"Evidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical problems, and forecast patient outcomes. Evidence-Based Physical Diagnosis, 5th Edition, is an up-to-date, authoritative resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Incorporating more than 200 new studies, this definitive text helps you glean the most from what you hear, see, and feel at the bedside-information that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.
Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
Features a reader-friendly outline format, including dozens of ""EBM boxes"" and accompanying ""EBM ruler"" illustrations.
Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices."
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 Online EBM Calculator 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 Abnormalities 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 Disorders 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 Disorders 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 Disorders 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 APPENDIX 71 Likelihood Ratios, Confidence Intervals, and Pretest Probability
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.
Reviews for Evidence-Based Physical Diagnosis
This is a well-organized and integrated presentation of a very necessary component of medical practice, physical examination findings and how to apply them. The examination findings are described along with their clinical significance and in many cases the evidence-based predictive diagnostic value. Tables and references are numerous and helpful, making this a good choice for learners, including medical students, resident physicians, advanced clinician learners, and their teachers. Those in clinical practice, particularly in primary care, who might wish a review of examination findings and their application from an evidence-based perspective, also will find this book useful. (c)Doody's Review Service, 2022 Dennis Gingrich, MD, Retired Professor (Pennsylvania State University College of Medicine) Doody's Score: 4 Stars!
