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E-grāmata: Bates' Guide to Physical Examination and History Taking

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  • Formāts: 1072 pages
  • Izdošanas datums: 20-Jun-2016
  • Izdevniecība: Lippincott Williams and Wilkins
  • Valoda: eng
  • ISBN-13: 9781496354723
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  • Formāts: 1072 pages
  • Izdošanas datums: 20-Jun-2016
  • Izdevniecība: Lippincott Williams and Wilkins
  • Valoda: eng
  • ISBN-13: 9781496354723
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Contributors from a number of medical specialties present a textbook for medical, physician assistant, nurse practitioner, and related students who are learning to interview patients, perform a physical examination of them and apply clinical reasoning and shared decision making to their assessment and plan, based on a sound understanding of clinical evidence. As in previous revisions, the 12th edition reflects feedback from students, teachers, and faculty; a commitment to making the book ever easier to read and more efficient to use; and new evidence that supports technologies of examination, interviewing, and health promotion. Annotation ©2016 Ringgold, Inc., Portland, OR (protoview.com)

Perform an accurate, efficient, and effective physical examination with confidence.
 
Bates’ Guide to Physical Examination and History Taking provides authoritative, step-by-step guidance on performing the patient interview and physical examination, applying clinical reasoning, shared decision-making, and other core assessment skills—all based on a firm understanding of clinical evidence. 

This highly regarded text includes fully illustrated, step-by-step techniques that outline the correct performance of the physical examination and an easy-to-follow two-column format featuring examination techniques on the left and abnormalities (clearly indicated in red) with differential diagnoses on the right. Bates’ also includes a unit on special populations, covering special stages in the life cycle—infancy through adolescence, pregnancy, and aging.  
 
  • Clinical pearls, printed in blue, highlight key points throughout the text.
  • Text boxes help readers quickly find important summaries of clinical conditions and tips for challenging examination techniques.
  • Many new and updated photographs and illustrations support the text, and figures are now numbered for easy identification and reference. 
  • Rewritten chapter on evaluating clinical evidence clarifies key concepts to ensure student understanding.
  • Revised and expanded chapter on the skin, hair, and nails includes new dermatology photographs and provides the framework for assessing common lesions and abnormalities.
  • Updated behavior and mental status chapter now references DSM-5.
  • Significantly revised information on obesity and nutrition counseling; cardiovascular risk factor screening and new clinical guidelines; new screening guidelines for breast cancer, colon cancer, Papanicolau smears, and stroke risk factors; updated information on STIs; new geriatric assessment tools; and much more.
  • New life cycle content, including an increased emphasis on cardiovascular health promotion and child development; updated pregnancy topics such as weight gain, substance abuse, and intimate partner violence; and new information on the older adult, including frailty, immunizations, cancer screening, cognitive decline and dementia screening, and a new algorithm for falls prevention. 

Bates’ Guide to Physical Examination and History Taking is the #1 choice for complete, authoritative guidance on mastering every aspect of the all-important physical examination. 
 
Don’t Miss These Additional Resources:
 
Bates’ Pocket Guide to Physical Examination and History Taking, Eighth Edition
The Pocket Guide is an abbreviated version of the Bates’ twelfth edition textbook, designed for portability and convenience at the bedside.

Bates’ Visual Guide to Physical Examination (www.batesvisualguide.com)
Recently refilmed, these 18 volumes of examination videos (as well as 10 additional OSCEs) depict experienced clinicians conducting each of the regional examinations. The videos demonstrate visually the varying techniques of inspection, palpation, percussion, and auscultation in the regional examinations and special populations. 


Bates’ Guide to Physical Examination and History Taking provides authoritative, step-by-step guidance on performing the patient interview and physical examination, applying clinical reasoning, shared decision-making, and other core assessment skills—all based on a firm understanding of clinical evidence. 

This highly regarded text includes fully illustrated, step-by-step techniques that outline the correct performance of the physical examination and an easy-to-follow two-column format featuring examination techniques on the left and abnormalities (clearly indicated in red) with differential diagnoses on the right. Bates’ also includes a unit on special populations, covering special stages in the life cycle—infancy through adolescence, pregnancy, and aging.  

