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Seidel's Physical Examination Handbook - E-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