Mosby’s Guide to Physical Examination 2018 9th Edition by Jane Ball – Ebook PDF Instant Download/Delivery: 9780323545068, 0323545068
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• ISBN 10:0323545068
• ISBN 13:9780323545068
• Author:Jane Ball
Seidel’s Guide to Physical Examination
An Interprofessional Approach
Seidel’s Guide to Physical Examination 9th Edition offers a uniquely interprofessional, patientcentered, lifespan approach to physical examination and health assessment. This new edition features an increased focus on patient safety, clinical reasoning, and evidencebased practice, along with an emphasis on the development of good communication skills and effective handson examination techniques. Each core chapter is organized into four sections – Anatomy and Physiology, Review of Related History, Examination and Findings, and Abnormalities – with lifespan content integrated into each area. Written by an author team comprised of advance practice nurses and physicians with specialties in the care of adults, older adults, and children, this oneofakind textbook addresses health assessment and physical examination for a wide variety of disciplines.
Mosby’s Guide to Physical Examination 2018 9th Table of contents:
Inside Front Cover
Endsheet_3
Seidel’s Guide to Physical Examination
Copyright Page
About the Authors
Jane W. Ball, DrPH, RN, CPNP
Joyce E. Dains, DrPH, JD, RN, FNP-BC, FNAP, FAANP
John A. Flynn, MD, MBA, MEd
Barry S. Solomon, MD, MPH
Rosalyn W. Stewart, MD, MS, MBA
Reviewers
Preface
Organization
Special Features
New to This Edition
Our Ancillary Package
Our Core Values
Dedication
Acknowledgments
Table Of Contents
1 The History and Interviewing Process
Developing a Relationship With the Patient
Effective Communication
Seeking Connection.
Enhancing Patient Responses.
Moments of Tension: Potential Barriers to Communication
Curiosity About You.
Anxiety.
Silence.
Depression.
Crying and Compassionate Moments.
Physical and Emotional Intimacy.
Seduction.
Anger.
Avoiding the Full Story.
Financial Considerations.
The Patient History
Setting for the Interview
Structure of the History
Building the History
Sensitive Issues
Alcohol.
Intimate Partner Violence.
Spirituality.
Sexuality and Gender Identity
Identity.
Outline of the History
Chief Concern or the Reason for Seeking Care.
History of Present Illness or Problem.
Past Medical History.
Family History.
Personal and Social History
Review of Systems (ROS).
Females and Transmales
Males and Transfemales
Concluding Questions.
Adaptations for Age, Pregnancy, and Possible Disabilities
Infants and Children
Chief Concern.
History of Present Illness.
Past Medical History
Family History
Personal and Social History
Review of Systems.
Adolescents
Pregnant Patients
Basic Information
History of Present Illness or Problem.
Obstetric History.
Menstrual History.
Gynecologic History.
Past Medical History.
Family History.
Personal and Social History.
Review of Systems.
Risk Assessment.
Postpartum.
Older Adults
The Frail.
Patients With Disabilities
The Next Step
2 Cultural Competency
A Definition of Culture
Distinguishing Physical Characteristics
Genomics and Personalized Medicine
Cultural Competence
Cultural Humility
The Impact of Culture
The Blurring of Cultural Distinctions
The Primacy of the Individual in Health Care
Interprofessional Care—A Culture Shift in the Health Professions
The Impact of Culture on Illness
The Components of a Cultural Response
Modes of Communication
Health Beliefs and Practices
Family Relationships
Diet and Nutritional Practices
Summing Up
3 Examination Techniques and Equipment
Precautions to Prevent Infection
Latex Allergy
Examination Technique
Patient Positions and Draping
Seated.
Supine.
Prone.
Dorsal Recumbent.
Lateral Recumbent.
Lithotomy.
Sims.
Inspection
Palpation
Percussion
Auscultation
Modifications for Patients With Disabilities
Patients With Mobility Impairments
Pivot Transfer.
Cradle Transfer.
Two-Person Transfer.
Equipment.
Patients With Sensory Impairment
Impaired Vision.
Impaired Hearing or Speech.
Special Concerns for Patients With Spinal Cord Injury or Lesion
Bowel and Bladder Concerns.
Autonomic Hyperreflexia.
Hypersensitivity.
Spasticity.
Equipment
Weight Scales and Height Measurement Devices
Thermometer
Stethoscope
Sphygmomanometer
Pulse Oximeter
Doppler
Portable Ultrasound
Fetal Monitoring Equipment
Ophthalmoscope
PanOptic Ophthalmoscope
StrabismoScope
Photoscreening
Visual Acuity Charts
Snellen Alphabet and Sloan Letters Charts.
