Evidence-Based Physical Diagnosis
- 5th Edition - July 8, 2021
- Imprint: Elsevier
- Author: Steven McGee
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 5 4 8 3 - 5
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 4 8 4 - 2
Evidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical… Read more
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Request a sales quoteEvidence-based insights into physical signs have evolved and progressed greatly over the past few years, further defining how physical findings identify disease, solve clinical problems, and forecast patient outcomes. Evidence-Based Physical Diagnosis, 5th Edition, is an up-to-date, authoritative resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Incorporating more than 200 new studies, this definitive text helps you glean the most from what you hear, see, and feel at the bedside—information that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.
Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.
Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.
Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.
Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.
Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.
Family medicine, internal medicine
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Dedication
- Preface to the Fifth Edition
- Introduction to the First Edition
- References
- part 1: Introduction
- Chapter 1. What is Evidence-Based Physical Diagnosis?
- Part 2: Understanding the Evidence
- Chapter 2. Diagnostic Accuracy of Physical Findings
- I Introduction
- II Pre-Test Probability
- III Sensitivity and Specificity
- IV Likelihood Ratios
- References
- Chapter 3. Using the Tables in This Book
- I Introduction
- II Frequency of Findings Tables
- III Diagnostic Accuracy Tables (EBM Boxes)
- IV Criteria for Selecting Studies Used in Diagnostic Accuracy Tables
- V Summarizing Likelihood Ratios
- References
- Chapter 4. Using the Online EBM Calculator
- I The Evidence-Based Medicine Calculator
- II Using the Calculator
- Chapter 5. Reliability of Physical Findings
- Appendix Calculation of the κ-statistic
- References
- Part 3: General Appearance of the Patient
- Chapter 6. Mental Status Examination
- I Introduction
- II Clock-Drawing Test
- III Mini-Cog Test
- IV Mini-Mental Status Examination (MMSE)
- V Diagnosis of Delirium (Confusion Assessment Method)
- References
- Chapter 7. Stance and Gait
- I Introduction
- II Etiology of Gait Disorders
- III Types of Gait Disorders and Their Significance
- IV Evaluation of Gait Disorders
- V Canes
- References
- Chapter 8. Jaundice
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 9. Cyanosis
- I Definitions
- II Pathogenesis
- III The Finding
- IV Clinical Significance
- References
- Chapter 10. Anemia
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 11. Hypovolemia
- I Introduction
- II The Findings and Their Pathogenesis
- III Clinical Significance
- References
- Chapter 12. Protein-Energy Malnutrition and Weight Loss
- Protein-Energy Malnutrition
- Weight Loss
- References
- Chapter 13. Obesity
- I Introduction
- II The Findings and Their Significance
- References
- Chapter 14. Cushing Syndrome
- I Introduction
- II The Findings and Their Pathogenesis
- III Clinical Significance
- References
- Part 4: Vital Signs
- Chapter 15. Pulse Rate and Contour
- Pulse Rate
- Abnormalities of Pulse Contour
- References
- Chapter 16. Abnormalities of Pulse Rhythm
- I Introduction
- II Technique
- III The Findings and Their Clinical Significance
- References
- Chapter 17. Blood Pressure
- I Introduction
- II Technique
- III The Findings and Their Clinical Significance
- References
- Chapter 18. Temperature
- I Introduction
- II Technique
- III The Finding
- IV Clinical Significance
- References
- Chapter 19. Respiratory Rate and Abnormal Breathing Patterns
- Respiratory Rate
- Abnormal Breathing Patterns
- References
- Chapter 20. Pulse Oximetry
- I Introduction
- II The Finding
- III Clinical Significance
- References
- Part 5: Head and Neck
- Chapter 21. The Pupils
- Normal Pupils
- Abnormal Pupils
- References
- Chapter 22. Diabetic Retinopathy
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 23. The Red Eye
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 24. Hearing
- I Introduction
- II Technique
- III Clinical Significance
- References
- Chapter 25. Thyroid and Its Disorders
- Goiter
- Thyroid Nodules
- Hypothyroidism (Myxedema)
- Hyperthyroidism
- References
- Chapter 26. Meninges
- I The Findings
- II Pathogenesis of Meningeal Signs
- III Clinical Significance
- References
- Chapter 27. Peripheral Lymphadenopathy
- I Introduction
- II Anatomy and Pathogenesis
- III The Finding
- IV Clinical Significance
- References
- Part 6: The Lungs
- Chapter 28. Inspection of the Chest
- I Clubbing (Acropachy, Hippocratic fingers)
- II Barrel Chest
- III Pursed Lip Breathing
- IV Accessory Muscle Use
- V Chest Wall Retractions and Nasal Flaring
- VI Intensity of Breathing Sounds (Inspiratory White Noise; Noisy Breathing)
- References
- Chapter 29. Palpation and Percussion of the Chest
- Palpation
- Percussion
- References
- Chapter 30. Auscultation of the Lungs
- I Breath Sounds
- II Vocal Resonance
- III Adventitious Sounds
- References
- Chapter 31. Ancillary Tests
- I Forced Expiratory Time
- II Blow-Out-The-Match Test
- References
- Part 7: Selected Pulmonary Disorders
- Chapter 32. Pneumonia
- I Introduction
- II Clinical Significance
- References
- Chapter 33. Chronic Obstructive Lung Disease
