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Netter's Clinical Skills E-Book

Netter's Clinical Skills E-Book

Ilene L Rosenberg | Todd Cassese | Dennis Barbon

(2017)

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Book Details

Abstract

Make the most of every patient encounter – from the clinical interview and history to the physical exam, both in-office and bedside. This discreet quick reference by Ilene L. Rosenberg, MD, FCCP, Todd Cassese, MD, FACP, and Dennis Barbon, RN, helps you achieve consistent and comprehensive results when collecting data and determining your next steps. Carry this thin, fully illustrated checklist in your white coat pocket for the fastest, most efficient way to access essential information you need to know and remember every day.


Table of Contents

Section Title Page Action Price
Front Cover cover
Netter's Clinical Skills: Pocket Guide i
Copyright Page iv
About the Authors v
Preface vi
Acknowledgments vii
About Frank H. Netter, MD viii
Table Of Contents ix
Introduction x
1 History and Communication x
OLDCARTS x
FARCOLDER x
2 Review of Systems 1
Constitutional 2
Skin 2
HEENT 2
Cardiac 2
Pulmonary 3
Gastrointestinal 3
Genitourinary (GU) 3
Musculoskeletal 3
Neurologic 3
3 Core Physical Exam 4
Basic Core Exam 4
Always Perform: 4
Low Threshold, Consider Including: 4
Special Senses 5
4 HEENT 5
Nose 5
Sinuses 5
Ear 5
Tympanic Membrane 5
Jaw and Temporomandibular Joint (TMJ) 5
Mouth, Lips, Teeth, Tongue, and Cheek 5
5 Neck 6
Pharynx 6
Thyroid Examination 6
Cervical Lymph Nodes 6
Palpate Neck 6
Palpate Axillary Lymph Nodes 6
6 Eyes 7
External Eye Exam 7
Internal Eye Exam 7
SIMPLE 7
PERRLA 7
Integumentary 8
7 Skin 8
Skin Lesions Algorithm 8
Distribution 8
Configuration 8
Color 8
Primary Lesions 8
Secondary Lesions 8
Anemia Focused Exam 8
Primary Skin Lesions 9
Flat Nonpalpable 9
Palpable Solid Elevations 9
Primary Skin Lesions Continued 10
Palpable Fluid-Filled Cavities 10
Vascular Lesions 10
Primary Skin Lesions Continued 11
Melanoma Screening 11
ABCDEs of Melanoma 11
Neurological 12
8 Neurological 12
Mental Status Exam 12
Cranial Nerves 12
MINI COG 12
Motor Exam (Basic) 13
Sensory Exam 13
Deep Tendon Reflexes 13
Cerebellar Exam 13
Grade Deep Tendon Reflexes 0-4 13
Romberg 13
9 Dermatomes 14
Root, Motor, Sensation, Reflex 14
Root, Motor, Sensation, Reflex Continued 15
Cardiovascular 16
10 Vascular 16
Venous 16
Palpate Pulses 16
Edema 16
11 Cardiac 17
Heart 17
Pulmonary 18
12 Pulmonary 18
General Inspection 18
Posterior 18
Anterior 19
Digestive 20
13 Abdomen 20
Abdomen 20
Core Abdomen Exam 20
Peritoneal Signs 20
Liver 21
Aorta 21
Kidney 21
Spleen Palpation 21
14 Advanced Abdomen 22
Splenic Enlargement 22
Gallbladder Inflammation 22
Traube Space Boundaries 22
Castell Method 22
Appendicitis Signs 23
Musculoskeletal 24
15 Spine 24
Cervical Spine 24
Thoracic and Lumbar Spine 24
Adam’s Forward Bend Test for Scoliosis 25
16 Upper Musculoskeletal 26
Shoulder 26
Muscle Strength Scale 26
SITS Muscles 26
Elbow 26
Wrist 27
Fingers 27
17 Lower Musculoskeletal 28
Hip 28
Knee 28
Ankle and Foot 29
18 Advanced Shoulder 30
Referred Cervical Pain 30
Biceps Tendon Tests 30
Shoulder Impingement Tests 31
Empty Can 31
Rotator Cuff 32
Shoulder Instability Tests 33
19 Advanced Elbow 34
Lateral Epicondylitis (Tennis Elbow) 34
Medial Epicondylitis (Golfer’s Elbow) 34
20 Advanced Wrist 35
Carpel Tunnel Syndrome 35
21 Advanced Lower Back 36
Lumbar Spine 36
Hip (Side Lying) 36
22 Advanced Hip 37
Hip (Supine) 37
FADDIR 37
FABER 37
23 Advanced Knee 38
Anterior Cruciate Ligament 38
Posterior Cruciate Ligament 38
Meniscus 39
Medial and Lateral Collateral Ligament 39
Reproductive/Urinary 40
24 Male Genitourinary 40
Hernias 40
25 Female Genitourinary 41
26 Breast 42
Breast Exam 42
Palpation Patterns 42
27 Rectal 43
Rectal and Prostate Exam 43
Positioning for Rectal Exam 43
Procedures and Testing 44
28 Procedures 44
Injections 44
Venipuncture 44
Arterial Blood Gases 44
Tying the Tourniquet 44
EKG Lead Placement 45
29 Electrocardiogram Interpretation 46
EKG Reading 46
Be Systematic 46
EKG Reading Continued 47
PQRST Morphology 48
Hallmarks of Infarction 48
PQRST Morphology Continued 49
Example of Normal EKG Morphology 50
Blocks 50
Blocks Continued 51
30 Chest Radiograph 52
Chest Radiograph (CXR) Reading (ABCDEFGHI) 52
Normal Posteroanterior CXR (Female) 52
Normal Left Lateral CXR (Female) 52
Assessment of Technical Quality 52
Radiographic Densities 52
Posteroanterior CXR—Cardiac Structures 53
Left Lateral CXR—Cardiac Structures 53
Posteroanterior CXR— Respiratory Structures 54
Left Lateral CXR—Respiratory Structures 54
Lung Lobes—PA CXR 55
Right Lung Lobes—Lateral CXR 55
Left Lung Lobes—Lateral CXR 55
Putting it All Together 56
31 Screening Physical 56
Full Screening Physical Exam 56
32 Write Up 58
Sample of Normal Physical Examination Patient Note 58
Abbreviation List 58
References 60