HOTV.
LH Symbols (LEA Symbols).
Near Vision Charts
Amsler Grid
Otoscope
Nasal Speculum
Tympanometer
Tuning Fork
Percussion (Reflex) Hammer
Neurologic Hammer
Tape Measure
Transilluminator
Vaginal Speculum
Goniometer
Wood’s Lamp
Monofilament
Scoliometer
4 Taking the Next Steps
The Clinical Examination
Clinical Reasoning
Assessment, Judgment, and Evidence
Problem Identification
Valid Hypotheses
Possible Barriers to Clinical Reasoning
Feelings, Attitudes, and Values.
The Ethical Context.
Mechanism and Probabilism.
Validity of the Clinical Examination
Bayes Theorem
Evidence-Based Practice
Evaluation and Management Plan and Setting Priorities
5 Recording Information
General Guidelines
EMR Replicating Functions
Organization of the Note
Organizing the Patient’s Health Record With SOAP Notes
Subjective Data
Objective Data
Location of Findings.
Incremental Grading.
Organs, Masses, and Lesions.
Discharge.
Illustrations
Problem-Oriented Medical Record
Comprehensive Health History and Physical Examination
Problem List
Assessment
Plan
SOAP Notes
APSO Notes
Notes From Subsequent Evaluations
Problem-Oriented Medical Record Format
The History
Identifying Information.
Problems, Allergies, Medications, and Immunizations List.
General Patient Information.
Source and Reliability of Information.
Chief Concern/Presenting Problem/Reason for Seeking Care.
History of Present Illness.
Recording the History of the Present Illness: OLDCARTS.
Past Medical History.
Family History.
Personal and Social History.
Review of Systems
Physical Examination Findings
General Statement
Mental Status
Skin
Head
Eyes
Ears
Nose
Throat and Mouth
Neck
Chest
Lungs
Breasts
Heart
Blood Vessels
Abdomen
Male Genitalia
Female Genitalia
Anus and Rectum
Lymphatic System
Musculoskeletal System
Neurologic System
Assessment (for Each Problem on Problem List)
Plan (for Each Problem on Problem List)
Infants
History
Present Problem.
Details of Pregnancy
Infant’s Status at Birth
First Month of Life
Past Medical History.
Family History.
Personal and Social History.
Growth and Development.
Developmental Milestones.
Injury Prevention.
Diet.
Breast-Fed Infants.
Formula-Fed Infants.
Solid Foods.
Physical Examination Findings
General
Mental Status
Skin
Lymphatics
Head
Eyes
Ears
Nose
Mouth
Neck
Chest and Lungs
Heart and Blood Vessels
Abdomen
Male Genitalia
Female Genitalia
Anus, Rectum
Musculoskeletal System
Neurologic System
Children and Adolescents
History
Past Medical History.
Personal and Social History.
Growth and Development.
Physical Examination Findings.
Mental Status.
Breasts.
Genitalia.
Neurologic System.
Pregnant Patients
History
History of Present Illness.
Obstetric History.
Menstrual and Gynecologic History.
Personal and Social History.
Physical Examination Findings
Abdomen
Pelvic Region
Older Adults
History
Personal and Social History.
Physical Examination Findings
General Assessment
Chest and Lungs
Heart and Blood Vessels
Musculoskeletal System
Neurologic System
Sample Records
Inpatient Admission Note
Summary
6 Vital Signs and Pain Assessment
Anatomy and Physiology
Vital Signs
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
Pain
Infants
Pregnant Patients
Older Adults
Review of Related History
Present Problem
Fever
Pain
Personal and Social History
Children
Pregnant Patients
Older Adults
Examination and Findings
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
Pain Assessment
Self-Report Pain Rating Scales
Assessing Pain Behaviors
Newborns and Infants
Pain Assessment
Children
Pain Assessment
Vital Signs
Pain Assessment
Vital Signs
Pain Assessment
Abnormalities
Hypertension
Neuropathic Pain
Complex Regional Pain Syndrome
7 Mental Status
Anatomy and Physiology
Infants and Children
Adolescents
Older Adults
Review of Related History
History of Present Illness
Disorientation and Confusion
Depression
Anxiety
Past Medical History
Family History
Personal and Social History
Children
Adolescents
Older Adults
Examination and Findings
Physical Appearance and Behavior
Grooming
Emotional Status
Nonverbal Communication (Body Language)
State of Consciousness
Cognitive Abilities
Analogies
Abstract Reasoning
Arithmetic Calculation
Writing Ability
Execution of Motor Skills
Memory
Attention Span
Judgment
Speech and Language Skills
Voice Quality
Articulation
Comprehension
Coherence
Emotional Stability
Mood and Feelings
Thought Process and Content
Perceptual Distortions and Hallucinations
Infants and Children
Pregnant Patients
Older Adults
Abnormalities
Mental Status
Disorders of Altered Mental Status
Traumatic Brain Injury.
