| Preface to the Fifth Edition |
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v | |
| Preface to the First Edition |
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vi | |
| Acknowledgments |
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vii | |
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1 | (22) |
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1 | (1) |
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2 | (1) |
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Diagnostic Equipment to Purchase |
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2 | (3) |
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The Science of Clinical Examination |
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5 | (1) |
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The Art of Clinical Examination |
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5 | (1) |
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6 | (1) |
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6 | (3) |
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Evaluation of Diagnostic Signs: More Definitions |
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9 | (5) |
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14 | (4) |
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18 | (2) |
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Appendix 1-1 Answer to the Question on the Stethoscope |
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20 | (1) |
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Appendix 1-2 Answer to the Question on Incidence and Prevalence |
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20 | (1) |
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Appendix 1-3 Analysis of Example on Testing Sequence |
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20 | (1) |
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Appendix 1-4 Answer to the Self-study Question on Prior and Posterior Probabilities |
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20 | (1) |
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Appendix 1-5 Answer to Self-study Question 1 on NNT |
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20 | (1) |
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Appendix 1-6 Answer to Self-study Question 2 on NNT |
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20 | (1) |
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20 | (3) |
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23 | (31) |
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23 | (1) |
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First Principles of the Interview |
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23 | (1) |
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24 | (5) |
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Assessing and Improving Your Interviewing Skills |
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29 | (3) |
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32 | (1) |
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Last Question in the Interview |
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32 | (1) |
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The Psychodynamic Termination of the Physical Examination |
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32 | (1) |
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For the Practicing Physician: Notes on Office-Based Practice |
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33 | (1) |
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Interviewing Patients Who Are Forgetful or Confused |
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33 | (6) |
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Approach to the Elderly Patient |
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39 | (1) |
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The Patient Who Seems to Be Changing His Story |
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39 | (1) |
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40 | (1) |
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The Patient Who May Be Addicted to Drugs or Behaviors |
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40 | (2) |
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The Patient Who May Be Involved in Illegal Activities |
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42 | (1) |
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The Patient Who May Have Other Legal Involvements |
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42 | (1) |
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42 | (1) |
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The Patient Who Might Have a Factitious Disease |
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43 | (1) |
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44 | (1) |
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The Patient Who Is a Member of a Subculture with Its Own Jargon |
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44 | (1) |
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The Non-English-Speaking Patient |
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44 | (1) |
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The Patient Who Cannot Hear Well |
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45 | (1) |
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The Patient Who Cannot Read Well |
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45 | (1) |
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45 | (1) |
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The Patient Who Refers to Himself as a "Guinea Pig" |
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45 | (1) |
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The Patient Who Will Only Be Examined by a "Real Doctor" |
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45 | (1) |
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The Patient Who Asks Personal Questions |
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46 | (1) |
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The Organ Recital (Or "By the Way, Doctor...") |
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46 | (1) |
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46 | (1) |
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47 | (1) |
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The Uncooperative ("Noncompliant") Patient |
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47 | (2) |
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49 | (1) |
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The Patient Who Begins to Cry |
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50 | (1) |
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The Patient Who Is Undiagnosable |
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50 | (1) |
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51 | (1) |
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The Patient Who Denies the Relevance of Psychological Factors |
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51 | (1) |
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The "Internet-Searching" Patient |
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51 | (1) |
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The Midnight Emergency Room Visitor |
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51 | (1) |
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Appendix 2-1 Reasons for Identifying the Patient with Dementia |
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51 | (1) |
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Appendix 2-2 Answer to the Self-Test on the CAGE Test |
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51 | (1) |
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52 | (1) |
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52 | (2) |
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54 | (28) |
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Importance of the History |
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54 | (1) |
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The Difference between Facts and Information |
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54 | (1) |
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Overview of History of Present Illness |
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54 | (1) |
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55 | (1) |
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55 | (3) |
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58 | (1) |
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Abbreviated History in Trauma Patients |
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59 | (1) |
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Elaboration of Selected Symptoms |
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59 | (11) |
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A Philosophical Interlude on "Diseases" and "Syndromes" |
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70 | (1) |
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Use of Diagnostic Conclusions |
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71 | (1) |
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71 | (1) |
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72 | (1) |
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73 | (2) |
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75 | (1) |
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75 | (2) |
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Dietary and Nutritional History |
