Evidence-Based Physical Diagnosis

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 Reliability of Physical Findings

PART 3 GENERAL APPEARANCE OF THE PATIENT 5 Mental Status Examination 6 Stance and Gait 7 Jaundice 8 Cyanosis 9 Anemia 10 Hypovolemia 11 Protein-Energy Malnutrition and Weight Loss 12 Obesity 13 Cushing Syndrome

PART 4 VITAL SIGNS 14 Pulse Rate and Contour 15 Abnormalities of Pulse Rhythm 16 Blood Pressure 17 Temperature 18 Respiratory Rate and Abnormal Breathing Patterns 19 Pulse Oximetry

PART 5 HEAD AND NECK 20 The Pupils 21 Diabetic Retinopathy 22 Hearing 23 Thyroid and Its Disorders 24 Meninges 25 Peripheral Lymphadenopathy

PART 6 THE LUNGS 26 Inspection of the Chest 27 Palpation and Percussion of the Chest 28 Auscultation of the Lungs 29 Ancillary Tests

PART 7 SELECTED PULMONARY DISORDERS 30 Pneumonia 31 Chronic Obstructive Lung Disease 32 Pulmonary Embolism 33 Pleural Effusion ? PART 8 THE HEART 34 Inspection of the Neck Veins 35 Percussion of the Heart 36 Palpation of the Heart 37 Auscultation of the Heart: General Principles 38 The First and Second Heart Sounds 39 The Third and Fourth Heart Sounds 40 Miscellaneous Heart Sounds 41 Heart Murmurs: General Principles

PART 9 SELECTED CARDIAC DISORDERS 42 Aortic Stenosis 43 Aortic Regurgitation 44 Miscellaneous Heart Murmurs 45 Disorders of the Pericardium 46 Congestive Heart Failure 47 Coronary Artery Disease ? PART 10 ABDOMEN 48 Inspection of the Abdomen 49 Palpation and Percussion of the Abdomen 50 Abdominal Pain and Tenderness 51 Auscultation of the Abdomen

PART 11 EXTREMITIES 52 Peripheral Vascular Disease 53 The Diabetic Foot 54 Edema and Deep Vein Thrombosis 55 Examination of the Musculoskeletal System

PART 12 NEUROLOGIC EXAMINATION 56 Visual Field Testing 57 Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia 58 Miscellaneous Cranial Nerves 59 Examination of the Motor System: Approach to Weakness 60 Examination of the Sensory System 61 Examination of the Reflexes 62 Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves 63 Coordination and Cerebellar Testing

PART 13 SELECTED NEUROLOGIC DISORDERS 64 Tremor and Parkinson Disease 65 Hemorrhagic versus Ischemic Stroke 66 Acute Vertigo and Imbalance 67 Examination of Nonorganic Neurologic Disorders

PART 14 EXAMINATION IN THE INTENSIVE CARE UNIT 68 Examination of Patients in the Intensive Care Unit