临床检查(第5版)Clinical Examination
分類: 图书,进口原版书,医学 Medicine ,
作者: Nicholas J. Talley 著
出 版 社: Oversea Publishing House
出版时间: 2005-12-1字数:版次: 1页数: 431印刷时间: 2005/12/01开本: 大16开印次: 1纸张: 铜版纸I S B N : 9780729537629包装: 平装编辑推荐
"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)
内容简介
The new 5th edition of Clinical Examination continues to serve all medical students with a clear and understandable explanation of clinical examination. Set out logically and systematically, this best-selling textbook has comprehensive coverage of essential skills necessary for history taking and examining the patient. Highly regarded by students world-wide, this text continues to grow in strength. Clinical Examination, 5th edition has been revised and updated to include: more evidence-based medicine; new full-color artwork; and a fresh new look allowing greater accessibility for readers. The new edition covers clinical examination and concepts in a systems approach in a clear, consistent and user-friendly approach. Readers using this edition of Clinical Examination will have access to www.studentconsult.com. Here you will receive full online access to the text and numerous interactive extras such as video clips demonstrating some of the more difficult examinations & MCQ's. Written by two internationally renowned authors, Clinical Examination, 5th edition will continue to provide students with a superb reference for performing clinical methods.
Offers access to the full text and other valuable features online via the STUDENT CONSULT website.
Now in full-color.
New artwork provides consistency and improves quality of images as seen in previous edition.
New design of overall layout offering greater accessibility.
More evidence-based medicine.
目录
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