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 34. Pulmonary Embolism
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 35. Pleural Effusion
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Part 8: The Heart
- Chapter 36. Inspection of the Neck Veins
- I Introduction
- II Venous Pressure
- III Abdominojugular Test
- IV Kussmaul Sign
- V Venous Waveforms
- References
- Chapter 37. Percussion of the Heart
- I Introduction
- II Clinical Significance
- References
- Chapter 38. Palpation of the Heart
- I Introduction
- II Technique
- III The Findings
- IV Clinical Significance
- References
- Chapter 39. Auscultation of the Heart: General Principles
- I Characteristics of Heart Sounds and Murmurs
- II The Stethoscope
- III Use of the Stethoscope
- References
- Chapter 40. The First and Second Heart Sounds
- The First Heart Sound (S1)
- The Second Heart Sound (S2)
- References
- Chapter 41. The Third and Fourth Heart Sounds
- I Introduction
- II Definitions
- III Technique
- IV Pathogenesis
- V Clinical Significance
- References
- Chapter 42. Miscellaneous Heart Sounds
- Ejection Sounds
- Mid-to-late Systolic Clicks
- Opening Snap
- Pericardial Knock
- Tumor Plop
- Prosthetic Heart Sounds
- References
- Chapter 43. Heart Murmurs: General Principles
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Part 9: Selected Cardiac Disorders
- Chapter 44. Aortic Stenosis
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 45. Aortic Regurgitation
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 46. Miscellaneous Heart Murmurs
- Hypertrophic Cardiomyopathy
- Mitral Regurgitation
- Mitral Valve Prolapse
- Tricuspid Regurgitation
- Pulmonic Regurgitation
- Mitral Stenosis
- Arteriovenous Fistulae: The Hemodialysis Fistula
- References
- Chapter 47. Disorders of the Pericardium
- Pericarditis and the Pericardial Rub
- Cardiac Tamponade
- Constrictive Pericarditis
- References
- Chapter 48. Congestive Heart Failure
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 49. Coronary Artery Disease
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Part 10: Abdomen
- Chapter 50. Inspection of the Abdomen
- Ecchymosis of the Abdominal Wall
- Sister Mary Joseph Nodule
- References
- Chapter 51. Palpation and Percussion of the Abdomen
- I Introductory Comments on Technique
- II Liver
- III The Spleen
- IV Gallbladder: Courvoisier Sign
- V Bladder Volume
- VI Ascites
- VII Abdominal Aortic Aneurysm
- References
- Chapter 52. Abdominal Pain and Tenderness
- Acute Abdominal Pain
- Chronic Abdominal Pain
- References
- Chapter 53. Auscultation of the Abdomen
- Abdominal Bruits
- Hepatic Rub
- Bowel Sounds
- References
- Part 11: Extremities
- Chapter 54. Peripheral Vascular Disease
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 55. The Diabetic Foot
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 56. Edema and Deep Vein Thrombosis
- Edema
- Deep Vein Thrombosis
- References
- Chapter 57. Examination of the Musculoskeletal System
- The Shoulder
- The Hip
- The Knee
- The Ankle
- References
- Part 12: Neurologic Examination
- Chapter 58. Visual Field Testing
- I Introduction
- II Definitions
- III The Anatomy of the Visual Pathways
- IV Technique
- V The Findings
- VI Clinical Significance
- References
- Chapter 59. Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia
- Diplopia
- Disorders of Cranial Nerves III, IV, and VI
- References
- Chapter 60. Miscellaneous Cranial Nerves
- Olfactory Nerve (I)
- Trigeminal Nerve (V)
- Facial Nerve (VII)
- Glossopharyngeal (IX) and Vagus (X) Nerves
- Spinal Accessory Nerve (XI)
- Hypoglossal Nerve (XII)
- References
- Chapter 61. Examination of the Motor System: Approach to Weakness
- The Motor Examination
- Approach to Weakness
- References
- Chapter 62. Examination of the Sensory System
- Simple Sensations
- Proprioception
- Cortical Sensations
- Dermatomes
- Sensory Syndromes
- References
- Chapter 63. Examination of the Reflexes
- Reflex Hammers
- Muscle Stretch Reflexes
- Cutaneous Reflexes (Superficial Reflexes)
- Babinski Response
- Primitive Reflexes
- References
- Chapter 64. Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves
- I Introduction
- II The Arm
- III The Leg
- References
- Chapter 65. Coordination and Cerebellar Testing
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Part 13: Selected Neurologic Disorders
- Chapter 66. Tremor and Parkinson Disease
- I Introduction
- II The Finding
- III Clinical Significance: Diagnosing Parkinson Disease
- References
- Chapter 67. Hemorrhagic Versus Ischemic Stroke
- I Introduction
- II Findings
- III Clinical Significance
- References
- Chapter 68. Acute Vertigo and Imbalance
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Chapter 69. Examination of Nonorganic Neurologic Disorders
- I Traditional Physical Findings of Nonorganic Disease
- II Clinical Significance
- References
- Part 14: Examination in the Intensive Care Unit
- Chapter 70. Examination of Patients in the Intensive Care Unit
- I Introduction
- II The Findings
- III Clinical Significance
- References
- Appendix
- Chapter 71. Appendix: Likelihood Ratios, Confidence Intervals, and Pretest Probability
- Index
- Edition: 5
- Published: July 8, 2021
- Imprint: Elsevier
- No. of pages: 720
- Language: English
- Paperback ISBN: 9780323754835
- eBook ISBN: 9780323754842
SM
Steven McGee
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.
Affiliations and expertise
Steven McGee, MD, Professor Emeritus, Medicine, University of Washington School of Medicine, Seattle, WA, USA