
Physical Diagnosis Secrets
- 3rd Edition - December 26, 2016
- Imprint: Elsevier
- Authors: Salvatore Mangione, Peter Sullivan, Michael S. Wagner
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 2 6 3 3 6 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 3 1 5 8 7 - 6
For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for… Read more

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The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective.
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Fully revised and updated throughout, with highly illustrated coverage of the history and physical exam, followed by assessment techniques that are weighted based on their clinical importance.
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Online assessment includes audio clips of the heart and lung.
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Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams.
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Bulleted lists, mnemonics, practical tips from leaders in the field – all providing a concise overview of important board-relevant content. Multiple-choice questions online provide opportunities for further self-assessment.
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Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.
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Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Dedication
- Preface
- Video Table of Contents
- Top 100 Secrets
- Abstract
- Chapter 1. General Appearance, Facies, and Body Habitus
- Abstract
- General Appearance
- A Posture
- B State of Hydration
- C State of Nutrition
- D Facies
- E Apparent Age
- F Gait
- G Gait Disturbances Due to Pain
- H Gait Disturbances Due to Immobile Joints
- I Gait Disturbances Due to Muscle Weakness
- J Gait Disturbances Due to Abnormal Neurologic Control
- General Appearance (POCUS)
- K Volume Status
- Selected Bibliography
- Chapter 2. Vital Signs
- Abstract
- Generalities
- A Vital Statistics
- B Vital Signs
- C Temperature
- D Heart Rate and Rhythm
- E Blood Pressure
- F Respiration
- G Focused Ultrasound and Vital Signs
- Selected Bibliography
- Chapter 3. The Skin
- Abstract
- A Basic Terminology and Diagnostic Techniques
- B Nails
- C Hair
- D Fluid-Filled Lesions: PUS (PUSTULES) – Table 3.2
- E Fluid-Filled Lesions: Clear Fluid (Vesiculobullous Diseases)
- F Scabies (see Questions 245–247)
- G Solid Lesions: Tan Or Pink – Table 3.3
- H Solid Lesions: White
- I Solid Lesions: Brown
- J Solid Lesions: Yellow
- K Solid Lesions: Red Or Purple – Table 3.4
- L Secondary Syphilis (see later)
- M Vascular Reactions
- N Miscellaneous Disorders
- O Skin Manifestations of Systemic Disorders
- P Focused Skin and Soft Tissue Ultrasound
- Q Suspected Infection
- Acknowledgment
- Selected Bibliography
- Chapter 4. The Eye
- Abstract
- Generalities
- A Color Vision
- B Visual Fields
- C Pupils
- D External Eye
- E Opthalmoscopy
- F Optic Disc
- G Retinal Circulation
- H Retinal Background
- I Diabetic Retinopathy
- J Retinal Detachment
- K Macula
- L Red Eye
- M Focused Ultrasound of The Eye
- Acknowledgment
- Selected Bibliography
- Chapter 5. The Ear
- Abstract
- Generalities
- A External Ear
- B Middle Ear (Tympanic Cavity)
- C Otoscopic Examination
- D Pneumatic Otoscopy
- E Inner Ear
- F Bedside Hearing Tests
- Acknowledgment
- Selected Bibliography
- Chapter 6. Nose and Mouth
- Abstract
- A The Nose
- B The Oral Cavity
- C Tongue
- D Lips
- E Gums and Teeth
- F Focused Ultrasound of the Nose and Mouth
- Acknowledgment
- Selected Bibliography
- Chapter 7. The Neck
- Abstract
- A Neck Features and Swellings
- B Salivary Glands
- C Focused Neck Ultrasound
- Acknowledgment
- Selected Bibliography
- Chapter 8. The Thyroid
- Abstract
- Generalities
- A Anatomic Review and Thyroid Gland Inspection
- B Thyroid Gland Palpation
- C Additional Components of the Focused Thyroid Examination
- D Goiter
- E Thyroid Nodules
- F Graves’ Disease
- G Hypothyroidism
- H Focused Thyroid Ultrasound
- Acknowledgment
- Selected Bibliography
- Chapter 9. The Breast
- Abstract
- Generalities
- A Nipple Discharge
- B Gynecomastia
