Bates' Guide to Physical Examination And History Taking

, by Bickley, Lynn S.; Szilagyi, Peter G.

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ISBN: 9780781767187 | 0781767180
Cover: Hardcover
Copyright: 12/9/2005

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Now in its Ninth Edition, this classic text provides the best foundation for performing physical examination and taking the patient history. The book features a vibrant full-color design with over 1,400 drawings and photographs and a clear, simple two-column format with examination techniques on the left and abnormalities and interpretations on the right. Highlights of this edition include greater emphasis on patient communication and interview techniques, a new chapter on the older adult, and over 200 new drawings and photographs of abnormalities. A new front-of-book CD-ROM includes videos of head-to-toe examination.

List of Tables	p. xv
Introduction	p. xix
An Overview of Physical Examination and History Taking	p. 1
The Health History: Structure and Purposes	p. 2
The Comprehensive Adult Health History	p. 4
Chief Complaint(s)	p. 4
Present Illness	p. 4
Past History	p. 5
Family History	p. 5
Personal and Social History	p. 6
Review of Systems	p. 6
The Physical Examination: Approach and Overview	p. 9
The Comprehensive Physical Examination	p. 10
Recording your Findings	p. 13
The Case of Mrs. N	p. 14
Learning History Taking and Physical Examination	p. 19
Interviewing and the Health History	p. 21
Getting Ready: The Approach to the Interview	p. 23
Learning About the Patient: The Process of Interviewing	p. 24
Facilitating the Patient's Story: The Techniques of Skilled Interviewing	p. 30
Adapting Interviewing Techniques to Specific Situations	p. 34
Special Aspects of Interviewing	p. 40
Ethical Considerations	p. 49
Interviewing Patients of Different Ages	p. 52
Beginning the Physical Examination: General Survey and Vital Signs	p. 59
Anatomy and Physiology	p. 59
The Health History	p. 62
Health Promotion and Counseling	p. 65
Preview: Recording the Physical Examination--The General Survey and Vital Signs	p. 66
Techniques of Examination	p. 67
Beginning the Examination: Setting the Stage	p. 67
The General Survey	p. 72
The Vital Signs	p. 75
Blood Pressure	p. 75
Special Problems	p. 79
Heart Rate and Rhythm	p. 80
Respiratory Rate and Rhythm	p. 81
Temperature	p. 81
The Skin	p. 95
Anatomy and Physiology	p. 95
Changes with Aging	p. 97
The Health History	p. 98
Health Promotion and Counseling
Preview: Recording the Physical Examination--The Skin	p. 99
Techniques of Examination	p. 100
Skin	p. 100
Nails	p. 102
Hair	p. 102
Skin Lesions in Context	p. 102
The Head and Neck	p. 115
Anatomy and Physiology	p. 115
The Head	p. 115
The Eye	p. 115
The Ear	p. 123
The Nose and Paranasal Sinuses	p. 125
The Mouth and Pharynx	p. 128
The Neck	p. 131
Changes With Aging	p. 134
The Health History	p. 136
The Head	p. 136
The Eyes	p. 137
The Ears	p. 138
The Nose and Sinuses	p. 139
The Mouth, Throat, and Neck	p. 140
Health Promotion and Counseling
Preview: Recording the Physical Examination--The Head, Eyes, Ears, Nose, and Throat (Heent)	p. 143
Techniques of Examination	p. 144
The Head	p. 144
The Eyes	p. 144
The Ears	p. 156
The Nose and Paranasal Sinuses	p. 159
The Mouth and Pharynx	p. 160
The Neck	p. 163
Special Techniques	p. 167
The Thorax and Lungs	p. 209
Anatomy and Physiology	p. 209
