Evidence-Based Physical Diagnosis 4th Edition – Steven McGee

Book Title: Evidence-Based Physical Diagnosis

Book Author: Steven McGee

Book Edition: 4th Edition

Book Format: EBook

Date published: 2018

Illustrator: Elsevier

ISBN: 978-0-323392761

Number Of Pages: 868


Evidence-Based Physical Diagnosis
Since the publication of the third edition of this book, many new studies on physical diagnosis have appeared, studies that refine application of bedside findings and further define how they detect disease, solve clinical problems, and predict the patient’s clinical course. The fourth edition of Evidence-Based Physical Diagnosis summarizes all of this new knowledge by updating every chapter from the third edition and adding almost 200 new studies to the book’s Evidence-Based Medicine (EBM) Boxes. This edition covers several findings and clinical problems not addressed in earlier editions, such as Cheyne-Stokes respiration, subclavian stenosis, fever of unknown origin, portopulmonary hypertension, and localization of stroke. In addition, every chapter now begins with a list of Key Teaching Points, essential lessons that teachers can use when creating their own plans for bedside teaching. Finally, there is a new chapter on how to use the Elsevier online EBM calculator, which quickly calculates post-test probabilities using the likelihood ratios supplied in each chapter.
Several investigators contributed extra information not published in their original work, including Dr. Liang-Tsai Hsiao (fever of unknown origin), Dr. Farrukh Jafri (meningitis), Dr. Mark Drazner (heart failure), and Dr. Larry Jacobs (portopulmonary hypertension). I appreciate very much their generosity in responding to my queries.
The purpose of this revised edition is to provide clinicians an up-to-date summary of the accuracy of the traditional physical examination, a skill that remains as essential today as it was a century ago. Using the information in this book, clinicians can examine their patients, gleaning the most from bedside findings, and, together with modern technologic testing, provide their patients the most advanced diagnostic reasoning and the best of care.

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Part 1: Introduction
  • 1. What Is Evidence-Based Physical Diagnosis?
Part 2: Understanding the Evidence  
  • 2. Diagnostic Accuracy of Physical Findings
  • 3. Using the Tables in This Book
  • 4. Using the EBM calculator (Expert Consult)
  • 5. Reliability of Physical Findings
Part 3: General Appearance of the Patient  
  • 6. Mental Status Examination
  • 7. Stance and Gait
  • 8. Jaundice
  • 9. Cyanosis
  • 10. Anemia
  • 11. Hypovolemia
  • 12. Protein-Energy Malnutrition and Weight Loss
  • 13. Obesity
  • 14. Cushing Syndrome
Part 4: Vital Signs   
  • 15. Pulse Rate and Contour
  • 16. Abnormalties of Pulse Rhythm
  • 17. Blood Pressure
  • 18. Temperature
  • 19. Respiratory Rate and Abnormal Breathing Patterns
  • 20. Pulse Oximetry
Part 5: Head and Neck   
  • 21. The Pupils
  • 22. Diabetic Retinopathy
  • 23. The Red Eye
  • 24. Hearing
  • 25. Thyroid and Its Disorders
  • 26. Meninges
  • 27. Peripheral Lymphadenopathy
Part 6: The Lungs   
  • 28. Inspection of the Chest
  • 29. Palpation and Percussion of the Chest
  • 30. Auscultation of the Lungs
  • 31. Ancillary Tests
Part 7: Selected Pulmonary Disordered   
  • 32. Pneumonia
  • 33. Chronic Obstructive Lung Disease
  • 34. Pulmonary Embolism
  • 35. Pleural Effusion
Part 8: The Heart   
  • 36. Inspection of the Neck Veins
  • 37. Percussion of the Heart
  • 38. Palpation of the Heart
  • 39. Auscultation of the Heart: General Principles
  • 40. The First and Second Heart Sounds
  • 41. The Third and Fourth Heart Sounds
  • 42. Miscellaneous Heart Sounds
  • 43. Heart Murmurs: General Principles
Part 9: Selected Cardiac Disordered   
  • 44. Aortic Stenosis
  • 45. Aortic Regurgitation
  • 46. Miscellaneous Heart Murmurs
  • 47. Disorders of the Pericardium
  • 48. Congestive Heart Failure
  • 49. Coronary Artery Disease
Part 10: Abdomen   
  • 50. Inspection of the Abdomen
  • 51. Palpation and Percussion of the Abdomen
  • 52. Abdominal Pain and Tenderness
  • 53. Auscultation of the Abdomen
Part 11: Extremities   
  • 54. Peripheral Vascular Disease
  • 55. The Diabetic Foot
  • 56. Edema and Deep Vein Thrombosis
  • 57. Examination of the Musculoskeletal System
Part 12: Neurologic Examination   
  • 58. Visual Field Testing
  • 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia
  • 60. Miscellaneous Cranial Nerves
  • 61. Examination of the Motor System: Approach to Weakness
  • 62. Examination of the Sensory System
  • 63. Examination of the Reflexes
  • 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves
  • 65. Coordination and Cerebellar Testing
Part 13: Selected Neurologic Disordered   
  • 66. Tremor and Parkinson Disease
  • 67. Hemorrhagic versus Ischemic Stroke
  • 68. Acute Vertigo and Imbalance
  • 69. Examination of Nonorganic Neurologic Disorders
Part 14: Examination in the Intensive Care Unit  
  • 70. Examination of Patients in the Intensive Care Unit
  • 71. Likelihood Ratios, Confidence Intervals, and Pretest Probability


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