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77 | (1) |
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78 | (1) |
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78 | (1) |
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79 | (3) |
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82 | (19) |
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82 | (2) |
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Model Outline of Gerry Rodnan, MD |
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84 | (3) |
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Comments on Historic Information |
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87 | (1) |
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General Considerations on Authoring the Medical Record |
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88 | (1) |
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88 | (1) |
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The "Problem-Oriented" Medical Record |
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89 | (1) |
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History of the Present Illness |
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89 | (2) |
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91 | (1) |
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91 | (1) |
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92 | (1) |
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92 | (3) |
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95 | (1) |
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96 | (1) |
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96 | (3) |
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Appendix 4-1 Forgacs Notation: Pathophysiologic Explanations |
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97 | (1) |
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Appendix 4-2 A Spanish-English Case Record |
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97 | (2) |
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99 | (2) |
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101 | (6) |
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101 | (1) |
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102 | (2) |
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104 | (1) |
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Habitus and Body Proportions |
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104 | (1) |
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105 | (1) |
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Is the Patient Dehydrated? |
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105 | (1) |
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Is the Patient Malnourished? |
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105 | (1) |
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105 | (1) |
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105 | (1) |
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106 | (1) |
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107 | (27) |
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107 | (1) |
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107 | (13) |
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120 | (5) |
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125 | (2) |
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127 | (4) |
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131 | (3) |
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134 | (40) |
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134 | (25) |
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159 | (3) |
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162 | (8) |
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Appendix 7-1 Answers to the Self-test in Fig. 7-1 |
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168 | (1) |
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Appendix 7-2 Answers to the Question in Fig. 7-4 |
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169 | (1) |
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Appendix 7-3 Answer to Self-test on Cafe Au Lait Spots in Neurofibromatosis |
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169 | (1) |
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Appendix 7-4 Answer to the Question in Fig. 7-6 and a Note on Terminology (Expressions of Ignorance) |
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169 | (1) |
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Appendix 7-5 Predictive Value of Skin Tags for the Presence of Colonic Polyps |
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169 | (1) |
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Appendix 7-6 Koilonychia in a Well-Baby Clinic |
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170 | (1) |
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170 | (4) |
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174 | (5) |
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174 | (1) |
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174 | (4) |
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Evaluating the Clinical Significance of Lymph Nodes |
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178 | (1) |
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Appendix 8-1 What Is Wrong with the Story about Osier? |
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178 | (1) |
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178 | (1) |
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179 | (15) |
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179 | (1) |
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179 | (6) |
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185 | (2) |
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187 | (1) |
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187 | (2) |
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189 | (1) |
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190 | (1) |
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190 | (1) |
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Special Maneuvers: Transillumination |
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190 | (1) |
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191 | (1) |
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A Note on Head and Facial Pain |
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191 | (1) |
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192 | (2) |
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194 | (60) |
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194 | (1) |
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194 | (1) |
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195 | (2) |
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197 | (1) |
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The Eyelids and Other Periorbital Tissue |
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197 | (2) |
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199 | (1) |
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200 | (3) |
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203 | (1) |
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204 | (1) |
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205 | (2) |
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207 | (1) |
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208 | (3) |
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211 | (1) |
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211 | (5) |
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Ophthalmoscopic Examination |
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216 | (5) |
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221 | (29) |
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Appendix 10-1 Answers to Questions on Pupillary Light Reflex |
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249 | (1) |
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Appendix 10-2 Answer to Question in Fig. 10-36 |
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249 | (1) |
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Appendix 10-3 Six Pearls of Clinical Ophthalmoscopy for the Primary Care Physician and Medical Consultant |
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249 | (1) |
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Appendix 10-4 Why Did House Staff Miss the Findings of Carotid Occlusive Disease? |
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250 | (1) |
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250 | (4) |
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254 | (13) |
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254 | (3) |
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257 | (2) |
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Nonotologic Causes of Otalgia |
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259 | (1) |
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259 | (1) |
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260 | (6) |
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Appendix 11-1 Earlobe Crease: Sensitivity, Specificity, and Predictive Value |
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265 | (1) |
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Appendix 11-2 Testing the Diagnosis of a Blocked Eustachian Tube |
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265 | (1) |
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Appendix 11-3 Answer to Question in Legend to Fig. 11-7 |
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265 | (1) |
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266 | (1) |
