
598(6)
Bimanual Examination
604(4)
Rectovaginal Examination
608(16)
Common Abnormalities
624(17)
Lesions From Sexually Transmitted Infections
625(3)
Vulva and Vagina
628(4)
Cervix
632(2)
Uterus
634(3)
Adnexa
637(4)
Male Genitalia
641(25)
Anatomy and Physiology
641(3)
Sexual Physiology
644(1)
Review of Related History
644(3)
History of Present Illness
645(1)
Past Medical History
646(1)
Family History
646(1)
Personal and Social History
646(1)
Examination and Findings
647(9)
Equipment
647(1)
Inspection and Palpation
648(4)
Inspection and Palpation (Infants)
652(1)
Transillumination
653(1)
Inspection and Palpation (Children)
653(3)
Common Abnormalities
656(10)
Penis
657(4)
Scrotum
661(5)
Anus, Rectum, and Prostate
666(22)
Anatomy and Physiology
666(3)
Review of Related History
669(2)
History of Present Illness
669(1)
Past Medical History
669(1)
Family History
669(1)
Personal and Social History
670(1)
Examination and Findings
671(1)
Equipment
671(10)
Preparation
671(1)
Positioning
671(1)
Sacrococcygeal and Perianal Areas
671(1)
Anus
672(1)
Sphincter
672(2)
Anal Ring
674(1)
Lateral and Posterior Rectal Walls
674(1)
Bidigital Palpation
674(1)
Anterior Rectal Wall and Prostate
674(2)
Uterus and Cervix
676(1)
Stool
676(5)
Common Abnormalities
681(7)
Anus, Rectum, and Surrounding Skin
681(3)
Prostate
684(4)
Musculoskeletal System
688(70)
Anatomy and Physiology
688(13)
Head and Spine
694(1)
Upper Extremities
694(4)
Lower Extremities
698(3)
Review of Related History
701(3)
History of Present Illness
701(1)
Past Medical History
702(1)
Family History
702(1)
Personal and Social History
702(2)
Examination and Findings
704(43)
Equipment
704(1)
Inspection
705(1)
Palpation
706(1)
Range of Motion
706(1)
Muscle Strength
707(1)
Specific Joints and Muscles
707(19)
Additional Procedures
726(21)
Common Abnormalities
747(11)
Sports Injuries
751(7)
Neurologic System
758(51)
Anatomy and Physiology
758(13)
Brain
761(4)
Spinal Cord and Spinal Tracts
765(6)
Review of Related History
771(3)
History of Present Illness
771(2)
Past Medical History
773(1)
Family History
773(1)
Personal and Social History
773(1)
Examination and Findings
774(27)
Equipment
774(1)
Cranial Nerves
775(5)
Proprioception and Cerebellar Function
780(5)
Sensory Function
785(4)
Reflexes
789(2)
Additional Procedures
791(10)
Common Abnormalities
801(8)
Disorders of the Central Nervous System
801(4)
Disorders of the Peripheral Nervous System
805(4)
Sports Participation Evaluation
809(13)
Putting It All Together
822(30)
General Guidelines
822(2)
Reliability
824(2)
The Patient as Historian
824(2)
The Professional as Observer
826(1)
Uncertainty
826(2)
Examination Sequence
828(1)
General Inspection
828(1)
Preparation
829(1)
Measurements
829(1)
Patient Seated, Wearing Gown
829(2)
Patient Seated, Back Exposed
831(1)
Patient Seated, Chest Exposed
831(1)
Patient Reclining 45 Degrees
832(1)
Patient Supine, Chest Exposed
832(1)
Patient Supine, Abdomen Exposed
833(1)
Patient Supine, Legs Exposed
834(1)
Patient Sitting, Lap Draped
834(1)
Patient Standing
835(1)
Female Patient, Lithotomy Position
836(1)
Male Patient, Bending Forward
837(1)
Newborns
838(1)
Older Infants
839(1)
Examination Sequence
839(4)
Child Playing
843(1)
Child on Parent's Lap
844(1)
Child Relatively Supine, Still on Lap, Diaper Loosened
845(1)
Child Standing
845(1)
Child Returns to Parent's Lap
845(2)
Functional Assessment
847(2)
Alliance and Compliance
849(3)
Taking the Next Steps: Critical Thinking
852(7)
The Clinical Examination
852(1)
Critical Thinking
852(7)
Assessment, Judgment, and Evidence
852(1)
Problem Identification
853(1)
Valid Hypotheses
854(1)
Possible Barriers to Critical Thinking
855(2)
Validity of the Clinical Examination
857(1)
Bayes Formula
857(1)
The Management Plan/Setting Priorities
857(2)
Recording Information
859(29)
General Guidelines
860(3)
Subjective Data
861(1)
Objective Data
861(2)
Problem-Oriented Medical Record
863(3)
Comprehensive Health History and Physical Examination
863(1)
Problem List
863(1)
Assessment
864(1)
Plan
864(1)
Soap Notes
864(1)
Progress Notes
865(1)
Episodic Illness Visit
865(1)
Episodic Illness Notes
865(1)
Problem-Oriented Medical Record Format
866(10)
The History
866(2)
Review of Systems
868(1)
Physical Examination Findings
869(3)
Assessment (for Each Problem on Problem List)
872(1)
Plan (for Each Problem on Problem List)
872(4)
Sample Records
876(11)
Ambulatory Adult
876(8)
Infant
884(3)
Episodic Note Sample Write-Up
887(1)
Summary
887(1)
Emergency or Life-Threatening Situations
888(88)
The ABCs of Primary Assessment
888(10)
Primary Assessment
890(4)
Secondary Assessment
894(4)
Injury Assessment
898(4)
Blunt Trauma
898(1)
Penetrating Trauma
898(1)
Burns
898(4)
Records and Legal Considerations
902(3)
Records
902(1)
Consent for Treatment
903(1)
Advance Directives, Living Wills, and Durable Power of Attorney for Health Care
903(2)
Summary
905(2)
Photo and Illustration Credits
907(2)
References and Readings
909(10)
Glossary
919(9)
APPENDIXES
Appendix A: Conversion Tables
928(1)
Appendix B: Temperature Equivalents
929(1)
Appendix C: Height/Weight Tables and Charts
930(20)
Appendix D: Denver II Developmental Screening Tool
950(3)
Appendix E: Dietary Reference Intakes
953(4)
Appendix F: Nutrition Screening Forms
957(11)
Appendix G: Anthropometric Measurements
968(3)
Appendix H: Abbreviations
971(2)
Appendix I: Word Parts
973(3)
Appendix J: English-to-Spanish Translation Guide: Key Medical Questions
976

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