Disorders of Mood
Depression.
Mania.
Anxiety Disorder.
Schizophrenia.
Intellectual Disability
Attention-Deficit/Hyperactivity Disorder (ADHD)
Autism
Delirium
Dementia
8 Growth and Nutrition
Anatomy and Physiology
Differences in Growth by Organ System
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Weight Loss
Weight Gain
Changes in Body Proportions
Increased Metabolic Requirements
Past Medical History
Family History
Personal and Social History
Infants
Adolescents
Pregnant Patients
Older Adults
Determination of Diet Adequacy
Twenty–Four-Hour Recall Diet
Food Diary
Measures of Nutrient Analysis
Vegetarian Diets
Ethnic Food Guide Pyramids
Examination and Findings
Equipment
Weight and Standing Height
Body Mass Index
Waist Circumference and Waist-Height Ratio
Waist-to-Hip Circumference Ratio
Infants
Recumbent Length
Weight
Head Circumference
Chest Circumference
Gestational Age
Size for Gestational Age.
Stature and Weight
Upper-to-Lower Segment Ratio
Arm Span
Sexual Maturation
Pregnant Patients
Older Adults
Abnormalities
Growth
Acromegaly
Cushing Syndrome
Turner Syndrome
Hydrocephalus
Failure to Thrive
Growth Hormone Deficiency
Precocious Puberty
Nutrition
Obesity
Anorexia Nervosa
Bulimia Nervosa
9 Skin, Hair, and Nails
Anatomy and Physiology
Epidermis
Dermis
Hypodermis
Appendages
Infants and Children
Adolescents
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Skin
Hair
Nails
Past Medical History
Skin
Nails
Family History
Personal and Social History
Infants
Children and Adolescents
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Skin
Inspection
Palpation
Skin Lesions
Characteristics
Hair
Nails
Inspection
Color.
Nail Plate.
Nail Base Angle.
Palpation
Infants and Children
Adolescents
Pregnant Patients
Older Adults
Abnormalities
Skin, Hair, Nails
Skin: Inflammatory and Infectious Conditions
Eczematous Dermatitis
Folliculitis
Furuncle (Boil)
Cellulitis
Tinea (Dermatophytosis)
Pityriasis Rosea
Psoriasis
Rosacea
Herpes Zoster (Shingles)
Herpes Simplex
Lyme Disease
Skin: Cutaneous Reactions
Drug Eruptions
Acanthosis Nigricans (AN)
Skin: Malignant/Neoplastic Abnormalities
Basal Cell Carcinoma
Squamous Cell Carcinoma
Malignant Melanoma
Kaposi Sarcoma (KS)
Hair Disorders
Alopecia Areata
Scarring Alopecia
Traction Alopecia
Hirsutism
Nails: Infection
Paronychia
Onychomycosis
Nails: Injury
Ingrown Nails
Subungual Hematoma
Onycholysis
Nails: Changes Associated With Systemic Disease
Koilonychia (Spoon Nails)
Beau Lines
White Banding (Terry Nails)
Psoriasis
Nails: Periungual Growths
Warts
Digital Mucous Cysts
Polymorphic Eruption of Pregnancy
Seborrheic Dermatitis
Miliaria Rubra (“Prickly Heat”)
Impetigo
Acne Vulgaris
Chickenpox (Varicella)
Measles (Rubeola)
German Measles (Rubella)
Hair-Pulling (Trichotillomania)
Patterns of Injury in Physical Abuse
Stasis Dermatitis
Actinic Keratosis
Physical Abuse in Older Adults
10 Lymphatic System
Anatomy and Physiology
Lymph Nodes
Lymphocytes
Thymus
Spleen
Tonsils and Adenoids
Peyer Patches
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Inspection and Palpation
Head and Neck
Axillae
Epitrochlear Lymph Nodes
Inguinal and Popliteal Lymph Nodes
Spleen
Infants and Children
Abnormalities
Lymphatic System
Acute Lymphangitis
Acute Suppurative Lymphadenitis
Lymphedema
Lymphangioma/Cystic Hygroma
Lymphatic Filariasis (Elephantiasis)
Non-Hodgkin Lymphoma
Hodgkin Lymphoma
Epstein-Barr Virus Mononucleosis
Toxoplasmosis
Roseola Infantum (HHV-6)
Herpes Simplex (HSV)
Cat Scratch Disease
Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS)
Serum Sickness (Type III Hypersensitivity Reaction)