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267 | (5) |
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267 | (1) |
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267 | (3) |
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Special Maneuvers: Sense of Smell |
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270 | (1) |
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271 | (1) |
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272 | (17) |
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272 | (1) |
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273 | (1) |
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273 | (1) |
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274 | (2) |
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276 | (1) |
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276 | (1) |
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277 | (1) |
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278 | (1) |
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278 | (4) |
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282 | (1) |
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282 | (1) |
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Findings in Patients with Obstructive Sleep Apnea |
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283 | (1) |
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284 | (1) |
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284 | (2) |
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286 | (3) |
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289 | (10) |
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289 | (1) |
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289 | (1) |
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289 | (5) |
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294 | (1) |
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295 | (1) |
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296 | (1) |
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297 | (2) |
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299 | (11) |
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299 | (1) |
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History: Risk Factors for Breast Cancer |
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299 | (2) |
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Draping the Female Patient |
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301 | (1) |
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302 | (1) |
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302 | (2) |
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304 | (1) |
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Discharge from the Breast |
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305 | (1) |
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306 | (1) |
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Appendix 15-1 Predictive Value of the Results of Screening Mammography |
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307 | (1) |
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307 | (3) |
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310 | (45) |
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310 | (5) |
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315 | (2) |
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317 | (8) |
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325 | (10) |
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335 | (8) |
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343 | (8) |
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351 | (1) |
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Appendix 16-1 Auscultatory Percussion for the Detection of Pleural Effusion |
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351 | (1) |
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Appendix 16-2 Answer to the Self-test on the Specificity of Auscultatory Percussion, Page 304 |
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352 | (1) |
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Appendix 16-3 Answers to Self-test on Diagnostic Findings (Figs. 16-17-16-22) |
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352 | (1) |
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Appendix 16-4 Predictive Value of Diminished Breath Sounds for the Detection of Moderate COPD |
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352 | (1) |
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352 | (3) |
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355 | (55) |
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355 | (1) |
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356 | (1) |
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357 | (1) |
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358 | (3) |
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361 | (21) |
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382 | (2) |
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384 | (1) |
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384 | (5) |
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389 | (3) |
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392 | (3) |
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395 | (1) |
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396 | (1) |
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397 | (1) |
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397 | (2) |
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399 | (1) |
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399 | (1) |
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When Is (Apparent) Congestive Heart Failure Not Congestive Heart Failure? |
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400 | (1) |
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Apparent Combination Lesions |
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400 | (2) |
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402 | (1) |
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A Comparison of Clinical Examination with Doppler Echocardiography |
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402 | (2) |
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A Note on Cardiopulmonary Resuscitation |
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404 | (1) |
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404 | (1) |
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Arteriovenous Fistula Toxicity |
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404 | (2) |
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Appendix 17-1 Massive Pericardial Effusion and the PMI |
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405 | (1) |
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Appendix 17-2 Answer to Self-study on Page 343 |
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405 | (1) |
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Appendix 17-3 Why Laennec Could Hear Better Than He Could Palpate |
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405 | (1) |
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Appendix 17-4 Key to Fig. 17-11 on page 390 |
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405 | (1) |
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Appendix 17-5 Differential Diagnosis of a Murmur |
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405 | (1) |
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Appendix 17-6 CPC Diagnosis: A Case in Which a Murmur Similar to That of Mitral Stenosis Was Not Mitral Stenosis |
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405 | (1) |
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Appendix 17-7 The Auenbrugger Sign |
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405 | (1) |
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Appendix 17-8 When Is Congestive Heart Failure Not Congestive Heart Failure? |
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405 | (1) |
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406 | (4) |
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410 | (28) |
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410 | (1) |
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Carotid (and Vertebral) Arteries |
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410 | (11) |
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421 | (1) |
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421 | (1) |
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Axillary and Brachial Arteries |
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421 | (1) |
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421 | (1) |
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422 | (1) |
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423 | (3) |
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426 | (1) |
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Renal Arteries and Other Causes of Abdominal Bruits |
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426 | (4) |
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Arteries of the Lower Extremities |
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430 | (3) |
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433 | (1) |
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433 | (1) |
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Peripheral Perfusion and Shock |
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433 | (1) |
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Other Vascular Conditions |
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433 | (1) |
