Emphasizing the most important physical signs needed to determine an underlying condition or disease, McGee's Evidence-Based Physical Diagnosis, Sixth Edition, offers vital insight and instruction on the fundamental clinical skill of physical diagnosis. Internationally renowned author Dr. Steven McGee clearly shows how to pare down the multiple tests needed to confirm a diagnosis, saving both the physician and patient time, energy, and expense. This unique resource provides evidence-based guidance that, combined with modern technologic testing, will grant clinicians the keys to outstanding patient care.

• Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations
• Contains thorough updates from cover to cover, including revisions to ensure currency with research developments, updated references, numerous new physical findings, and updated EBM boxes with recalculated likelihood ratios
• Features a unique, up-to-date, evidence-based calculator online that enables you to easily determine probability using likelihood ratios
• Covers the conditions and diseases you re most likely to encounter, including stance and gait, jaundice, anemia, obesity, Cushing syndrome, mental status examination, blood pressure, diabetic retinopathy, hearing, pneumonia, pulmonary embolism, heart murmurs, abdominal pain and tenderness, stroke, and much more
• Begins each chapter with a list of Key Teaching Points, intended for readers desiring quick summaries and for teachers constructing concise bedside lessons

• An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

  Autorentext
  Dr. McGee is an internationally known and respected expert in physical examination and assessment, pain management, and education in general internal medicine. One of the most senior physicians in the University of Washington and Seattle Veteran's Administration Health Systems, Dr. McGee has more than 400 publications to his credit.

  Inhalt

  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 EBM Calculator (Elsevier ebooks +)
  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 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 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 Functional Neurological Disorders
  PART 14 Examination in the Intensive Care Unit
  70 Examination of Patients in the Intensive Care Unit