Recenzijas

"Every section of this quality book provides an extensive amount of critical information in an easy-to-use format. This edition has demonstrated the commitment that this group has to the development of exceptional physical examination book. Well done!" Doody's Review ServiceTM, Doody's Core TitleTM (2018 Edition)

Faculty Reviewers vii
Preface ix
Acknowledgments xiii
How To Use Bates' Guide To Physical Examination And History Taking xv
Unit 1 Foundations of Health Assessment 1(108)
Chapter 1 Foundations for Clinical Proficiency
3(42)
Patient Assessment: Comprehensive Or Focused
5(2)
Determining the Scope of Your Assessment
5(1)
Subjective Versus Objective Data
6(1)
The Comprehensive Adult Health History
7(7)
The Comprehensive Adult Health History—Further Description
8(6)
The Comprehensive Physical Examination
14(10)
Beginning the Examination: Setting the Stage
14(7)
The Physical Examination—"Head to Toe"
21(3)
Clinical Reasoning, Assessment, And Plan
24(5)
Clinical Reasoning And Assessment
25(4)
Using Shared Decision-Making to Develop a Plan
29(1)
The Quality Clinical Record: The Case Of Mrs. N.
29(9)
The Importance of the Problem List
37(1)
Recording Your Findings
38(4)
References
42(3)
Chapter 2 Evaluating Clinical Evidence
45(20)
The History And Physical Examination As Diagnostic Tests
46(1)
Evaluating Diagnostic Tests
47(8)
Validity
47(6)
Reproducibility
53(2)
Health Promotion
55(1)
Critical Appraisal
56(4)
Understanding Bias
56(1)
Results
57(2)
Generalizability
59(1)
Guideline Recommendations
59(1)
Looking Ahead
60(4)
References
64(1)
Chapter 3 Interviewing and the Health History
65(44)
Different Kinds Of Health Histories
67(1)
The Fundamentals Of Skilled Interviewing
68(5)
The Sequence And Context Of The Interview
73(13)
Preparation
74(1)
The Sequence of the Interview
75(7)
The Cultural Context of the Interview
82(4)
Advanced Interviewing
86(14)
Interviewing the Challenging Patient
86(7)
Sensitive Topics
93(7)
Ethics And Professionalism
100(6)
References
106(3)
Unit 2 Regional Examinations 109(688)
Chapter 4 Beginning the Physical Examination: General Survey, Vital Signs, and Pain
111(36)
The Health History
112(2)
Health Promotion And Counseling: Evidence And Recommendations
114(6)
The General Survey
120(3)
General Appearance
120(3)
The Vital Signs
123(11)
Blood Pressure
124(7)
Special Situations
131(1)
Heart Rate and Rhythm
132(1)
Respiratory Rate and Rhythm
132(1)
Temperature
133(1)
Acute And Chronic Pain
134(4)
Assessing Acute and Chronic Pain
134(4)
Recording Your Findings
138(6)
References
144(3)
Chapter 5 Behavior and Mental Status
147(26)
Symptoms And Behavior
148(5)
Understanding Symptoms: What Do They Mean? 148 Mental Health Screening
150(3)
The Health History
153(3)
Health Promotion And Counseling: Evidence And Recommendations
156(2)
Techniques Of Examination
158(10)
Appearance and Behavior
158(2)
Speech and Language
160(1)
Mood
161(1)
Thought and Perceptions
161(3)
Cognitive Functions
164(1)
Higher Cognitive Functions
165(2)
Special Techniques
167(1)
Recording Your Findings
168(2)
References
170(3)
Chapter 6 The Skin, Hair, and Nails
173(42)
Anatomy And Physiology
173(2)
Skin
173(1)
Hair
174(1)
Nails
175(1)
Sebaceous Glands and Sweat Glands
175(1)
The Health History
175(1)
Health Promotion And Counseling: Evidence And Recommendations
176(4)
Techniques Of Examination
180(9)
Full-Body and Integrated Skin Examinations
180(1)
Preparing for the Examination
181(1)
The Skin Examination
182(5)
Special Techniques
187(2)
Recording Your Findings
189(25)
References
214(1)
Chapter 7 The Head and Neck
215(88)
The Health History
215(7)
The Head
216(1)
The Eyes
217(2)
The Ears
219(1)
The Nose and Sinuses
220(1)
The Mouth, Throat, and Neck
221(1)
Health Promotion And Counseling: Evidence And Recommendations
222(2)
Anatomy And Physiology And Techniques Of Examination
224(42)
The Head
224(2)
The Eyes
226(16)
The Ear
242(6)
The Nose and Paranasal Sinuses
248(4)
Mouth and Pharynx
252(5)
The Neck
257(7)
Special Techniques
264(2)
Recording Your Findings
266(34)
References
300(3)
Chapter 8 The Thorax and Lungs
