Textbook of Physical Diagnosis: History and Examination (8th Edition)

Description

Mastering each aspect of the patient interview and physical exam is fundamental to medical education, resulting in more accurate diagnostic skills, more effective patient management, and better patient outcomes! Dr. Swartz’s Textbook of Physical Diagnosis is a highly respected reference in this critical area, offering a compassionate, humanistic approach to the art and science of interviewing and physical examination. From cover to cover, you’ll learn how your interpersonal awareness is just as important in physical diagnosis as your level of skill – and why clinical competence in this area is essential for physicians, nurse practitioners, physician assistants, and all members of the healthcare profession.

Table of Contents

1. Preface
2. Acknowledgments
3. Video Contents
4. Section 1 Mastering the Art of Interviewing
   1. The Interviewer’s Questions
      1. Basic Principles
      2. Using an Interpreter
      3. Important Interviewing Concepts
      4. Symptoms and Signs
      5. Conducting an Interview
      6. Basic Interviewing Techniques
      7. Format of the History
      8. Taking Notes
      9. Concluding Thoughts
      10. Bibliography
   2. The Patient’s Responses
      1. Responses to Illness
      2. Responses to the Interviewer
      3. Influence of Background and Age on Patient Response
      4. Influence of Disease on Patient Response
      5. Bibliography
   3. Understanding Complementary and Alternative Medicine
      1. General Considerations
      2. Classifications of Complementary and Alternative Medicine
      3. Traditional Chinese Medicine
      4. Concluding Thoughts
      5. Bibliography
   4. Putting the History Together
      1. Interview of Mr. John Doe
      2. Written History of Mr. John Doe
5. Section 2 Valuing Diversity: Race, Gender, and Ethnicity
   1. Deconstructing Racism and Bias in Clinical Medicine
      1. Introduction
      2. Before the Clinical Encounter (Pre-Visit Preparation)
      3. During the Clinical Encounter
      4. After the Clinical Encounter
      5. Biased Patient Behavior
      6. Conclusion
      7. Acknowledgments
      8. Bibliography
6. Section 3 Understanding the Science of the Physical Examination
   1. The Physical Examination
      1. The Basic Procedures
      2. Preparation for the Examination
      3. Health Care Infection Prevention Practices
      4. Goal of the Physical Examination
      5. Bibliography
   2. Assessment of Nutritional Status
      1. Medical History
      2. Physical Examination
      3. Special Populations
      4. Clinicopathologic Correlations
      5. Concluding Thoughts
      6. Bibliography
   3. The Skin
      1. General Considerations
      2. Structure and Physiologic Characteristics
      3. Review of Specific Symptoms
      4. Effect of Skin Disease on the Patient
      5. Physical Examination
      6. Description of Lesions
      7. Clinicopathologic Correlations
      8. Bibliography
   4. The Head and Neck
      1. General Considerations
      2. Structure and Physiology
      3. Effect of Head and Neck Disease on the Patient
      4. Physical Examination
      5. Clinicopathologic Correlations
      6. Bibliography
   5. The Eye
      1. Historical and General Considerations
      2. Structure and Physiology
      3. Review of Specific Symptoms
      4. Effect of Blindness on the Patient
      5. Physical Examination
      6. Clinicopathologic Correlations
      7. Bibliography
   6. The Ear and Nose
      1. General Considerations
      2. Structure and Physiology
      3. Review of Specific Symptoms
      4. Effect of Deafness on the Patient
      5. Physical Examination
      6. Clinicopathologic Correlations
      7. Bibliography
   7. The Oral Cavity and Pharynx
      1. General Considerations
      2. Structure and Physiologic Characteristics
      3. The Pharynx
      4. The Larynx
      5. Review of Specific Symptoms
      6. Effect of a Voice Disorder on the Patient
      7. Physical Examination
      8. Clinicopathologic Correlations
      9. Bibliography
   8. The Chest
      1. General Considerations
      2. Structure and Physiology
      3. Review of Specific Symptoms
      4. Effect of Lung Disease on the Patient
      5. Physical Examination
      6. Clinicopathologic Correlations
      7. Bibliography
   9. The Heart
      1. General Considerations
      2. Structure and Physiology
      3. Review of Specific Symptoms
      4. Effect of Cardiac Disease on the Patient
      5. Physical Examination
      6. Clinicopathologic Correlations
      7. Bibliography
   10. The Peripheral Vascular System
       1. General Considerations
       2. Structure and Physiology
       3. Review of Specific Symptoms
       4. Effect of Vascular Disease on the Patient
       5. Physical Examination
       6. Clinicopathologic Correlations
       7. Bibliography
   11. The Breast
       1. General Considerations
       2. Structure and Physiology
       3. Review of Specific Symptoms
       4. Impact of Breast Disease on the Woman
       5. Physical Examination
       6. The Male Breast
       7. Clinicopathologic Correlations
       8. Bibliography
   12. The Abdomen
       1. General Considerations
       2. Structure and Physiology
