BOOK
Seidel's Physical Examination Handbook - E-Book
Jane W. Ball | Joyce E. Dains | John A. Flynn | Barry S. Solomon | Rosalyn W. Stewart
(2017)
Additional Information
Book Details
Abstract
Corresponding to chapters in Seidel’s Guide to Physical Examination, 9th Edition, this portable, full-color, richly illustrated guide prepares you for any clinical setting. Examination tables and Aids to Differential Diagnosis tables provide access to the physical exam in an easy-to-understand two-column format for each system exam. Key information includes differential diagnosis tips, pediatric variations, sample documentation, and other helpful assessment data for quick reference. Separate chapters cover age-specific exams for infants, children, adolescents, and older adults, and the healthy female evaluation, as well as reporting and documenting findings for electronic charting. This new edition been updated throughout to match the 9th edition of the Ball/Seidel, and redesigned for improved legibility and usability in clinicals and beyond!
- Two-column Examination sections provide a convenient quick reference to key exam steps, along with expected and unexpected findings.
- Aids to Differential Diagnosis tables summarize distinguishing characteristics of abnormalities, furnishing you with clues for identifying characteristic symptoms and diagnosing patient problems.
- Color-coded Pediatric Variations tables provide a convenient resource on differences in findings and developmental considerations for pediatric patients.
- Sample Documentation sections at the ends of system chapters promote concise yet thorough examples of patient charting for each system exam, applicable both to traditional charting and electronic health records (EHRs).
- More than 200 full-color illustrations of anatomy and physiology, examination procedures, and normal and abnormal findings offer a visual reference to performing exams and anticipated and unanticipated findings.
- NEW! Updated content throughout reflects the latest research and evidence-based practice to equip you with best practices for physical examination and health assessment.
- NEW! Improved legibility and usability make it easier for you to locate essential clinical content quickly.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Contents | ES1 | ||
SEIDEL’S PHYSICALEXAMINATION HANDBOOK: AN INTERPROFESSIONAL APPROACHNINTH | i | ||
Copyright | ii | ||
Preface | iii | ||
To Henry W. Seidel and G. William Benedict | v | ||
1 - The History | 1 | ||
Building the History | 1 | ||
Chief Concern | 1 | ||
History of Present Illness | 1 | ||
Medical History | 2 | ||
Family History | 2 | ||
Personal and Social History | 3 | ||
Review of Systems | 4 | ||
Pediatric Variations | 6 | ||
Concluding Questions | 6 | ||
OLDER ADULT VARIATIONS | 9 | ||
2 - Vital Signs and Pain Assessment | 10 | ||
Equipment | 10 | ||
EXAMINATION | 10 | ||
Pain Assessment Tools | 12 | ||
Pediatric Variations | 13 | ||
EXAMINATION | 13 | ||
3 - Mental Status | 20 | ||
Equipment | 20 | ||
EXAMINATION | 20 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 27 | ||
Sample Documentation | 28 | ||
Pediatric Variations | 29 | ||
EXAMINATION | 29 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 29 | ||
4 - Growth and Nutrition | 30 | ||
Equipment | 30 | ||
EXAMINATION | 30 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 33 | ||
Sample Documentation | 34 | ||