303(40)
Anatomy And Physiology
303(7)
Locating Findings on the Chest
304(6)
The Health History
310(3)
Health Promotion And Counseling: Evidence And Recommendations
313(4)
Techniques Of Examination
317(12)
Initial Survey of Respiration and the Thorax
318(1)
Examination of the Posterior Chest
319(8)
Examination of the Anterior Chest
327(2)
Special Techniques
329(1)
Recording Your Findings
329(12)
References
341(2)
Chapter 9 The Cardiovascular System
343(76)
Anatomy And Physiology
343(12)
Surface Projections of the Heart and Great Vessels
343(2)
Cardiac Chambers, Valves, and Circulation
345(1)
Events in the Cardiac Cycle
345(3)
The Splitting of Heart Sounds
348(1)
Heart Murmurs
349(1)
Relation of Auscultatory Findings to the Chest Wall
350(1)
The Conduction System
351(1)
The Heart as a Pump
352(1)
Arterial Pulses and Blood Pressure
353(1)
Jugular Venous Pressure and Pulsations
354(1)
Changes Over the Life Span
355(1)
The Health History
355(3)
Health Promotion And Counseling: Evidence And Recommendations
358(15)
Techniques Of Examination
373(26)
Blood Pressure and Heart Rate
373(1)
Jugular Venous Pressure and Pulsations
374(6)
The Carotid Pulse
380(2)
The Heart
382(2)
Inspection
384(1)
Palpation
384(5)
Percussion
389(1)
Auscultation
389(8)
Integrating Cardiovascular Assessment
397(1)
Special Techniques: Maneuvers to Identify Murmurs and Heart Failure
397(2)
Recording Your Findings
399(14)
References
413(6)
Chapter 10 The Breasts and Axillae
419(30)
Anatomy And Physiology
419(3)
The Female Breast
419(2)
The Male Breast
421(1)
Lymphatics
421(1)
The Health History
422(1)
Health Promotion And Counseling: Evidence And Recommendations
423(11)
Techniques Of Examination
434(9)
The Female Breast
434(6)
The Male Breast
440(1)
The Axillae
440(1)
Special Techniques
441(2)
Recording Your Findings
443(3)
References
446(3)
Chapter 11 The Abdomen
449(60)
Anatomy And Physiology
449(4)
The Health History
453(11)
Patterns and Mechanisms of Abdominal Pain
453(2)
The Gastrointestinal Tract
455(7)
The Urinary Tract
462(2)
Health Promotion And Counseling: Evidence And Recommendations
464(6)
Techniques Of Examination
470(17)
The Abdomen
471(4)
The Liver
475(4)
The Spleen
479(2)
The Kidneys
481(2)
The Bladder
483(1)
The Aorta
483(1)
Special Techniques
484(3)
Recording Your Findings
487(18)
References
505(4)
Chapter 12 The Peripheral Vascular System
509(32)
Anatomy And Physiology
510(7)
Arteries
510(3)
Veins
513(2)
The Lymphatic System
515(1)
Transcapillary Fluid Exchange
516(1)
The Health History
517(2)
Health Promotion And Counseling: Evidence And Recommendations
519(2)
Techniques Of Examination
521(11)
Arms
522(2)
Abdomen
524(1)
Legs
524(5)
Special Techniques
529(3)
Recording Your Findings
532(7)
References
539(2)
Chapter 13 Male Genitalia and Hernias
541(24)
Anatomy And Physiology
541(3)
Lymphatics
543(1)
Anatomy of the Groin
543(1)
The Health History
544(3)
Health Promotion And Counseling: Evidence And Recommendations
547(3)
Techniques Of Examination
550(6)
The Penis
551(1)
The Scrotum and its Contents
552(1)
Hernias
553(2)
Special Techniques
555(1)
Recording Your Findings
556(6)
References
562(3)
Chapter 14 Female Genitalia
565(42)
Anatomy And Physiology
565(4)
The Health History
569(6)
Health Promotion And Counseling: Evidence And Recommendations
575(8)
Techniques Of Examination
583(12)
External Examination
586(1)
Internal Examination
587(7)
Hernias
594(1)
Special Techniques
594(1)
Recording Your Findings
595(9)
References
604(3)
Chapter 15 The Anus, Rectum, and Prostate
607(18)
Anatomy And Physiology
607(2)
The Health History
609(1)
Health Promotion And Counseling: Evidence And Recommendations
610(6)
Techniques Of Examination
616(3)
The Male Patient
616(3)
The Female Patient
619(1)
Recording Your Findings
619(5)
References
624(1)
Chapter 16 The Musculoskeletal System
625(86)
Approach To Musculoskeletal Disorders
626(4)
Types of Joints
628(1)
Synovial Joints and Bursae
629(1)
The Health History
630(6)
Health Promotion And Counseling: Evidence And Recommendations
636(6)
Examination Of Specific Joints: Anatomy And Physiology And Techniques Of Examination
