Evidence-Based Physical Diagnosis, 5th Edition

• Emphasizes the most important physical signs needed to determine the underlying condition or disease. Internationally renowned author Dr. Steven McGee shows readers how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time and money.

• Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.

• Contains thorough updates from cover to cover, including new evidence on the scientific value of the Romberg test (spinal stenosis); oximeter paradoxus (cardiac tamponade); platypnea (liver disease); pupil size in red eye (acute glaucoma); hum test (hearing loss); and many more.

• Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons.

• Features a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.

• Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

PART 1 Introduction

1 What is Evidence-Based Physical Diagnosis?

PART 2 Understanding The Evidence

2 Diagnostic Accuracy of Physical Findings

3 Using the Tables in This Book

4 Using the Online EBM Calculator

5 Reliability of Physical Findings

PART 3 General Appearance of the Patient

6 Mental Status Examination

7 Stance and Gait

8 Jaundice

9 Cyanosis

10 Anemia

11 Hypovolemia

12 Protein-Energy Malnutrition And Weight Loss

13 Obesity

14 Cushing Syndrome

PART 4 Vital Signs

15 Pulse Rate and Contour

16 Abnormalities of Pulse Rhythm

17 Blood Pressure

18 Temperature

19 Respiratory Rate and Abnormal Breathing Patterns

20 Pulse Oximetry

PART 5 Head and Neck

21 The Pupils

22 Diabetic Retinopathy

23 The Red Eye

24 Hearing

25 Thyroid and Its Disorders

26 Meninges

27 Peripheral Lymphadenopathy

PART 6 The Lungs

28 Inspection of the Chest

29 Palpation and Percussion of the Chest

30 Auscultation of the Lungs

31 Ancillary Tests

PART 7 Selected Pulmonary Disorders

32 Pneumonia

33 Chronic Obstructive Lung Disease

34 Pulmonary Embolism

35 Pleural Effusion

PART 8 The Heart

36 Inspection of the Neck Veins

37 Percussion of the Heart

38 Palpation of the Heart

39 Auscultation of the Heart: General Principles

40 The First and Second Heart Sounds

41 The Third and Fourth Heart Sounds

42 Miscellaneous Heart Sounds

43 Heart Murmurs: General Principles

PART 9 Selected Cardiac Disorders

44 Aortic Stenosis

45 Aortic Regurgitation

46 Miscellaneous Heart Murmurs

47 Disorders of the Pericardium

48 Congestive Heart Failure

49 Coronary Artery Disease

PART 10 Abdomen

50 Inspection of the Abdomen

51 Palpation and Percussion of the Abdomen

52 Abdominal Pain and Tenderness

53 Auscultation of the Abdomen

PART 11 Extremities

54 Peripheral Vascular Disease

55 The Diabetic Foot

56 Edema and Deep Vein Thrombosis

57 Examination of the Musculoskeletal System

PART 12 Neurologic Examination

58 Visual Field Testing

59 Nerves of the Eye Muscles (III, IV, and VI): Approach to Diplopia

60 Miscellaneous Cranial Nerves

61 Examination of the Motor System: Approach to Weakness

62 Examination of the Sensory System

63 Examination of the Reflexes

64 Disorders of the Nerve Roots, Plexuses, and Peripheral Nerves

65 Coordination and Cerebellar Testing

PART 13 Selected Neurologic Disorders

66 Tremor and Parkinson Disease

67 Hemorrhagic versus Ischemic Stroke

68 Acute Vertigo and Imbalance

69 Examination of Nonorganic Neurologic Disorders

PART 14 Examination in the Intensive Care Unit

70 Examination of Patients in the Intensive Care Unit

APPENDIX

71 Likelihood Ratios, Confidence Intervals, and Pretest Probability