Latex Allergy Type IV Dermatitis
Latex Allergy Type I Reaction
11 Head and Neck
Anatomy and Physiology
Infants
Children and Adolescents
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Traumatic Brain Injury
Headache
Stiff Neck
Past Medical History
Family History
Personal and Social History
Infants
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Head and Face
Inspection
Palpation
Percussion
Auscultation
Neck
Inspection
Palpation
Lymph Nodes
Thyroid Gland
Inspection
Palpation
Transillumination
Children
Pregnant Patients
Older Adults
Abnormalities
Head
Headaches
Salivary Gland Tumor
Thyroid
Hypothyroidism
Hyperthyroidism
Myxedema
Graves Disease
Hashimoto Disease
Thyroglossal Duct Cyst
Branchial Cleft Cyst
Torticollis (Wry Neck)
Encephalocele
Hydrocephalus
Microcephaly
Craniosynostosis
12 Eyes
Anatomy and Physiology
External Eye
Eyelid
Conjunctiva
Lacrimal Gland
Eye Muscles
Internal Eye
Sclera
Cornea
Uvea
Lens
Retina
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Red Eye (Presence of Conjunctival Injection or Redness)
Vision Problem(s)
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Visual Acuity Testing
External Examination
Surrounding Structures
Eyelids
Palpation
Conjunctiva
Cornea
Iris and Pupil
Lens
Sclera
Lacrimal Apparatus
Extraocular Muscles
Ophthalmoscopic Examination
Unexpected Findings
Infants
Children
Pregnant Patients
Older Adults
Abnormalities
External Eye
Exophthalmos
Episcleritis
Band Keratopathy
Corneal Ulcer
Extraocular Muscles
Strabismus
Internal Eye
Horner Syndrome
Cataracts
Diabetic Retinopathy (Background or Nonproliferative)
Diabetic Retinopathy (Proliferative)
Lipemia Retinalis
Retinitis Pigmentosa
Glaucoma
Chorioretinitis (Chorioretinal Inflammation)
Visual Fields
Visual Field Defects
Retinoblastoma
Retinopathy of Prematurity (ROP)
Retinal Hemorrhages in Infancy
Macular Degeneration
13 Ears, Nose, and Throat
Anatomy and Physiology
Ears and Hearing
Nose, Nasopharynx, and Sinuses
Mouth and Oropharynx
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Ear Pain
Hearing Loss: One or Both Ears
Vertigo (A False Sense of Motion)
Nasal Discharge
Snoring
Sinus Pain
Dental Problems
Mouth Lesions
Sore Throat
Hoarseness
Difficulty Swallowing
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Ears and Hearing
External Ear
Otoscopic Examination
Hearing Evaluation
Whispered Voice.
Weber and Rinne Tests.
Nose, Nasopharynx, and Sinuses
External Nose
Nasal Cavity
Sinuses
Mouth and Oropharynx
Lips
Buccal Mucosa, Teeth, and Gums
Oral Cavity
Oropharynx
Infants
Ears.
Nose and Sinuses.
Mouth.
Children.
Ears.
Nose and Sinuses.
Mouth.
Pregnant Patients
Older Adults
Ears and Hearing.
Nose.
Mouth.
Abnormalities
Ear
Cholesteatoma
Hearing Loss
Conductive Hearing Loss
Sensorineural Hearing Loss
Ménière Disease
Vertigo
Sinuses
Sinusitis
Mouth and Oropharynx
Acute Bacterial Pharyngitis
Peritonsillar Abscess
Retropharyngeal Abscess
Oral Cancer
Periodontal Disease (Periodontitis)
Oropharyngeal Clefts (Cleft Lip, Cleft Palate, Cleft Lip and Palate)
14 Chest and Lungs
Anatomy and Physiology
Anatomic Landmarks
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Cough
Coughs
Dry or Moist.
Onset.
Frequency of Occurrence.
Regularity.
Pitch and Loudness.
Postural Influences.
Quality.
Sputum
Shortness of Breath (Box 14.2)
Chest Pain (see Clinical Pearl, “Chest Pain”)
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Equipment
Examination and Findings
Inspection
Observing Respiration
Looking for Clues at the Periphery
Palpation
Tactile Fremitus
Examining the Trachea
Percussion
Diaphragmatic Excursion
Auscultation
Breath Sounds
Crackles.
