
最 低 价:¥369.90
定 价:¥569.00
作 者:Nicholas J. Talley 著 著
出 版 社:Oversea Publishing House
出版时间:2005-12-1
I S B N:9780729537629
| "Clinical Examination: A Systematic Guide to Physical Diagnosis" contains everything a clinician needs to know about medical case-studies. The practical emphases of this book spanned across physiology and anatomy. It guides its reader on how best to observe and infer symptom signs. This book also included generous evaluation of both paediatric and geriatric symptoms. Midwifery students would be pleased with the commendable job it did on topics relating to obstetrics and neonatology. In conclusion, I would say that this book is a good diagnostic tool: a rich resource whose practical approach is supported by spectacular figures and photographs. Another quality guide for discerning medics! Medical Student, Zurich, Switzerland (review from Amazon.com) |
| Foreword 1 Foreword 2 Preface Acknowledgments Clinical methods: a historical perspective The Hippocratic oath Chapter 1 The general principles of history taking Bedside manner and establishing rapport Obtaining the history Introductory questions The presenting (principal) symptom History of the presenting illness Current symptoms; current treatment and drug history; sexual history; menstrual history; the impact of the illness The past history The social and personal history Occupation and education; social habits and maintenance of good health; overseas travel and immunisation; marital status, social support and living conditions Activities of daily living The family history Systems review The 'uncooperative' or 'difficult' patient Cross-cultural history taking Skills in history taking The assessment References Suggested reading Chapter 2 The general principles of physical examination Evidence-based clinical examination First impressions Vital signs Facies Jaundice; cyanosis; pallor; hair Weight, body habitus and posture Hydration The hands and nails Temperature Smell Preparing the patient for examination References Suggested reading Chapter 3 The cardiovascular system The cardiovascular history Presenting symptoms; risk factors for coronary disease; treatment; past history; social history The cardiovascular examination Positioning the patient; general appearance; hands; arterial pulse; blood pressure; face; neck; praecordium; back; abdomen, lower limbs; peripheral vascular disease; acute arterial occlusion; deep venous thrombosis; varicose veins Correlation of physical signs and cardiovascular disease Cardiac failure; chest pain; pericardial disease; systemic hypertension; pulmonary hypertension; valve diseases of the left heart; valve diseases of the right heart; cardiomyopathy; aortic dissection; acyanotic congenital heart disease; cyanotic congenital heart disease; 'grown-up' congenital heart disease The chest X-ray: a systematic approach Frontal film; lateral film; examples of chest X-rays in cardiac disease Summary The cardiovascular examination: a suggested method References Suggested reading Chapter 4 The respiratory system and breast examination The respiratory history Presenting symptoms; treatment; past history; occupational history; social history; family history The respiratory examination Positioning the patient; general appearance; hands; face; trachea; chest; heart; abdomen; other; bedside assessment of lung function Correlation of physical signs and respiratory disease Consolidation (lobar pneumonia); collapse; pleural effusion; pneumothorax; tension pneumothorax; bronchiectasis; bronchial asthma; chronic obstructive pulmonary disease (chronic airflow limitation); emphysema; chronic bronchitis; pulmonary fibrosis; tuberculosis; mediastinal compression; carcinoma of the lung; sarcoidosis; pulmonary embolism The chest X-ray Chest X-ray checklist Examination of the breasts Inspection; palpation; evaluation of a breast lump Summary The respiratory examination: a suggested method References Suggested reading Chapter 5 The gastrointestinal system The gastrointestinal history Presenting symptoms; treatment; past history; social history; family history The gastrointestinal examination Positioning the patient; general appearance; the hands; the arms; the face; the neck and chest; the abdomen--inspection, palpation, percussion, auscultation; hernias; rectal examination; proctosigmoidoscopy; other Examination of the gastrointestinal contents Faeces; vomitus Urinalysis Examination of the acute abdomen Correlation of physical signs and gastrointestinal disease Liver disease; portal hypertension; hepatic encephalopathy; dysphagia; assessment of gastrointestinal bleeding; malabsorption; inflammatory bowel disease The abdominal X-ray: a systematic approach Radiography; bowel gas pattern; bowel dilation; calcification; ascites Summary The gastrointestinal examination: a suggested method References Suggested reading Chapter 6 The genitourinary system The genitourinary history Presenting symptoms; menstrual and sexual history; treatment; past history; social history; family history …… Chapter 7 The hasmatological system Chapter 8 The rheumatological system Chapter 9 The endocrine sysem Chapter 10 The nervous system Chapter 11 The psychiatric history and mental state examination Chapter 12 The skin and mails Chapter 13 A system for the infectious diseases examination Appendix Ⅰ Writing and presenting the history and physical examination Appendix Ⅱ A suggested method for a rapid screening physical examination Appendix Ⅲ The pre-anasethetic medical evaluation (PAME) Index |
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