Clinical examination / Owen Epstein ... [and others] ; with contributions from Neil Solomons, Andrew Robins.

Format:

Book

Contributor:

Epstein, Owen, 1950-

Language:

English

Subjects (All):

Physical diagnosis.

Physical Examination--methods.

Medical History Taking.

Medical Subjects:

Physical Examination--methods.

Medical History Taking.

Physical Description:

ix, 424 pages : illustrations (some color) ; 28 cm

Edition:

Third edition.

Place of Publication:

Edinburgh ; New York : Mosby, [2003]

Summary:

The third edition of CLINICAL EXAMINATION provides a clear, practical and above all, superbly illustrated guide to all aspects of history taking and patient examination. Designed to be accessible both to medical students just starting their clinical attachments and to more experienced readers, the clear writing style, the innovative use of clinical photographs and the explanatory artworks combine to explain and clarify the concepts and skills necessary to take a history and perform an examination. The text is organised by body system, with each chapter structured the same way: firstly, underlying structure and function; secondly, signs, symptoms and abnormalities; thirdly, patient examination.

Contents:

1. Medical Record, Medical History and Interviewing Technique 1

Problem-orientated medical record 1

Confidentiality 7

Interviewing techniques and history-taking 7

The interview 8

2. The General Examination 18

Formal examination 19

Recognisable syndromes and facies 20

Endocrine syndromes 25

Structure and function of the thyroid gland 25

Clinical examination of the thyroid gland and function 26

Clinical assessment of thyroid function 28

Structure and function of the parathyroid glands 31

Structure and function of the adrenal glands 33

Structure and function of the pituitary gland 35

Nutrition 38

Clinical assessment of vitamin status 40

Clinical assessment of hydration 40

Clinical assessment of shock 42

Colour 42

Oedema 44

Temperature and fever 47

Examination of the lymphatic system 48

Structure and function of the lymphatic system 48

Examination of the lymph nodes 50

3. Skin, Nails and Hair 54

Structure and function 54

Symptoms of skin disease 56

Symptoms of hair disease 57

Symptoms of nail disease 58

Examination of the skin, nails and hair 58

Skin infections 68

Nail disorders 75

Skin manifestations of systemic disease 77

4. Ear, Nose and Throat 79

Structure and function 79

Symptoms of mouth and throat disorders 83

Symptoms of nasal disorders 85

Symptoms of ear disorders 86

Examination of the mouth and throat 89

Examination of the nose 90

Examination of the ear 92

Examination of the neck and temporomandibular joints 95

5. Respiratory System 96

Structure and function 97

Symptoms of respiratory disease 103

General examination 111

Examination of the chest 116

Common patterns of abnormality 123

6. The Heart and Cardiovascular System 128

Structure and function 128

Electrical activity of the heart 133

Cardiac arrhythmias 135

Blood supply to the heart 137

Arterial system 139

Venous system 141

Clinical history 142

Occupational and family history 145

Clinical examination of the cardiovascular system 145

A framework for the routine physical examination of the cardiovascular system 145

Evaluation of the jugular venous pulse 152

Palpation of the precordium 153

Auscultation of the heart 154

Cardiovascular system and chest examination 160

Cardiovascular system and abdominal examination 161

Peripheral vascular system 161

Clinical features of specific cardiac conditions 162

Peripheral vascular disease 164

7. The Abdomen 171

Structure and function 171

Symptoms of abdominal disorders 178

Examination of the abdomen 188

Examining the groins 205

Examining the anus, rectum and prostate 206

8. Female Breasts and Genitalia 211

Structure and function 211

Breast structure and function 214

Symptoms of breast disease 215

Examination of the breast 216

Structure of the genital tract 220

Symptoms of genital tract disease 223

Examination of the female genital tract 226

Examination of the abdomen 227

Examining the external genitalia 228

Examination of the vagina 230

Examination of the cervix 231

Internal examination of the uterus 233

9. The Male Genitalia 236

Structure and function 236

Symptoms of genital tract disease 239

Examination of the male genitalia 241

General examination 242

10. Bone, Joints and Muscle 249

Structure and function 249

Symptoms of bone, joint and muscle disorders 251

General principles of examination 253

GALS 256

Regional structure, function and examination 258

The spine 258

Examination of the spine 258

Clinical application 261

The shoulder 263

The elbow 265

The forearm and wrist 268

The hand 270

The hand joints 270

The hand muscles 272

Clinical application 273

The hip 275

The knee 278

The ankle and foot 283

Patterns of weakness in muscle disease 287

11. The Nervous System 291

The cortex 291

Symptoms 293

Examination 294

Clinical application 298

The psychiatric assessment 301

The cranial nerves 305

The olfactory (first) nerve 305

The optic (second) nerve 305

The oculomotor, trochlear and abducens (third, fourth and sixth) nerves 317

The trigeminal (fifth) nerve 325

The facial (seventh) nerve 332

The acoustic (eighth) nerve 335

The glossopharyngeal (ninth) nerve 339

The vagus (tenth) nerve 340

The accessory (eleventh) nerve 341

The hypoglossal (twelfth) nerve 343

The motor system 344

Muscle power 348

The cerebellar system 356

The sensory system 359

Symptoms 362

The unconscious patient 367

Clinical application 371

12. Infants and Children 375

Taking a history 375

The examination 377

Growth and development 378

The newborn and very young baby 382

Older babies and toddlers 393

The preschool child 398

The school aged child 399

Adolescents 400.

Notes:

Includes index.

ISBN:

0723432295

OCLC:

50477296