The Rational Clinical Examination: Evidence-Based Clinical Dthe Rational Clinical Examination: Evidence-Based Clinical Diagnosis eBook Iagnosis eBook

Contents......Page 7
Contributors......Page 11
Foreword......Page 15
Preface......Page 19
Acknowledgments......Page 21
1. A Primer on the Precision and Accuracy of the Clinical Examination......Page 23
Update: Primer on Precision and Accuracy......Page 31
2. Does This Patient Have Abdominal Aortic Aneurysm?......Page 39
Update: Abdominal Aortic Aneurysm......Page 47
3. Is Listening for Abdominal Bruits Useful in the Evaluation of Hypertension?......Page 53
Update: Abdominal Bruits......Page 59
4. Does This Patient Have an Alcohol Problem?......Page 65
Update: Problem Alcohol Drinking......Page 73
5. Does This Adult Patient Have Appendicitis?......Page 85
Update: Appendicitis, Adult......Page 93
6. Does This Patient Have Ascites?......Page 103
Update: Ascites......Page 109
7. What Can the Medical History and Physical Examination Tell Us About Low Back Pain?......Page 115
Update: Low Back Pain......Page 123
8. Does This Patient Have Breast Cancer?......Page 133
Update: Breast Cancer......Page 145
9. Does This Patient Have a Clinically Important Carotid Bruit?......Page 151
Update: Carotid Bruit......Page 155
10. Does This Patient Have Carpal Tunnel Syndrome?......Page 171
Update: Carpal Tunnel......Page 181
11. Does This Patient Have Abnormal Central Venous Pressure?......Page 191
Update: Central Venous Pressure......Page 199
12. Does This Patient Have Acute Cholecystitis?......Page 207
Update: Cholecystitis......Page 215
13. Does the Clinical Examination Predict Airflow Limitation?......Page 223
Update: Chronic Obstructive Airways Disease......Page 233
14. Does This Patient Have Clubbing?......Page 245
Update: Clubbing......Page 253
15. Is This Patient Taking the Treatment as Prescribed?......Page 257
Update: Compliance and Medication Adherence......Page 263
16(A). Can the Clinical Examination Diagnose Left-Sided Heart Failure in Adults?......Page 271
16(B). Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure?......Page 283
Update: Congestive Heart Failure......Page 297
17. Is This Patient Dead, Vegetative, or Severely Neurologically Impaired? Assessing Outcome for Comatose Survivors of Cardiac Arrest......Page 309
Update: Death......Page 319
18(A). Does This Patient Have Deep Vein Thrombosis? (1998)......Page 321
18(B). Does This Patient Have Deep Vein Thrombosis? (2006)......Page 329
Update: Deep Vein Thrombosis......Page 339
19. Is This Patient Clinically Depressed?......Page 341
Update: Depression......Page 353
20. Does This Patient Have a Family History of Cancer?......Page 365
Update: Family History of Cancer......Page 375
21. Does This Patient Have a Goiter?......Page 377
Update: Goiter......Page 385
22. Does This Patient Have Hepatomegaly?......Page 393
Update: Hepatomegaly......Page 403
23. Does This Patient Have Hypertension?......Page 407
Update: Hypertension......Page 417
24. Is This Adult Patient Hypovolemic?......Page 423
Update: Hypovolemia, Adult......Page 433
25. Is This Child Dehydrated?......Page 441
Update: Hypovolemia, Child......Page 451
26. Does This Patient Have Influenza?......Page 457
Update: Influenza......Page 469
27. Does This Patient Have a Torn Meniscus or Ligament of the Knee?......Page 471
Update: Knee Ligaments and Menisci......Page 483
28. Is This Adult Patient Malnourished?......Page 487
Update: Malnourishment, Adult......Page 495
29. Does This Patient Have a Mole or a Melanoma?......Page 503
Update: Melanoma......Page 511
30. Does This Adult Patient Have Acute Meningitis?......Page 517
Update: Meningitis, Adult......Page 525
31. Is This Woman Perimenopausal?......Page 533
Update: Menopause......Page 541
32. Does This Patient Have Aortic Regurgitation?......Page 547
Update: Murmur, Diastolic......Page 557
33. Does This Patient Have an Abnormal Systolic Murmur?......Page 563
Update: Murmur, Systolic......Page 573
34. Does This Patient Have Myasthenia Gravis?......Page 587
Update: Myasthenia Gravis......Page 597
35. Is This Patient Having a Myocardial Infarction?......Page 599
Update: Myocardial Infarction......Page 609
36. Does This Woman Have Osteoporosis?......Page 619
Update: Osteoporosis......Page 631
37. Does This Child Have Acute Otitis Media?......Page 637
Update: Otitis Media, Child......Page 645
38. Does This Patient Have Parkinson Disease?......Page 653
Update: Parkinsonism......Page 661
39. Is This Patient Allergic to Penicillin?......Page 665
Update: Penicillin Allergy......Page 673
40. Does This Adult Patient Have Community-Acquired Pneumonia?......Page 681
Update: Community-Acquired Pneumonia, Adult......Page 689
41. Does This Infant Have Pneumonia?......Page 697
Update: Pneumonia, Infant and Child......Page 705
42. Is This Patient Pregnant?......Page 715
Update: Early Pregnancy......Page 723
43. Does This Patient Have Pulmonary Embolism?......Page 727
Update: Pulmonary Embolus......Page 737
44. Does This Patient Have an Instability of the Shoulder or a Labrum Lesion?......Page 749
Update: Shoulder Instability......Page 761
45. Does This Patient Have Sinusitis?......Page 765
Update: Sinusitis......Page 773
46. Does This Patient Have Splenomegaly?......Page 781
Update: Splenomegaly......Page 787
47. Does This Patient Have Strep Throat?......Page 795
Update: Streptococcal Pharyngitis......Page 803
48. Is This Patient Having a Stroke?......Page 811
Update: Stroke......Page 825
49. Does This Patient Have Temporal Arteritis?......Page 827
Update: Temporal Arteritis......Page 837
50. Does This Patient Have an Acute Thoracic Aortic Dissection?......Page 849
Update: Thoracic Aortic Dissection......Page 861
51. Does This Woman Have an Acute Uncomplicated Urinary Tract Infection?......Page 867
Update: Urinary Tract Infection, Women......Page 879
52. What Is Causing This Patient\'s Vaginal Symptoms?......Page 883
Update: Vaginitis......Page 897
53. Does This Dizzy Patient Have a Serious Form of Vertigo?......Page 903
Update: Vertigo......Page 909
A......Page 915
B......Page 917
C......Page 918
D......Page 922
F......Page 923
H......Page 924
I......Page 925
L......Page 926
M......Page 928
O......Page 930
P......Page 931
R......Page 934
S......Page 935
T......Page 937
U......Page 938
W......Page 939
Z......Page 940