Rhonchi.
Wheezes.
Other Sounds.
Vocal Resonance
Infants
Children
Pregnant Patients
Older Adults
Abnormalities
Asthma
Atelectasis
Bronchitis
Pleurisy
Pleural Effusion
Empyema
Lung Abscess
Pneumonia
Influenza
Tuberculosis
Pneumothorax
Hemothorax
Lung Cancer
Pulmonary Embolism
Epiglottitis
Diaphragmatic Hernia
Cystic Fibrosis
Croup (Laryngotracheal Bronchitis)
Tracheomalacia
Bronchiolitis
Chronic Obstructive Pulmonary Disease
Emphysema
Bronchiectasis
Chronic Bronchitis
15 Heart
Anatomy and Physiology
Structure
Cardiac Cycle
Electrical Activity
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Chest Pain (Boxes 15.1 and 15.2)
Past Medical History
Family History
Personal and Social History
Infants
Children and Adolescents
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Basic Heart Sounds
S1 and S2.
Splitting.
S3 and S4.
Extra Heart Sounds
Heart Murmurs
Rhythm Disturbance
Infants
Children
Pregnant Patients
Older Adults
Abnormalities
Heart
Angina
Bacterial Endocarditis
Congestive Heart Failure (CHF)—Left-Sided
Congestive Heart Failure (CHF)—Right-Sided
Pericarditis
Cardiac Tamponade
Cor Pulmonale
Myocardial Infarction
Myocarditis
Heart Rate and Rhythm
Conduction Disturbances
Sick Sinus Syndrome
Ventricular Septal Defect (VSD)
Tetralogy of Fallot
Patent Ductus Arteriosus
Atrial Septal Defect (ASD)
Acute Rheumatic Fever
Atherosclerotic Heart Disease (Atherosclerosis, Coronary Heart Disease)
Senile Cardiac Amyloidosis
16 Blood Vessels
Anatomy and Physiology
Blood Circulation
Arterial Pulse and Pressure
Jugular Venous Pulse and Pressure
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Palpation
Auscultation
Assessment for Peripheral Arterial Disease
Peripheral Veins
Jugular Venous Pressure
Hepatojugular Reflux
Evaluation of Hand Veins
Assessment for Venous Obstruction and Insufficiency
Thrombosis.
Edema.
Varicose Veins.
Infants
Children
Pregnant Patients
Older Adults
Abnormalities
Vessel Disorders
Temporal Arteritis (Giant Cell Arteritis)
Arterial Aneurysm
Arteriovenous Fistula
Peripheral Arterial Disease
Raynaud Phenomenon
Arterial Embolic Disease
Venous Thrombosis
Jugular Venous Pressure Disorder
Tricuspid Regurgitation
Coarctation of the Aorta
Kawasaki Disease
Preeclampsia-Eclampsia
Venous Ulcers
17 Breasts and Axillae
Anatomy and Physiology
Children and Adolescents
Pregnant Patients
Lactating Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Pregnant Patients
Lactating Patients
Older Adults
Examination and Findings
Equipment
Inspection
Breasts
Nipples and Areolae
Reinspection in Varied Positions
Palpation
Patient in Seated Position
Chest Wall Sweep.
Bimanual Digital Palpation.
Lymph Node Palpation.
Patient in Supine Position
Patients With Female Breasts.
Patients With Male Breasts.
Infants
Children and Adolescents
Pregnant Patients
Lactating Patients
Older Adults
Abnormalities
Breasts
Breast Lumps
Fibrocystic Changes
Fibroadenoma
Malignant Breast Tumors
Fat Necrosis
Nipples and Areolae
Intraductal Papillomas and Papillomatosis
Duct Ectasia
Galactorrhea
Paget Disease
Mastitis
Gynecomastia
Premature Thelarche
18 Abdomen
Anatomy and Physiology
Musculature and Connective Tissues
Alimentary Tract
Liver
Gallbladder
Pancreas
Spleen
Kidneys, Ureters, and Bladder
Vasculature
Infants
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants
Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Preparation
Inspection
Surface Characteristics
Contour
Movement
Auscultation
Bowel Sounds
Additional Sounds and Bruits
Percussion
Liver Span
Spleen
Gastric Bubble
Kidneys
Palpation
Light Palpation
Moderate Palpation
Deep Palpation
Masses
Umbilical Ring
Palpation of Specific Organs and Structures
Liver.