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Appendix 18-1 Answer to Question on Aortic and Peripheral Aneurysms |
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434 | (1) |
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Appendix 18-2 Discussion of Case Report |
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434 | (1) |
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Appendix 18-3 Answer to Self-study on Renovascular Hypertension |
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434 | (1) |
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434 | (4) |
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438 | (20) |
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438 | (8) |
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Jugular Venous Pulsations |
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446 | (3) |
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449 | (1) |
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449 | (6) |
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Appendix 19-1 The Circulation Time |
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453 | (2) |
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Appendix 19-2 Answer to Self-test on the Kussmaul Sign |
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455 | (1) |
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Appendix 19-3 Diagnosticiry of the Abdominojugular Reflex |
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455 | (1) |
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455 | (3) |
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458 | (26) |
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458 | (3) |
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461 | (5) |
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466 | (1) |
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466 | (2) |
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468 | (1) |
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469 | (12) |
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Appendix 20-1 Differential Diagnosis of the Patient in Fig. 20-5 |
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481 | (1) |
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Appendix 20-2 Which Side Has the Perinephric Abscess? |
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481 | (1) |
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Appendix 20-3 Answer to Self-study on Differential Diagnosis |
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481 | (1) |
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481 | (3) |
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484 | (11) |
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484 | (4) |
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488 | (2) |
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Testes, Epididymis, and Spermatic Cords |
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490 | (3) |
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493 | (1) |
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Prostate and Seminal Vesicles |
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493 | (1) |
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493 | (2) |
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495 | (19) |
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495 | (2) |
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497 | (6) |
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503 | (5) |
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508 | (2) |
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510 | (1) |
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511 | (3) |
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514 | (6) |
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514 | (1) |
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Preparing the Patient for Examination |
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514 | (1) |
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515 | (1) |
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515 | (3) |
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Alleged Adverse Effects of the Rectal Examination |
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518 | (1) |
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Special Maneuver: Anoscopy |
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518 | (1) |
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Screening for Colorectal Cancer |
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519 | (1) |
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Appendix 23-1 Answer to Self-study (Signs of Sexual Abuse) |
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519 | (1) |
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Appendix 23-2 Answer to Self-study (Prostatic Nodules) |
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519 | (1) |
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519 | (1) |
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520 | (18) |
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520 | (10) |
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530 | (5) |
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Appendix 24-1 Answer to Self-study (Nodules in Rheumatoid Arthritis and Rheumatic Fever) |
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535 | (1) |
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Appendix 24-2 Answer to Question in Fig. 24-2 Legend |
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535 | (1) |
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Appendix 24-3 Answer to Question in Fig. 24-8 Legend |
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535 | (1) |
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Appendix 24-4 Answer to Question in Fig. 24-9 Legend |
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535 | (1) |
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Appendix 24-5 A Note on the Pit Recovery Time: Answers to Questions in Fig. 24-13 Legend |
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535 | (1) |
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535 | (3) |
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25 The Musculoskeletal System |
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538 | (44) |
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538 | (4) |
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542 | (3) |
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545 | (1) |
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546 | (1) |
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Basic Principles of Examination |
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546 | (4) |
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550 | (8) |
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The Appendicular Skeleton: Joints and Associated Parts |
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558 | (13) |
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Peripheral Nerve Injuries and Entrapment Neuropathies |
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571 | (8) |
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Appendix 25-1 Myopathy: Answer to Question (in an Exercise for the Student) |
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578 | (1) |
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Appendix 25-2 Answer to Question in Fig. 25-3 Legend |
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578 | (1) |
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579 | (3) |
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26 The Neurologic Examination |
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582 | (100) |
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582 | (2) |
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584 | (18) |
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602 | (3) |
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605 | (2) |
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607 | (3) |
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610 | (5) |
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615 | (7) |
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622 | (6) |
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628 | (10) |
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638 | (9) |
|
|
|
647 | (1) |
|
|
|
648 | (3) |
|
Selected Neurologic Symptoms or Diagnoses |
|
|
651 | (3) |
|
Consciousness, Stupor, and Coma |
|
|
654 | (6) |
|
|
|
660 | (12) |
|
Functional and Molecular Imaging in Encephalopathy |
|
|
672 | (1) |
|
A Coda on the Patient with a Chronic Neurologic Illness |
|
|
672 | (2) |
|
Appendix 26-1 Answer to Self-study Question on the Red Glass Test |
|
|
672 | (1) |
|
Appendix 26-2 Self-test on the Corneal Reflex |
|
|
672 | (2) |
|
Appendix 26-3 Why Parkinson Could Not Detect Cogwheeling |
|
|
674 | (1) |
|
|
|
674 | (1) |
|
Appendix 26-5 Assessment of Affect |
|
|
674 | (1) |
|
|
|
674 | (1) |
|
|
|
674 | (8) |
|
|
|
682 | (16) |
|
Principles of Clinical Reasoning |
|
|
682 | (4) |
|
|
|
686 | (2) |
|
|
|
688 | (9) |
|
Appendix 27-1 Analysis for the Problem in Logical Fallacies Section |
|
|
696 | (1) |
|
Appendix 27-2 A Method for Solving the Problem in Diagnosis by Exclusion Section |
|
|
697 | (1) |
|
|
|
697 | (1) |
|
28 Some Bedside Laboratory Tricks |
|
|
698 | (18) |
|
|
|
698 | (7) |
|
|
|
705 | (5) |
|
Other Body Fluids and Secretions |
|
|
710 | (4) |
|
The Future of Diagnostic Testing |
|
|
714 | (1) |
|
|
|
714 | (2) |
|
29 Annotated Bibliography |
|
|
716 | (3) |
| Index |
|
719 | |
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