Pediatric Variations | 34 | ||
EXAMINATION | 34 | ||
5 - Skin, Hair, and Nails | 36 | ||
Equipment | 36 | ||
EXAMINATION | 36 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 46 | ||
Pediatric Variations | 48 | ||
EXAMINATION | 48 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 48 | ||
Sample Documentation | 49 | ||
6 - Lymphatic System | 51 | ||
Equipment | 51 | ||
EXAMINATION | 51 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 56 | ||
Sample Documentation | 59 | ||
Pediatric Variations | 59 | ||
EXAMINATION | 59 | ||
7 - Head and Neck | 60 | ||
Equipment | 60 | ||
EXAMINATION | 60 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 65 | ||
Pediatric Variations | 68 | ||
EXAMINATION | 68 | ||
Sample Documentation | 70 | ||
8 - Eyes | 71 | ||
Equipment | 71 | ||
EXAMINATION | 72 | ||
Sample Documentation | 79 | ||
Pediatric Variations | 79 | ||
EXAMINATION | 79 | ||
9 - Ears, Nose, and Throat | 80 | ||
Equipment | 80 | ||
EXAMINATION | 80 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 92 | ||
Pediatric Variations | 94 | ||
EXAMINATION | 94 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 96 | ||
Sample Documentation | 97 | ||
10 - Chest and Lungs | 98 | ||
Equipment | 98 | ||
EXAMINATION | 98 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 107 | ||
Pediatric Variations | 110 | ||
EXAMINATION | 110 | ||
Sample Documentation | 111 | ||
11 - Heart | 112 | ||
Equipment | 112 | ||
EXAMINATION | 112 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 116 | ||
Pediatric Variations | 118 | ||
EXAMINATION | 118 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 119 | ||
Sample Documentation | 120 | ||
12 - Blood Vessels | 121 | ||
Equipment | 121 | ||
EXAMINATION | 121 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 126 | ||
Pediatric Variations | 127 | ||
EXAMINATION | 127 | ||
Sample Documentation | 128 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 128 | ||
13 - Breasts and Axillae | 129 | ||
Equipment | 129 | ||
EXAMINATION | 129 | ||
Pediatric Variations | 137 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 138 | ||
Sample Documentation | 139 | ||
14 - Abdomen | 140 | ||
Equipment | 140 | ||
EXAMINATION | 140 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 152 | ||
Pediatric Variations | 160 | ||
EXAMINATION | 160 | ||
Sample Documentation | 161 | ||
15 - Female Genitalia | 162 | ||
Equipment | 162 | ||
EXAMINATION | 162 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 178 | ||
Pediatric Variations | 183 | ||
EXAMINATION | 183 | ||
Sample Documentation | 186 | ||
16 - Male Genitalia | 187 | ||
Equipment | 187 | ||
EXAMINATION | 187 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 191 | ||
Pediatric Variations | 193 | ||
Sample Documentation | 195 | ||
17 - Anus, Rectum, and Prostate | 196 | ||
Equipment | 196 | ||
EXAMINATION | 196 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 199 | ||
Pediatric Variations | 202 | ||
EXAMINATION | 202 | ||
Sample Documentation | 203 | ||
18 - Musculoskeletal System | 204 | ||
Equipment | 204 | ||
EXAMINATION | 204 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 225 | ||
Pediatric Variations | 228 | ||
EXAMINATION | 228 | ||
Sample Documentation | 229 | ||
19 - Neurologic System | 230 | ||
Equipment | 230 | ||
EXAMINATION | 230 | ||
AIDS TO DIFFERENTIAL DIAGNOSIS | 250 | ||
Pediatric Variations | 253 | ||
EXAMINATION | 253 | ||
