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书籍目录

Foreword 1Foreword 2PrefaceAcknowledgmentsClinical methods: a historical perspectiveThe 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 readingChapter 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 readingChapter 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 readingChapter 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 readingChapter 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 readingChapter 6 The genitourinary system   The genitourinary history    Presenting symptoms; menstrual and sexual history; treatment; past history; social history;   family history……Chapter 7 The hasmatological systemChapter 8 The rheumatological systemChapter 9 The endocrine sysemChapter 10 The nervous systemChapter 11 The psychiatric history and mental state examinationChapter 12 The skin and mailsChapter 13 A system for the infectious diseases examinationAppendix Ⅰ Writing and presenting the history and physical examinationAppendix Ⅱ A suggested method for a rapid screening physical examinationAppendix Ⅲ The pre-anasethetic medical evaluation (PAME)Index

作者简介

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.

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