Liver: Alternative Techniques.
Gallbladder.
Spleen.
Left Kidney.
Right Kidney.
Aorta.
Urinary Bladder.
Advanced Skills
Ascites Assessment
Shifting Dullness.
Fluid Wave.
Pain Assessment
Abdominal Signs
Rebound Tenderness
Iliopsoas Muscle Test
Obturator Muscle Test
Ballottement
Infants and Children
Inspection
Auscultation and Percussion
Palpation
Liver Palpation
Deep Palpation
Adolescents
Pregnant Patients
Older Adults
Abnormalities
Abdomen
Alimentary Tract
Acute Diarrhea
Gastroesophageal Reflux Disease
Irritable Bowel Syndrome
Hiatal Hernia With Esophagitis
Duodenal Ulcer (Duodenal Peptic Ulcer Disease)
Crohn Disease
Ulcerative Colitis
Stomach Cancer
Diverticular Disease
Colon Cancer (Colorectal Cancer)
Hepatobiliary System
Hepatitis
Cirrhosis
Primary Hepatocellular Carcinoma
Cholelithiasis
Cholecystitis
Nonalcoholic Fatty Liver Disease (NAFLD)
Pancreas
Acute Pancreatitis
Chronic Pancreatitis
Spleen
Spleen Laceration/Rupture
Kidney
Acute Glomerulonephritis
Hydronephrosis
Pyelonephritis
Renal Abscess
Renal Calculi
Intussusception
Pyloric Stenosis
Meconium Ileus
Biliary Atresia
Meckel Diverticulum
Necrotizing Enterocolitis
Neuroblastoma
Wilms Tumor (Nephroblastoma)
Hirschsprung Disease (Congenital Aganglionic Megacolon)
Hemolytic Uremic Syndrome (HUS)
Fecal Incontinence
19 Female Genitalia
Anatomy and Physiology
External Genitalia
Internal Genitalia
Bony Pelvis
Infants and Children
Adolescents
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Adolescents
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Preparation
Positioning
Draping and Gloving
External Examination
Inspection and Palpation
Labia Majora
Labia Minora
Clitoris
Urethral Orifice
Vaginal Introitus
Skene and Bartholin Glands
Muscle Tone
Perineum
Anus
Internal Examination
Preparation
Insertion of Speculum
Cervix
Color.
Position.
Surface Characteristics.
Discharge.
Size and Shape.
Withdrawal of Speculum
Bimanual Examination
Cervix
Uterus
Position.
Size, Shape, and Contour.
Mobility.
Adnexa and Ovaries
Rectovaginal Examination
Preparation
Anal Sphincter
Rectal Walls and Rectovaginal Septum
Uterus
Adnexa
Stool
Completion
Infants
Indications for Examination
Inspection and Palpation
Discharge
Injuries
Bleeding
Rectal Examination
Adolescents
Pregnant Patients
Gestational Age
Uterus Size and Contour
Pelvic Examination
Cervical Effacement and Dilation
Fetal Well-Being
Fetal Position
Station
Contractions
Fetal Head Position
Other Pregnancy-Associated Changes
Older Adults
Preparation
Alternative Positions for the Pelvic Examination
Knee-Chest Position.
Diamond-Shaped Position.
Obstetric Stirrups Position.
M-Shaped Position.
V-Shaped Position.
