The Physical Exam

A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR

This book invites clinicians to take a fresh look at the routine physical examination by outlining in detail how they can adapt a more efficient, regional approach to the exam activity. By adopting the systematic sequence and focus provided in this novel title, clinicians can offer a more modern physical examination, one that may prove more productive than the methods taught in the pre-imaging era. The Physical Exam: An Innovative Approach in the Age of Imaging offers a unique, step-by-step sequence for the physical exam. The text guides the clinician through a series of steps that involve observing, touching and listening – in an organized sequence, region by region – of all organ systems. The general approach is applicable to every physical examination and can be modified when appropriate. Express pathways are provided so that the clinicians can quickly assess the general health of the patient while focusing on the presenting problem. A major contribution to the diagnostic literature, the book offers a format and level of complexity that will be of significant value to internal medicine and family physicians, emergency professionals, nurse practitioners, physician’s assistants, and medical students.

Pocket-sized text offers detailed guidance on developing and refining history and physical examination skills for 28 medical specialities. Provides in-depth, ready-to-use questions covering all key potential health issues. Sample write-ups after each chapter are also included.

The first book to teach physical assessment techniques based on evidence and clinical relevance. Grounded in an empirical approach to history-taking and physical assessment techniques, this text for healthcare clinicians and students focuses on patient well-being and health promotion. It is based on an analysis of current evidence, up-to-date guidelines, and best-practice recommendations. It underscores the evidence, acceptability, and clinical relevance behind physical assessment techniques. Evidence-Based Physical Examination offers the unique perspective of teaching both a holistic and a scientific approach to assessment. Chapters are consistently structured for ease of use and include anatomy and physiology, key history questions and considerations, physical examination, laboratory considerations, imaging considerations, evidence-based practice recommendations, and differential diagnoses related to normal and abnormal findings. Case studies, clinical pearls, and key takeaways aid retention, while abundant illustrations, photographic images, and videos demonstrate history-taking and assessment techniques. Instructor resources include PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank. This is the physical assessment text of the future. Key Features: Delivers the evidence, acceptability, and clinical relevance behind history-taking and assessment techniques Eschews “traditional” techniques that do not demonstrate evidence-based reliability Focuses on the most current clinical guidelines and recommendations from resources such as the U.S. Preventive Services Task Force Focuses on the use of modern technology for assessment Aids retention through case studies, clinical pearls, and key takeaways Demonstrates techniques with abundant illustrations, photographic images, and videos Includes robust instructor resources: PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank Purchase includes digital access for use on most mobile devices or computers

The 10-Minute Physical Exam ̶ recognizing medical syndromes, is a training manual directed at all who seek to improve skill, confidence, and clinical diagnosis in physical examination. The two-part manual departs from traditional manuals. In part one, sole emphasis is on developing a consistent, easily performed, whole body screening examination that lessens the likelihood of missing detectable clinical signs, that often occur with unstructured and inconsistent routines. The routine is sequenced in four parts, the mini-exams, that conform to the patient's physical position during the examination and, once practiced and perfected, are combined into a single fluid routine that can be completed in less than ten minutes. Proper gown and draping techniques allow discrete but adequate exposure of the body. Part two is a compendium of 51 medical syndromes, each with a list of potential clinical signs and a facing page with an annotated patient figure, in color. The purpose is for interest and to serve as a reminder that clinical diagnosis requires knowledge of the clinical signs of medical conditions. There are additional blank ages and figures for readers to add their own syndromes. This is an attractively illustrated manual that will become a cherished resource for any clinician.

A concise and highly visual guide to postgraduate physical examination for the MRCS exam, from an expert panel of surgeons.

The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine

This book invites clinicians to take a fresh look at the routine physical examination by outlining in detail how they can adapt a more efficient, regional approach to the exam activity. By adopting the systematic sequence and focus provided in this novel title, clinicians can offer a more modern physical examination, one that may prove more productive than the methods taught in the pre-imaging era. The Physical Exam: An Innovative Approach in the Age of Imaging offers a unique, step-by-step sequence for the physical exam. The text guides the clinician through a series of steps that involve observing, touching and listening – in an organized sequence, region by region – of all organ systems. The general approach is applicable to every physical examination and can be modified when appropriate. Express pathways are provided so that the clinicians can quickly assess the general health of the patient while focusing on the presenting problem. A major contribution to the diagnostic literature, the book offers a format and level of complexity that will be of significant value to internal medicine and family physicians, emergency professionals, nurse practitioners, physician’s assistants, and medical students.