Evidence-Based Physical Diagnosis (4th Edition)

Description

Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones.

• Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
• Features a reader-friendly outline format, including dozens of “EBM boxes” and accompanying “EBM ruler” illustrations.
• Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more.
• Expert Consult eBook version included with purchase.
• This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices.
• NEW two-color format improves readability and helps you find essential information faster.
• NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.

Table of Contents

1.  Part 1 Introduction
   1. What Is Evidence-Based Physical Diagnosis?
2. Part 2 Understanding the Evidence
   1. Diagnostic Accuracy of Physical Findings
   2. Using the Tables in This Book
   3. Using the EBM calculator (Expert Consult)
   4. Reliability of Physical Findings
3. Part 3 General Appearance of the Patient
   1. Mental Status Examination
   2. Stance and Gait
   3. Jaundice
   4. Cyanosis
   5. Anemia
   6. Hypovolemia
   7. Protein-Energy Malnutrition and Weight Loss
   8. Obesity
   9. Cushing Syndrome
4. Part 4 Vital Signs
   1. Pulse Rate and Contour
   2. Abnormalties of Pulse Rhythm
   3. Blood Pressure
   4. Temperature
   5. Respiratory Rate and Abnormal Breathing Patterns
   6. Pulse Oximetry
5. Part 5 Head and Neck
   1. The Pupils
   2. Diabetic Retinopathy
   3. The Red Eye
   4. Hearing
   5. Thyroid and Its Disorders
   6. Meninges
   7. Peripheral Lymphadenopathy
6. Part 6 The Lungs
   1. Inspection of the Chest
   2. Palpation and Percussion of the Chest
   3. Auscultation of the Lungs
   4. Ancillary Tests
   5. Part 7 Selected Pulmonary Disordered
   6. Pneumonia
   7. Chronic Obstructive Lung Disease
   8. Pulmonary Embolism
   9. Pleural Effusion
7. Part 8 The Heart
   1. Inspection of the Neck Veins
   2. Percussion of the Heart
   3. Palpation of the Heart
   4. Auscultation of the Heart: General Principles
   5. The First and Second Heart Sounds
   6. The Third and Fourth Heart Sounds
   7. Miscellaneous Heart Sounds
   8. Heart Murmurs: General Principles
8. Part 9 Selected Cardiac Disordered
   1. Aortic Stenosis
   2. Aortic Regurgitation
   3. Miscellaneous Heart Murmurs
   4. Disorders of the Pericardium
   5. Congestive Heart Failure
   6. Coronary Artery Disease
9. Part 10 Abdomen
   1. Inspection of the Abdomen
   2. Palpation and Percussion of the Abdomen
   3. Abdominal Pain and Tenderness
   4. Auscultation of the Abdomen
10. Part 11 Extremities
    1. Peripheral Vascular Disease
    2. The Diabetic Foot
    3. Edema and Deep Vein Thrombosis
    4. Examination of the Musculoskeletal System
11. Part 12 Neurologic Examination
    1. Visual Field Testing
    2. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia
    3. Miscellaneous Cranial Nerves
    4. Examination of the Motor System: Approach to Weakness
    5. Examination of the Sensory System
    6. Examination of the Reflexes
    7. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves
    8. Coordination and Cerebellar Testing
12. Part 13 Selected Neurologic Disordered
    1. Tremor and Parkinson Disease
    2. Hemorrhagic versus Ischemic Stroke
    3. Acute Vertigo and Imbalance
    4. Examination of Nonorganic Neurologic Disorders
13. Part 14 Examination in the Intensive Care Unit
    1. Examination of Patients in the Intensive Care Unit
    2. Appendix
    3. Likelihood Ratios,
    4. Confidence Intervals, and
    5. Pretest Probability

Author Biography

Dr. McGee is an internationally known and respected expert in physical examination and assessment, pain management, and education in general internal medicine. One of the most senior physicians in the University of Washington and Seattle Veteran’s Administration Health Systems, Dr. McGee has more than 400 publications to his credit.