Patients With Sensory Impairment
Abnormalities
Female Genitalia
Premenstrual Syndrome (PMS)
Infertility
Endometriosis
Lesions From Sexually Transmitted Infections
Condyloma Acuminatum (Genital Warts)
Molluscum Contagiosum
Syphilitic Chancre
Condyloma Latum
Genital Herpes
Vulva and Vagina
Inflammation of Bartholin Gland
Vaginal Carcinoma
Vulvar Carcinoma
Vaginal Infections
Cervix
Cervical Cancer
Uterus
Uterine Prolapse
Uterine Bleeding
Myomas (Leiomyomas, Fibroids)
Endometrial Cancer
Adnexa
Ovarian Cysts
Ovarian Cancer
Tubal (Ectopic) Pregnancy
Pelvic Inflammatory Disease (PID)
Salpingitis
Ambiguous Genitalia
Hydrocolpos
Vulvovaginitis
Premature Rupture of Membranes
Vaginal Bleeding During Pregnancy
Atrophic Vaginitis
Urinary Incontinence
20 Male Genitalia
Anatomy and Physiology
Infants and Children
Adolescents
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Adolescents
Older Adults
Examination and Findings
Equipment
Inspection and Palpation
Genital Hair Distribution
Penis
Urethral Meatus
Penile Shaft
Scrotum
Hernia
Testes
Cremasteric Reflex
Prostate
Infants
Inspection and Palpation
Transillumination
Children
Inspection and Palpation
Adolescents
Older Adults
Abnormalities
Hernias
Hernia
Penis
Paraphimosis
Chancre
Genital Herpes
Condyloma Acuminata
Lymphogranuloma Venereum
Molluscum Contagiosum
Peyronie Disease
Penile Cancer
Scrotum
Spermatocele
Varicocele
Orchitis
Epididymitis
Testicular Cancer
Infertility
Congenital Anomalies
Ambiguous Genitalia
Hypospadias
Scrotum
Hydrocele
Testicular Torsion
Klinefelter Syndrome
21 Anus, Rectum, and Prostate
Anatomy and Physiology
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Preparation
Positioning
Sacrococcygeal and Perianal Areas
Anus
Sphincter
Anal Ring
Lateral and Posterior Rectal Walls
Bidigital Palpation
Anterior Rectal Wall
Prostate
Uterus and Cervix
Stool
Infants and Children
Pregnant Patients
Older Adults
Abnormalities
Anus, Rectum, and Surrounding Skin
Pilonidal Cyst
Anal Warts (Condyloma Acuminata)
Perianal and Perirectal Abscesses
Anorectal Fissure
Anal Fistula
Pruritus Ani
Hemorrhoids
Polyps
Anal Cancer
Colorectal Cancer
Prostate
Prostatitis
Benign Prostatic Hypertrophy (BPH)
Prostate Cancer
Imperforate Anus
Enterobiasis (Roundworm, Pinworm)
22 Musculoskeletal System
Anatomy and Physiology
Upper Extremities
Head and Spine
Lower Extremities
Infants and Children
Adolescents
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Infants and Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Inspection
Palpation
Range of Motion and Muscle Tone
Muscle Strength
Specific Joints and Muscles
Hands and Wrists
Elbows
Shoulders
Temporomandibular Joint
Cervical Spine
Thoracic and Lumbar Spine
Hips
Legs and Knees
Feet and Ankles
Advanced Skills
Hand and Wrist Assessment
Shoulder Assessment
Lower Spine Assessment
Hip Assessment
Knee Assessment
Limb Measurement
Infants
Children
Adolescents
Pregnant Patients
Older Adults
Abnormalities
Musculoskeletal
Ankylosing Spondylitis
Lumbosacral Radiculopathy (Herniated Lumbar Disk)
Lumbar Stenosis
Carpal Tunnel Syndrome
Gout
Temporomandibular Joint Syndrome
Osteomyelitis
Bursitis
Paget Disease of the Bone (Osteitis Deformans)
Osteoarthritis
Rheumatoid Arthritis
Sports Injuries
Muscle Strain
Dislocation
Fracture
Tenosynovitis (Tendonitis)
Rotator Cuff Tear
Clubfoot (Talipes Equinovarus)
Metatarsus Adductus (Metatarsus Varus)
Legg-Calvé-Perthes Disease
Osgood-Schlatter Disease
Slipped Capital Femoral Epiphysis
Muscular Dystrophy
Scoliosis
Radial Head Subluxation (Nursemaid’s Elbow)
Osteoporosis
Dupuytren Contracture
23 Neurologic System
Anatomy and Physiology
Brain
Cerebrum
Cerebellum
Brainstem
Cranial Nerves
Spinal Cord and Spinal Tracts
Spinal Nerves
Infants and Children
Pregnant Patients
Older Adults
Review of Related History
History of Present Illness
Seizures or Convulsions
Pain
Gait Coordination
Weakness or Paresthesia
Tremor
Past Medical History
Family History
Personal and Social History
Infants
Children
Pregnant Patients
Older Adults
Examination and Findings
Equipment
Cranial Nerves
Olfactory (I)
Optic (II)
Oculomotor, Trochlear, and Abducens (III, IV, and VI)
Trigeminal (V)
Facial (VII)
Acoustic (VIII)
Glossopharyngeal (IX)
Vagus (X)
Spinal Accessory (XI)
Hypoglossal (XII)
Proprioception and Cerebellar Function
Coordination and Fine Motor Skills
Rapid Rhythmic Alternating Movements
Accuracy of Movements
Balance
Equilibrium.
Gait.
Sensory Function
Primary Sensory Functions
Superficial Touch.
Superficial Pain.
Temperature and Deep Pressure.
Vibration.
Position of Joints.
Cortical Sensory Functions
Stereognosis.