Changes With Aging	p. 216
The Health History	p. 216
Health Promotion and Counseling	p. 218
Preview: Recording the Physical Examination--The Thorax and Lungs	p. 219
Techniques of Examination	p. 220
Initial Survey of Respiration and the Thorax	p. 220
Examination of the Posterior Chest	p. 221
Examination of the Anterior Chest	p. 229
Special Techniques	p. 233
The Cardiovascular System	p. 245
Anatomy and Physiology	p. 245
Surface Projections of the Heart and Great Vessels	p. 245
Cardiac Chambers, Valves, and Circulation	p. 247
Events in the Cardiac Cycle	p. 248
The Splitting of Heart Sounds	p. 250
Heart Murmurs	p. 251
Relation of Auscultatory Findings to the Chest Wall	p. 252
The Conduction System	p. 253
The Heart as a Pump	p. 254
Arterial Pulses and Blood Pressure	p. 255
Jugular Venous Pressure and Pulses	p. 256
Changes With Aging	p. 258
The Health History	p. 260
Health Promotion and Counseling	p. 262
Preview: Recording the Physical Examination--The Cardiovascular Examination	p. 265
Techniques of Examination	p. 266
Jugular Venous Pressure and Pulsations	p. 266
The Carotid Pulse	p. 269
The Heart	p. 271
A Note on Cardiovascular Assessment	p. 283
Special Techniques	p. 283
The Breasts and Axillae	p. 297
Anatomy and Physiology	p. 297
Changes With Aging	p. 299
Lymphatics	p. 300
The Health History	p. 301
Health Promotion and Counseling	p. 301
Preview: Recording the Physical Examination--Breasts and Axillae	p. 304
Techniques of Examination	p. 305
The Female Breast	p. 305
The Male Breast	p. 310
The Axillae	p. 310
Special Techniques	p. 311
The Abdomen	p. 317
Anatomy and Physiology	p. 317
Changes With Aging	p. 320
The Health History	p. 320
The Gastrointestinal Tract	p. 321
The Urinary Tract	p. 327
Health Promotion and Counseling	p. 329
Preview: Recording the Physical Examination--The Abdomen	p. 331
Techniques of Examination	p. 332
The Abdomen	p. 332
The Liver	p. 337
The Spleen	p. 340
The Kidneys	p. 343
The Bladder	p. 344
The Aorta	p. 344
Special Techniques	p. 345
Male Genitalia and Hernias	p. 367
Anatomy and Physiology	p. 367
Changes With Aging	p. 369
The Health History	p. 370
Health Promotion and Counseling	p. 371
Preview: Recording the Pelvic Examination--Male Genitalia and Hernias	p. 372
Techniques of Examination	p. 373
The Penis	p. 373
The Scrotum and Its Contents	p. 374
Hernias	p. 375
Special Techniques	p. 376
Female Genitalia	p. 383
Anatomy and Physiology	p. 383
Changes With Aging	p. 385
The Health History	p. 386
Health Promotion and Counseling	p. 389
Preview: Recording the Pelvic Examination--Female Genitalia	p. 390
Techniques of Examination	p. 391
External Examination	p. 393
Internal Examination	p. 394
Hernias	p. 400
Special Techniques	p. 400
The Pregnant Woman	p. 409
Anatomy and Physiology	p. 409
The Health History	p. 413
Health Promotion and Counseling	p. 414
Preview: Recording the Physical Examination--the Pregnant Woman	p. 416
Techniques of Examination	p. 417
General Inspection	p. 418
Vital Signs and Weight	p. 418
Head and Neck	p. 419
Thorax and Lungs	p. 419
Heart	p. 419
Breasts	p. 419
Abdomen	p. 420
Genitalia, Anus, and Rectum	p. 422
Extremities	p. 423
Special Techniques	p. 424
Concluding the Visit	p. 426
The Anus, Rectum, and Prostate	p. 427
Anatomy and Physiology	p. 427
Changes With Aging	p. 428
The Health History	p. 429
Health Promotion and Counseling	p. 430
Preview: Recording the Physical Examination--the Anus, Rectum, and Prostate	p. 432