Sample Documentation | 256 | ||
20 - Head-to-Toe Examination: Adult | 257 | ||
Components of the Examination | 257 | ||
GENERAL INSPECTION | 257 | ||
MEASUREMENTS | 258 | ||
PATIENT SEATED, WEARING GOWN | 258 | ||
Head and Face | 259 | ||
Eyes | 259 | ||
Ears | 260 | ||
Nose | 260 | ||
Mouth and Pharynx | 260 | ||
Neck | 260 | ||
Upper Extremities | 261 | ||
PATIENT SEATED, BACK EXPOSED | 261 | ||
Back and Posterior Chest | 261 | ||
Lungs | 262 | ||
PATIENT SEATED, CHEST EXPOSED | 262 | ||
Anterior Chest, Lungs, Heart | 262 | ||
Female Breasts | 263 | ||
Male Breasts | 263 | ||
PATIENT RECLINING 45 DEGREES | 263 | ||
PATIENT SUPINE, CHEST EXPOSED | 264 | ||
Female Breasts | 264 | ||
Heart | 264 | ||
PATIENT SUPINE, ABDOMEN EXPOSED | 264 | ||
Abdomen | 264 | ||
Inguinal Area | 265 | ||
External Genitalia, Males | 265 | ||
PATIENT SUPINE, LEGS EXPOSED | 265 | ||
Feet and Legs | 265 | ||
Hips | 265 | ||
PATIENT SITTING, LAP DRAPED | 265 | ||
Musculoskeletal | 266 | ||
Neurologic | 266 | ||
PATIENT STANDING | 266 | ||
Spine | 267 | ||
Neurologic | 267 | ||
Abdominal/Genital | 267 | ||
FEMALE PATIENT, LITHOTOMY POSITION | 267 | ||
External Genitalia | 268 | ||
Internal Genitalia | 268 | ||
MALE PATIENT, BENDING FORWARD | 268 | ||
CONCLUSION | 269 | ||
21 - Age-Specific Examination: Infants, Children, and Adolescents | 270 | ||
Examination Guidelines | 270 | ||
CHILD PLAYING | 271 | ||
CHILD ON PARENT’S LAP | 271 | ||
Upper Extremities | 272 | ||
Lower Extremities | 272 | ||
Head and Neck | 272 | ||
Chest, Heart, Lungs | 272 | ||
CHILD RELATIVELY SUPINE, STILL ON LAP, DIAPER LOOSENED | 273 | ||
CHILD STANDING | 273 | ||
CHILD ON PARENT’S LAP | 274 | ||
Age-Specific Anticipated Observations and Guidelines | 274 | ||
BIRTH TO 2 WEEKS OF AGE | 274 | ||
History (particular attention) | 274 | ||
Development | 275 | ||
Physical Examination (particular attention) | 275 | ||
Anticipatory Guidance (particular attention) | 275 | ||
Plans and Problems | 275 | ||
2 MONTHS OF AGE | 275 | ||
History (particular attention) | 275 | ||
Development | 276 | ||
Physical Examination (particular attention) | 276 | ||
Anticipatory Guidance | 276 | ||
Plans and Problems | 277 | ||
4 MONTHS OF AGE | 277 | ||
History (particular attention) | 277 | ||
Development | 277 | ||
Physical Examination (particular attention) | 278 | ||
Anticipatory Guidance | 278 | ||
Plans and Problems | 278 | ||
6 MONTHS OF AGE | 278 | ||
History (interim details) | 278 | ||
Development | 278 | ||
Physical Examination (particular attention) | 279 | ||
Anticipatory Guidance | 279 | ||
Plans and Problems | 279 | ||
9 MONTHS OF AGE | 279 | ||
History (interim details) | 279 | ||
Development | 280 | ||
Physical examination (particular attention) | 280 | ||
Anticipatory guidance | 280 | ||
Plans and Problems | 280 | ||
12 MONTHS OF AGE | 281 | ||
History (interim details) | 281 | ||
Development | 281 | ||
Physical Examination (particular attention) | 281 | ||
Anticipatory Guidance | 281 | ||
Plans and Problems | 281 | ||
15 MONTHS OF AGE | 282 | ||
History (interim details) | 282 | ||
Development | 282 | ||
Physical Examination (particular attention) | 282 | ||
Anticipatory Guidance | 282 | ||
Plans and Problems | 283 | ||
18 MONTHS OF AGE | 283 | ||
History (interim details) | 283 | ||
Development | 283 | ||
Physical Examination (particular attention) | 283 | ||
Anticipatory Guidance | 283 | ||
Plans and Problems | 284 | ||