- C Focused Breast Ultrasound
- Acknowledgment
- Selected Bibliography
- Chapter 10. The Cardiovascular Exam
- Abstract
- Generalities
- A General (Physical) Appearance
- B The Arterial Pulse
- C Central Venous Pressure (CVP) and Jugular Venous Pulse (Waveform)
- D The Precordial Movement and Impulse
- E Heart Sounds and Extra-Sounds
- A Generalities
- B Cardiac Auscultation – Some Suggestions
- C Normal Heart Sounds
- D First Heart Sound (S1)
- E Second Heart Sound (S2)
- F Extra Sounds
- G Pericardial Friction Rub
- H Cardiac Auscultation – Murmurs
- Introduction
- General Issues
- I Mechanisms of Production
- J Classification
- A Functional Murmurs
- B Systolic Murmurs
- (1) Systolic Ejection Murmurs
- Effect of Bedside Maneuvers on Ejection Murmurs
- A Aortic Stenosis (AS)
- B Aortic Versus Pulmonic Stenosis
- C Miscellaneous Ejection Murmurs
- 2 Systolic Regurgitant Murmurs
- Characteristics of the Murmur
- Effect of Various Bedside Maneuvers on the Intensity of the Murmur
- B Mitral Valve Prolapse (MVP)
- C Tricuspid Regurgitant Murmur (TR)
- 3 Diastolic Murmurs
- A Diastolic Atrioventricular Valve Murmurs
- Characteristics
- Response to Bedside Maneuvers
- B Diastolic Semilunar Valve Murmurs
- D Continuous Murmurs
- E Systolic–Diastolic Murmurs/Sounds
- K Focused Cardiac Ultrasound
- Selected Bibliography
- Chapter 11. Chest Inspection, Palpation, and Percussion
- Abstract
- Generalities
- A Chest Inspection
- B Chest Palpation
- C Chest Percussion
- Selected Bibliography
- Chapter 12. Lung Auscultation
- Abstract
- Generalities
- A Breath Sounds (Basic Lung Sounds)
- B Adventitious Lung Sounds
- C Transmitted Voice Sounds
- C Focused Pulmonary and Thoracic Ultrasound
- Selected Bibliography
- Chapter 13. The Abdomen
- Abstract
- Generalities
- A The Abdominal Wall
- B Liver
- C Gallbladder
- D The Spleen
- E The Stomach
- F The Pancreas
- G The Kidneys
- H The Urinary Bladder
- I Ascites (Dropsy)
- J The Acute Abdomen (Peritoneal Signs)
- K Special Problems --- Appendicitis
- L Focused Abdominal Ultrasound
- Selected Bibliography
- Chapter 14. Male Genitalia, Hernias, and Rectal Exam
- Abstract
- Generalities
- A Male Genitalia
- B Hernia Examination
- C Digital Rectal Examination (DRE)
- D Focused Ultrasound of Hernias, Scrotum, and Prostate
- Selected Bibliography
- Chapter 15. Female Genitalia and the Pelvis
- Abstract
- A Inspection/Palpation of External Genitalia: Vulva and Perineum
- B Examination with Speculum—The Vagina
- C Examination with Speculum—The Cervix
- D Bimanual Palpation --- The Uterine Corpus
- E Bimanual Palpation—The Adnexa
- F Bimanual Palpation—The Cul-De-Sac
- G Rectovaginal Palpation
- H Focused Ultrasound of the Female Pelvis
- Acknowledgment
- Selected Bibliography
- Chapter 16. Lymph Nodes
- Abstract
- A General Considerations
- B Cervical and Supraclavicular Nodes
- C Upper Extremity Nodes
- D Lower Extremity Nodes
- E Abdominal Nodes
- F Focused Ultrasound of The Lymph Nodes
- Selected Bibliography
- Chapter 17. The Neurologic System
- Abstract
- Generalities
- A Mental Status Examination
- B Cranial Nerves Examination
- C Motor System Examination
- D Sensory System Examination
- E Cerebellum
- F Gait
- G Application of the Neurologic Examination
- H Special Problems --- Meningeal Signs
- I Focused Ultrasound of the Neurologic System
- Acknowledgment
- Selected Bibliography
- Chapter 18. The Musculoskeletal System
- Abstract
- Generalities
- A The Shoulder
- B The Elbow
- C The Wrist
- D The Hand
- E The Head and Neck
- F The Thoracic Spine
- G The Lumbar Spine
- H The Sacroiliac Joint
- I The Hip
- J The Knee
- K The Ankle and The Foot
- L Focused Musculoskeletal Ultrasound
- Acknowledgment
- Selected Bibliography
- Chapter 19. The Extremities and Peripheral Vascular Exam
- Abstract
- Generalities
- A The Peripheral Arteries
- B The Peripheral Veins
- C Focused Vascular Ultrasound
- Selected Bibliography
- Index
- Confidence is ClinicalKey
- Edition: 3
- Published: December 26, 2016
- Imprint: Elsevier
- No. of pages: 720
- Language: English
- Paperback ISBN: 9780323263368
- eBook ISBN: 9780323315876
SM
Salvatore Mangione
PS
Peter Sullivan
MW