Techniques of Examination	p. 433
Male	p. 433
Female	p. 436
The Peripheral Vascular System	p. 441
Anatomy and Physiology	p. 441
Arteries	p. 441
Veins	p. 442
The Lymphatic System and Lymph Nodes	p. 444
Fluid Exchange and the Capillary Bed	p. 445
Changes With Aging	p. 446
The Health History	p. 446
Health Promotion and Counseling	p. 448
Preview: Recording the Physical Examination--the Peripheral Vascular System	p. 449
Techniques of Examination	p. 450
Arms	p. 450
Legs	p. 451
Special Techniques	p. 457
The Musculoskeletal System	p. 465
Anatomy and Physiology	p. 465
Structure and Function of Joints	p. 465
Temporomandibular Joint	p. 467
The Shoulder	p. 469
The Elbow	p. 471
The Wrist and Hands	p. 473
The Spine	p. 475
The Hip	p. 478
The Knee	p. 479
The Ankle and Foot	p. 483
Changes With Aging	p. 484
The Health History	p. 484
Health Promotion and Counseling	p. 487
Preview: Recording the Examination--the Musculoskeletal System	p. 489
Techniques of Examination	p. 490
The Temporomandibular Joint (TMJ)	p. 491
The Shoulder	p. 492
The Elbow	p. 496
The Wrist and Hand	p. 497
The Spine	p. 501
The Hip	p. 506
The Knee and Lower Leg	p. 511
The Ankle and Foot	p. 517
Special Techniques	p. 519
The Nervous System	p. 535
Anatomy and Physiology	p. 535
Central Nervous System	p. 536
Peripheral Nervous System	p. 538
Spinal Reflexes: The Deep Tendon Response	p. 540
Motor Pathways	p. 541
Sensory Pathways	p. 542
Changes With Aging	p. 547
The Health History	p. 548
Health Promotion and Counseling	p. 551
Preview: Recording the Examination--the Nervous System	p. 554
Techniques of Examination	p. 555
Mental Status	p. 556
The Cranial Nerves	p. 567
The Motor System	p. 571
The Sensory System	p. 583
Deep Tendon Reflexes	p. 586
Special Techniques	p. 592
Assessing Children: Infancy Through Adolescence	p. 623
Child Development	p. 625
Key Principles	p. 625
Infancy: The First Year of Life	p. 626
Early Childhood: 1 Through 4 Years	p. 628
Middle Childhood: 5 Through 10 Years	p. 630
Adolescence: 11 Through 20 Years	p. 631
Health Promotion and Counseling	p. 634
Approach to the Examination of Children at Different Ages	p. 636
Assessing the Newborn	p. 639
Assessing the Infant	p. 645
Assessing Early Childhood	p. 649
Assessing Middle Childhood	p. 652
Assessing the Adolescent	p. 653
Techniques of Examination	p. 655
General Survey	p. 655
Vital Signs	p. 658
The Skin	p. 663
The Head	p. 666
The Neck	p. 670
The Eye	p. 672
The Ear	p. 676
The Nose and Paranasal Sinuses	p. 680
The Mouth and Pharynx	p. 681
The Thorax and Lungs	p. 686
The Heart	p. 690
The Breasts	p. 699
The Abdomen	p. 700
Male Genitalia	p. 704
Female Genitalia	p. 708
The Rectal Examination	p. 715
The Musculoskeletal System	p. 715
The Nervous System	p. 726
Clinical Reasoning, Assessment, and Plan	p. 783
Assessment and Plan: The Process of Clinical Reasoning	p. 783
The Case of Mrs. N: Assessment and Plan	p. 787
Approaching the Challenges of Clinical Data	p. 789
Building Your Case: The Interplay of Clinical Reasoning and Assessment of Clinical Data	p. 794
Organizing the Patient Record	p. 795
Clinical Assessment: The Journey to Excellence	p. 800
Prevalence and Predictive Value	p. 801
Bibliography	p. 803
Index	p. 825
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Bates' Guide to Physical Examination And History Taking

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