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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 |