The Physical Exam: An Innovative Approach in the Age of Imaging

ISBN-13: 9783319638461 / Angielski / Twarda / 2017 / 330 str.

Raymond E. Phillips

Opis

This book invites clinicians to take a fresh look at the routine physical examination by outlining in detail how they can adapt a more efficient, regional approach to the exam activity. By adopting the systematic sequence and focus provided in this novel title, clinicians can offer a more modern physical examination, one that may prove more productive than the methods taught in the pre-imaging era.
The Physical Exam: An Innovative Approach in the Age of Imaging offers a unique, step-by-step sequence for the physical exam. The text guides the clinician through a series of steps that involve observing, touching and listening - in an organized sequence, region by region - of all organ systems. The general approach is applicable to every physical examination and can be modified when appropriate. Express pathways are provided so that the clinicians can quickly assess the general health of the patient while focusing on the presenting problem. A major contribution to the diagnostic literature, the book offers a format and level of complexity that will be of significant value to internal medicine and family physicians, emergency professionals, nurse practitioners, physician's assistants, and medical students.

Recenzje

"This book takes a fresh look at the routine physical examination. ... This approach is geared more toward experienced examiners who understand the traditional basics and can incorporate newer techniques to advance their knowledge of the physical examination. ... The book does take a new perspective and order of physical findings based upon the patient position, which would provide a time-saving advantage." (Vincent F. Carr, Doody's Book Reviews, January, 2018)

Spis treści

Part I. Patient sitting, facing examiner

 

Chapter 1. INTRODUCTION

                       

                        THE ‘LITTLE’ THINGS

                                    Hygiene

                                    Lighting

                                    Access

                                    Tools

                                    Attitude

                                    Privacy

                                    Listening

 

                        THE ABC’S

                                    Symmetry

                                    Direction

                                    Sequence

           

Chapter 2. FIRST IMPRESSION

 

Chapter 3. HAND

                                    Color

                                    Moisture

                                    Temperature

                                    Texture

                                    Movement

                                    Contractures

                                    Spots

                                    Bumps

                                    Size

                                    Joints

                                    Fingertips

                                    Fingernails

                                    Neuromuscular function

 

Chapter 4. WRIST

                                    Range of movement

                                    Power

                                    Stiffness

                                    Bumps

                                    Arterial pulses

 

Chapter 5. THE ONE-MINUTE PHYSICAL EXAMINATION

 

Chapter 6. FOREARM

                                    Movement

                                    Pain / tenderness

                                    Dermatitis

                                    Bumps

                       

Chapter 7. ELBOW

                                    Range of Motion

                                    Enlargement

 

Chapter 8. VITAL SIGNS

                                    Blood pressure

                                    Temperature

 

Chapter 9. SHOULDER

                                    Symmetry

                                    Range of motion

                                    Neuromuscular function

 

Chapter 10. NECK

                        Trachea

                        Thyroid

                        Lymph nodes

                        Salivary glands

                                    Range of motion

                                    Pain / weakness

 

Chapter 11. FACE

                                    Shape

                        Color

                                    Pigmentation

                                    Texture

                                    Spots

                                    Vesicles

                                    Telangiectasia

                                    Angioma

                                    Rash

                                    Bumps

                                    Urticaria

                                    Neoplastic lesions

                                    Hair

                                    Sinuses           

                                    Neurologic function

 

Chapter 12. EYE

                                    Palpebral fissures

                                    Central vision

                                    Peripheral vision

                                    Pupils 

                                    Ocular motion

                                    Conjunctiva    

                                    Sclera

                                    Ocular media

                                                Lens

                                                Vitreous humor

                                    Retina

                                                Optic disc

                                                Arterioles

                                                Venules

                                                Macula / Fovea

 

Chapter 13. EAR

                                    Hearing acuity

                                    Canals

                                    Tympanic membrane

 

Chapter 14. NOSE

                                    Smell

                                    Tubinates

                                    Septum

 

Chapter 15. MOUTH

                                    Tongue

                                    Teeth / Gingival membranes

                                    Buccal mucosa

                                    Palate

                                    Pharynx

 

Chapter 16. THE ONE-MINUTE CRANIAL NERVE EXAMINATION

                                    II. Optic nerve

                                    III. Oculomotor nerve

                                    V. Trigeminal nerve

                                    VII. Facial nerve

                                    VIII. Auditory nerve

                                    IX. Glossopharyngeal nerve

                                    X. Vagus nerve

                                    XII. Hypoglossal nerve

                                    Summary and Perspective

 

 

Part II. Patient sitting with legs on table at 90 degrees from examiner

 

Chapter 17. CHEST/LUNG

                                    Respiratory rate

                                    Respiratory phases

                                    Movement

                                    Resonance

                                    Breath sounds

                                    Pain / Tenderness

                                    Breasts

           

Chapter 18. HEART

                                    Palpation

                                    Auscultation

                                    Rhythm

                                    Heart rate

                                    Cardiac output

                                                High output syndrome

                                                Low output syndrome

 

 

Part III. Patient lying in 30 degrees, semi-supine position

 

Chapter 19. NECK: SEMI-SUPINE

                                    Vascular         

                                                Carotid arteries

                                                Jugular veins

                                    Axillae

                                    Lymph nodes

 

Chapter 20. ABDOMEN

                                    Inspection

                                    Auscultation

                                    Palpation

                                    Pain / Sensitivity / Discomfort                                   

                                    Percussion

                                    Liver

                                    Gall bladder

                                    Spleen

                                    Kidney

                                    Urinary bladder

                                    Lymph nodes

 

Chapter 21. LEG: SUPINE

                                    Leg length discrepancy

                                    Leg-raising

 

 

Part IV. Patient sitting, facing examiner

 

Chapter 22. LEG: SITTING

                                    Edema

                                    Dermatitis

                                    Arterial insufficiency

                                    Venous insufficiency

                                    Lymphadenitis

                                    Neurologic function

                       

Chapter 23. KNEE

 

Chapter 24. FOOT

                                    Dorsum

                                    Sole

                                    Nails

 

 

Part V. Patient standing

 

Chapter 25. BACK

                                    Axial alignment

                                    Inguinal hernia

 

Chapter 26. GAIT

 

 

Part VI. Male standing, female supine

 

Chapter 27. URO-GENITAL SYSTEM

                                    Inspection

                                    Male

                                                Phallus

                                                Scrotum

                                                Prostate

                                    Female

                                                Perineum                                

                                                Vulva

 

 

Part VII. The Diabetic Foot

 

Addendum. THE DIABETIC FOOT

                                    Skin

                                    Muscle

                                    Blood vessels

                                                Arteries

                                                Veins

                                    Nerves

                                                Sensory

                                                Motor

                                                Autonomic

                                    Bone

O autorze

Raymond E. Phillips, MD, FACP

Physician, Clinical Associate Professor of Medicine

Westchester Medical Center, New York Medical College

Department of Medicine