Evidence-Based Physical Diagnosis E-Book

Front Cover
Elsevier Health Sciences, Mar 19, 2012 - Medical - 736 pages

Evidence-Based Physical Diagnosis helps you choose the diagnostic approaches that have been proven most effective! Dr. Steven McGee puts the most current evidence at your fingertips, equipping you to easily select the best test for diagnosing a given condition and understand the diagnostic significance and accuracy of your findings. A remarkably easy-to-reference organization makes it simple to find the answers you need.

Quickly review the history, pathogenesis, examination technique, and interpretation of physical findings for all areas of the body thanks to a very reader-friendly outline format, including more than 90 "EBM boxes" and accompanying "EBM ruler" illustrations.

Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine.

See exactly which studies document the significance of various findings thanks to thousands of up-to-date references. Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions.

Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion.

Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables.

Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.

 

Contents

UNDERSTANDING THE EVIDENCE
7
GENERALAPPEARANCEOF THE PATIENT
42
VITAL SIGNS
93
HEAD AND NECK
159
THE LUNGS
227
SELECTED PULMONARY DISORDERS
269
THE HEART
291
SELECTED CARDIAC DISORDERS
372
ABDOMEN
423
EXTREMITIES
458
NEUROLOGIC EXAMINATION
512
SELECTED NEUROLOGIC DISORDERS
618
EXAMINATION IN THE INTENSIVE CARE UNIT
643
Appendix Likelihood Ratios Confidence Intervals and Pretest Probability
651
Index
697
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About the author (2012)

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.

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