2 YEARS OF AGE | 284 | ||
History (interim details) | 284 | ||
Development | 284 | ||
Physical Examination (particular attention) | 285 | ||
Anticipatory Guidance | 285 | ||
Plans and Problems | 285 | ||
3 YEARS OF AGE | 285 | ||
History (interim details) | 285 | ||
Development | 285 | ||
Physical Examination (particular attention) | 286 | ||
Anticipatory Guidance | 286 | ||
Plans and Problems | 286 | ||
4 YEARS OF AGE | 286 | ||
History (interim details) | 286 | ||
Development | 287 | ||
Physical Examination (particular attention) | 287 | ||
Anticipatory Guidance | 287 | ||
Plans and Problems | 287 | ||
5 YEARS OF AGE | 288 | ||
History (interim details) | 288 | ||
Development | 288 | ||
Physical Examination (particular attention) | 288 | ||
Anticipatory Guidance | 288 | ||
Plans and Problems | 289 | ||
ELEMENTARY SCHOOL YEARS (6-12 YEARS OF AGE) | 289 | ||
History (interim details) | 289 | ||
Development | 289 | ||
Physical Examination (particular attention) | 289 | ||
Anticipatory Guidance | 289 | ||
Plans and Problems | 290 | ||
ADOLESCENTS | 290 | ||
History (interim details) | 290 | ||
Development | 290 | ||
Physical Examination (particular attention) | 291 | ||
Anticipatory Guidance | 291 | ||
Plans and Problems | 291 | ||
22 - Age-Specific Examination: Special Populations and Older Adults | 292 | ||
Examination Guidelines | 292 | ||
COGNITIVE ASSESSMENT | 293 | ||
TESTING MEMORY IN VISUALLY IMPAIRED PATIENTS | 294 | ||
FUNCTIONAL ASSESSMENT | 295 | ||
Activities of Daily Living | 295 | ||
23 - The Healthy Female Evaluation | 297 | ||
History | 297 | ||
HISTORY OF PRESENT ILLNESS | 297 | ||
RISK ASSESSMENT | 297 | ||
HEALTH HABITS | 298 | ||
Physical Examination | 298 | ||
Screening Recommendations | 298 | ||
24 - Sports Participation Evaluation | 301 | ||
Examination Guidelines | 301 | ||
25 - Documentation | 308 | ||
Subjective Data—The History | 308 | ||
IDENTIFYING INFORMATION | 308 | ||
SOURCE AND RELIABILITY OF INFORMATION | 308 | ||
CHIEF CONCERN/PRESENTING PROBLEM/REASON FOR SEEKING CARE | 308 | ||
HISTORY OF PRESENT PROBLEM | 309 | ||
MEDICAL HISTORY | 309 | ||
Family History | 310 | ||
PERSONAL/SOCIAL HISTORY | 310 | ||
REVIEW OF SYSTEMS | 311 | ||
Objective Data—Physical Findings | 312 | ||
GENERAL STATEMENT | 312 | ||
MENTAL STATUS | 312 | ||
SKIN | 312 | ||
HEAD | 312 | ||
EYES | 312 | ||
EARS | 313 | ||
NOSE | 313 | ||
MOUTH AND THROAT | 313 | ||
NECK | 313 | ||
CHEST | 313 | ||
LUNGS | 313 | ||
BREASTS | 314 | ||
HEART | 314 | ||
BLOOD VESSELS | 314 | ||
ABDOMEN | 314 | ||
FEMALE GENITALIA | 315 | ||
MALE GENITALIA | 315 | ||
ANUS AND RECTUM | 315 | ||
LYMPHATIC | 315 | ||
MUSCULOSKELETAL | 315 | ||
NEUROLOGIC | 316 | ||
Assessment | 316 | ||
Plan | 316 | ||
References | 317 | ||
Quick Reference to Special Histories | 325 | ||
Index | 331 | ||
A | 331 | ||
B | 333 | ||
C | 334 | ||
D | 335 | ||
E | 336 | ||
F | 337 | ||
G | 338 | ||
H | 338 | ||
I | 340 | ||
J | 340 | ||
K | 341 | ||
L | 341 | ||
M | 341 | ||
N | 343 | ||
O | 344 | ||
P | 344 | ||
R | 346 | ||
S | 347 | ||
T | 348 | ||
U | 349 | ||
V | 350 | ||
W | 350 | ||
X | 351 | ||
CDC and WHO Growth Charts | 352 | ||
Who Growth Charts | 352 | ||
Birth to 24 Months | 352 | ||
CDC Growth Charts | 352 | ||
Children and Adolescents 2 to 20 Years (5th-95th Percentile) | 352 | ||
Optional Charts (5th-95th Percentile) | 352 | ||
Signs & Symptoms That Can be Caused by Drugs | ES2 |