642(53)
Temporomandibular Joint
644(1)
The Shoulder
645(11)
The Elbow
656(1)
The Wrist and Hands
657(9)
The Spine
666(8)
The Hip
674(8)
The Knee
682(8)
The Ankle and Foot
690(4)
Special Techniques
694(1)
Recording Your Findings
695(13)
References
708(3)
Chapter 17 The Nervous System
711(86)
The Challenges Of Neurologic Diagnosis
712(1)
Anatomy And Physiology
713(8)
Central Nervous System
713(1)
Peripheral Nervous System
714(3)
Motor Pathways
717(2)
Sensory Pathways
719(1)
Spinal Reflexes: The Muscle Stretch Response
720(1)
The Health History
721(5)
Health Promotion And Counseling: Evidence And Recommendations
726(7)
Techniques Of Examination
733(40)
The Cranial Nerves
735(6)
The Motor System
741(11)
The Sensory System
752(6)
Muscle Stretch Reflexes
758(5)
Cutaneous or Superficial Stimulation Reflexes
763(1)
Special Techniques
764(9)
Recording Your Findings
773(21)
References
794(3)
Unit 3 Special Populations 797(212)
Chapter 18 Assessing Children: Infancy through Adolescence
799(128)
General Principles Of Child Development
800(1)
Health Promotion And Counseling: Key Components
801(11)
Assessing the Newborn
803(1)
Immediate Assessment at Birth
804(4)
Assessment Several Hours After Birth
808(1)
Assessing the Infant
809(1)
Development
809(1)
General Guidelines
810(2)
Health Promotion And Counseling: Evidence And Recommendations
812(1)
Techniques Of Examination
813(42)
General Survey and Vital Signs
813(3)
The Skin
816(4)
The Head
820(3)
The Eyes
823(2)
The Ears
825(1)
The Nose and Sinuses
826(2)
The Mouth and Pharynx 826 The Neck
828(1)
The Thorax and Lungs
829(3)
The Heart
832(6)
The Breasts
838(1)
The Abdomen
838(2)
Male Genitalia
840(1)
Female Genitalia
841(1)
Rectal Examination
842(1)
The Musculoskeletal System
842(3)
The Nervous System
845(8)
Assessing Young and School-Aged Children
853(1)
Development
853(2)
The Health History
855(5)
Assessing Younger Children
855(2)
Assessing Older Children
857(3)
Health Promotion And Counseling: Evidence And Recommendations
860(2)
Children 1 to 4 Years
860(1)
Children 5 to 10 Years
861(1)
Techniques Of Examination
862(29)
General Survey and Vital Signs
862(3)
The Skin
865(1)
The Head
865(1)
The Eyes
866(1)
The Ears
867(4)
The Nose and Sinuses
871(1)
The Mouth and Pharynx
872(3)
The Neck
875(1)
The Thorax and Lungs
876(1)
The Heart
877(2)
The Abdomen
879(2)
Male Genitalia
881(1)
Female Genitalia
882(3)
The Rectal Examination
885(1)
The Musculoskeletal System
885(2)
The Nervous System
887(3)
Assessing Adolescents
890(1)
Development: 11 to 20 Years
890(1)
The Health History
891(2)
Health Promotion And Counseling: Evidence And Recommendations
893(1)
Techniques Of Examination
894(12)
General Survey and Vital Signs
894(1)
The Skin
895(1)
Head, Ears, Eyes, Throat, and Neck
895(1)
The Heart
895(1)
The Breasts
896(2)
The Abdomen
898(1)
Male Genitalia
898(2)
Female Genitalia
900(1)
The Musculoskeletal System
901(5)
The Nervous System
906(1)
Recording Your Findings
906(18)
References
924(3)
Chapter 19 The Pregnant Woman
927(28)
Anatomy And Physiology
927(5)
Physiologic Hormonal Changes
927(1)
Anatomic Changes
928(4)
The Health History
932(3)
Health Promotion And Counseling: Evidence And Recommendations
935(5)
Techniques Of Examination
940(11)
Positioning
940(1)
Examining Equipment
941(1)
General Inspection
941(1)
Height, Weight, and Vital Signs
942(1)
Head and Neck
942(1)
Thorax and Lungs
943(1)
Heart
943(1)
Breasts
943(1)
Abdomen
944(3)
Genitalia 945 Anus
947(1)
Rectum and Rectovaginal Septum
947(1)
Extremities
948(1)
Special Techniques
948(3)
Recording Your Findings
951(2)
References
953(2)
Chapter 20 The Older Adult
955(54)
Anatomy And Physiology
957(8)
The Health History
965(11)
Approach to the Patient
965(5)
Special Areas of Concern When Assessing Common Symptoms
970(6)
Health Promotion And Counseling: Evidence And Recommendations
976(9)
Techniques Of Examination
985(13)
Assessing Functional Status: the "Sixth Vital Sign"
985(4)
Physical Examination of the Older Adult
989(9)
Recording Your Findings
998(6)
References
1004(5)
Index 1009