       3. Review of Specific Symptoms
       4. Impact of Inflammatory Bowel Disease on the Patient
       5. Physical Examination
       6. Bibliography
   13. Male Genitalia and Hernias
       1. General Considerations
       2. Structure and Physiologic Characteristics
       3. Review of Specific Symptoms
       4. Impact of Erectile Dysfunction on the Man
       5. Physical Examination
       6. Clinicopathologic Correlations
       7. Bibliography
   14. Female Genitalia
       1. General Considerations
       2. Structure and Physiologic Characteristics
       3. The Ob-Gyn History
       4. Review of Specific Symptoms
       5. Effect of Infertility on the Woman
       6. Physical Examination
       7. Preparation for the Examination
       8. Clinicopathologic Correlations
       9. Bibliography
   15. The Musculoskeletal System
       1. General Considerations
       2. Structure and Physiology
       3. Review of Specific Symptoms
       4. Effect of Musculoskeletal Disease on the Patient
       5. Physical Examination
       6. Clinicopathologic Correlations
       7. Bibliography
   16. The Nervous System
       1. General Considerations
       2. Structure and Physiologic Characteristics
       3. Review of Specific Symptoms
       4. Effect of Chronic Neurologic Disease on the Patient
       5. Physical Examination
       6. Clinicopathologic Correlations
       7. Bibliography
   17. Putting the Examination Together
       1. The Techniques
       2. The Written Physical Examination
       3. Bibliography
7. Section 4 Evaluating Specifi c Patients
   1. The Pregnant Patient
      1. General Considerations
      2. Structure and Physiologic Characteristics
      3. Review of Specific Symptoms
      4. Obstetric Risk Assessment
      5. Calculation of Due Date
      6. Effect of Pregnancy on the Patient
      7. Physical Examination
      8. Clinicopathologic Correlations
      9. Bibliography
   2. The Pediatric Patient
      1. General Considerations
      2. Pediatric History
      3. Neonatal: Under 1 Month of Age
      4. Infancy: 1 Month to 12 Months
      5. Early Childhood: 1 Year to 4 Years
      6. Middle Childhood: 5 Years to 10 Years
      7. Adolescence: 11 Years to 21 Years
      8. Clinicopathologic Correlations
      9. Sample Write-Up of a Newborn’s History and Physical Exam
      10. Bibliography
   3. The Geriatric Patient
      1. General Considerations
      2. The Geriatric Assessment
      3. Core Components of a Comprehensive Geriatrics Assessment
      4. Goals of Care and Advance Care Preferences
      5. Structure and Physiologic Characteristics
      6. Basic Principles of Geriatric Medicine
      7. The Geriatric Examination
      8. Clinicopathologic Correlations
      9. Bibliography
   4. The Acutely Ill or Injured Patient
      1. Personal Safety
      2. Approach to the Unconscious Patient
      3. Current Cardiopulmonary Resuscitation Guidelines
      4. C-A-B
      5. Cardiopulmonary Resuscitation Survey
      6. Summary of Cardiopulmonary Resuscitation Guidelines for Adults, Children, and Infants
      7. Assessment of the Acutely Ill or Injured Patient
      8. The Pediatric Emergency
      9. Bibliography
8. Section 5 Putting the Data to Work
   1. Precision, Accuracy, and Critical Thinking in Clinical Assessment
      1. Art, Science, and Observation
      2. Diagnostic Reasoning From Signs and Symptoms
      3. Critical Thinking
      4. The Rational Clinical Examination
      5. Bibliography
   2. The Clinical Record
      1. Putting the History and Physical Examination Together
      2. Electronic Medical Record
      3. Protecting Patient’s Right to Privacy
      4. The Human Dimension
      5. Bibliography
   3. The Focused History and Physical Examination
      1. General Considerations
      2. Illustrative Case
      3. Diagnostic Evaluation
      4. Bibliography
9. Section 6 Analyzing Ethical Issues in Clinical Medicine
   1. Clinical Ethics and Professionalism
      1. Introduction
      2. Principlism
      3. Moral Philosophy: Deontology Vs. Utilitarianism
      4. Casuistry
      5. Privacy and Confidentiality
      6. Informed Consent
      7. Decisional Capacity
      8. Advanced Directives
      9. Surrogate Decision Making
      10. Ethical Issues at the End of Life
      11. Ethics Committees and Clinical Ethics Consultation—Where to Find Assistance
      12. Closing Remarks
      13. Bibliography
      14. Appendices
      15. Appendix A Commonly Abused Drugs
      16. Appendix B Signs and Symptoms of Deficiency States
      17. Appendix C Conversion Tables
      18. Appendix D English-to-Spanish Translations Useful in the Medical Setting
      19. Appendix E The Rational Clinical Examination: Additional References
      20. The Rational Clinical Examination: Additional References
      21. Appendix F CDC Recommended Immunization Schedule
      22. Index

Author Biography

Mark Swartz

Affiliations and Expertise

Professor of Medicine, State University of New York (SUNY), Downstate College of Medicine, Brooklyn, New York; Adjunct Professor of Medicine, New York Medical College, Valhalla, New York; Professor of Medical Sciences, New York College of Podiatric Medicine, New York, New York; Director, C3NY–Clinical Competence Center of New York, New York, New York