Two-Point Discrimination.
Extinction Phenomenon.
Graphesthesia.
Point Location.
Reflexes
Superficial Reflexes
Plantar Reflex.
Abdominal Reflex.
Cremasteric Reflex.
Deep Tendon Reflexes
Biceps Reflex.
Brachioradial Reflex.
Triceps Reflex.
Patellar Reflex.
Achilles Reflex.
Clonus.
Advanced Skills
Protective Sensation
Meningeal Signs
Jolt Accentuation of Headache
Posturing
Infants
Children
Pregnant Patients
Older Adults
Abnormalities
Neurologic System
Disorders of the Central Nervous System
Multiple Sclerosis (MS)
Seizure Disorder (Epilepsy)
Encephalitis
Meningitis
Intracranial Tumor
Pseudotumor Cerebri
Stroke (Brain Attack or Cerebrovascular Accident)
Disorders of the Peripheral Nervous System
Myasthenia Gravis
Guillain-Barré Syndrome
Trigeminal Neuralgia (Tic Douloureux)
Bell Palsy
Peripheral Neuropathy
Cerebral Palsy (CP)
Myelomeningocele (Spina Bifida)
Shaken Baby Syndrome
Older Adults
Parkinson Disease
Normal Pressure Hydrocephalus
Postpolio Syndrome (Progressive Postpoliomyelitis Muscular Atrophy)
24 Sports Participation Evaluation
25 Putting It All Together
At the Start
Accuracy
The Potential for Error
Uncertainty
Examination Sequence
Adults and Adolescents
General Inspection
Preparation
Measurements
Patient Seated, Wearing Gown
Head and Face
Eyes
Ears
Nose
Mouth and Pharynx
Neck
Upper Extremities
Patient Seated, Back Exposed
Back and Posterior Chest
Lungs
Patient Seated, Chest Exposed
Anterior, Chest, Lungs, and Heart
Female Breasts
Male Breasts
Patient Reclining 45 Degrees
Patient Supine, Chest Exposed
Female Breasts
Heart
Patient Supine, Abdomen Exposed
Abdomen
Inguinal Area
External Genitalia, Males
Patient Supine, Legs Exposed
Feet and Legs
Hips
Patient Sitting, Lap Draped
Musculoskeletal
Neurologic
Patient Standing
Spine
Neurologic
Abdominal/Genital
Female Patient, Lithotomy Position
External Genitalia
Internal Genitalia
Male Patient, Bending Forward (Lateral Decubitus or Knee-Chest Positions Are Also Possible)
Concluding the Examination
Newborns
Older Infants
Examination Sequence With Infants
General Inspection
Chest, Lungs, and Heart
Abdomen
Head and Neck.
Upper Extremities
Lower Extremities
Genitals and Rectum
Neurologic
Back.
Behavior.
Children
General Inspection
Child Playing
Child on Parent’s Lap
Upper Extremities
Lower Extremities.
Head and Neck
Chest, Heart, and Lungs
Child Relatively Supine, Still on Lap, Diaper Loosened
Child Standing
Child Returns to Parent’s Lap
Pregnant Patients
Older Adults
The Closing Discussion
26 Emergency or Life-Threatening Situations
Emergency Assessment of the Injured Patient
The Primary Survey
Hemorrhage.
Airway and Cervical Spine.
Breathing.
Circulation.
Disability.
Exposure and Environmental Control.
Secondary Assessment of the Injured Patient
History.
Head and Neck.
Chest.
Abdomen.
Extremities and Back.
Rectum and Perineum.
Neurologic Examination.
Reevaluate the Patient.
Injury Mechanisms
Blunt Trauma
Penetrating Trauma
Burns
Assessment of an Acute Medical Emergency
Advanced Cardiac Life Support Survey
Infants and Children
Older Adults
Legal Considerations
Records
Consent for Treatment
Trauma Due to Violence
Medical Orders for Life-Sustaining Treatment
Summary
Abnormalities
Upper Airway Obstruction
Hypoxemia
Shock State
Ventilatory Failure
Increased Intracranial Pressure
Pulmonary Embolism
Status Asthmaticus
Status Epilepticus
Photo and Illustration Credits
References
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Chapter 14
Chapter 15
Chapter 16
Chapter 17
Chapter 18
Chapter 19
Chapter 20
Chapter 21
Chapter 22
Chapter 23
Chapter 24
Chapter 25
Chapter 26
Appendix A Height/Weight Growth Charts
Appendix B Pediatric Blood Pressure Tables
Index
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Z
Special Features
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