物理诊断学 英文版PDF电子书下载

SECTIONⅠThe Art of Interviewing 3

CHAPTER1 The Interviewer s Questions 3

Basic Principles 3

Symptoms and Signs 7

Conducting an Interview 8

Basic Interviewing Techniques 10

Format of the History 16

Concluding Thoughts 31

CHAPTER2 The Patient s Responses 35

Responses to Illness 35

Responses to the Interviewer 38

Influence of Background and Age on Patient Response 41

Influence of Disease on Patient Response 46

CHAPTER3 Caring for Patients in a Culturally Diverse Society 51

General Considerations 52

Specific Cross-Cultural Perspectives 62

Traditional Chinese Medicine 70

Conclusion 77

CHAPTER4 Assessment of Nutritional Status 79

Medical History 80

Physical Examination 87

Special Populations 89

Clinicopathologic Correlations 96

Concluding Thoughts 99

CHAPTER5 Putting the History Together 101

Interview of Mr．John Doe 101

Written History of Mr．John Doe 110

SECTION ⅡThe Science of the Physical Examination 115

CHAPTER6 The Physical Examination 115

The Basic Procedures 115

Preparation for the Examination 117

Precautions to Take During the Examination 118

The Goal of the Physical Examination 119

General Considerations 123

CHAPTER7 The Skin 123

Structure and Physiology 124

Review of Specific Symptoms 127

Impact of Skin Disease on the Patient 129

Physical Examination 129

Description of Lesions 135

Clinicopathologic Correlations 141

CHAPTER8 The Head and Neck 179

General Considerations 179

Structure and Physiology 180

Impact of Head and Neck Disease on the Patient 183

Review of Specific Symptoms 183

Physical Examination 184

Clinicopathologic Correlations 188

CHAPTER9 The Eye 195

Historical considerations 195

Structure and Physiology 195

Review of Specific Symptoms 201

Impact of Blindness on the Patient 205

Physical Examination 206

Ophthalmoscopic Examination 226

Clinicopathologic Correlations 233

Structure and Physiology 257

CHAPTER10 The Ear and Nose 257

General Considerations 257

Review of Specific Symptoms 263

Impact of Deafness on the Patient 268

Physical Examination 269

Clinicopathologic Correlations 279

CHAPTER11 The Oral Cavity and Pharynx 285

General Considerations 285

Structure and Physiology 286

Review of Specific Symptoms 290

Impact of a Voice Disorder on the patient 293

Physical Examination 294

Clinicopathologic Correlations 306

CHAPTER12 The Chest 315

General Considerations 315

Structure and Physiology 315

Review of Specific Symptoms 320

Impact of Lung Disease on the Patient 326

Physical Examination 327

Clinicopathologic Correlations 338

General Considerations 345

CHAPTER13 The Heart 345

Structure and Physiology 346

Review of Specific Symptoms 354

Impact of Cardiac Disease on the Patient 362

Physical Examination 362

Clinicopathologic Correlations 382

CHAPTER14 The Peripheral Vascular System 391

General Considerations 391

Structure and Physiology 392

Review of Specific Symptoms 392

Impact of Vascular Disease on the Patient 394

Physical Examination 394

Clinicopathologic Correlations 402

CHAPTER15 The Breast 407

General Considerations 407

Structure and Physiology 408

Review of Specific Symptoms 411

Impact of Breast Disease on the Patient 414

Physical Examination 415

Clinicopathologic Correlations 424

CHAPTER16 The Abdomen 427

Structure and Physiology 427

Review of Specific Symptoms 430

Impact of Inflammatory Bowel Disease on the Patient 436

Physical Examination 437

Clinicopathologic Correlations 458

CHAPTER17 Male Genitalia and Hernias 461

General Considerations 461

Structure and Physiology 462

Review of Specific Symptoms 467

Impact of Eretile Dysfunction on the Patient 474

Physical Examination 475

Clinicopathologic Correlations 486

CHAPTER18 Female Genitalia 495

General Considerations 495

Structure and Physiology 496

Review of Specific Symptoms 501

Impact of Infertility on the Patient 507

Physical Examination 508

Clinicopathologic Correlations 522

CHAPTER19 The Musculoskeletal System 527

General Considerations 527

Structure and Physiology 528

Review of Specific Symptoms 543

Impact of Musculoskeletal Disease on the Patient 545

Physical Examination 545

Clinicopathologic Correlations 566

CHAPTER20 The Nervous System 579

General Considerations 579

Structure and Physiology 580

Review of Specific Symptoms 589

Impact of Chronic Neurologic Disease on the Patient 596

Physical Examination 596

Clinicopathologic Correlations 630

CHAPTER21 Putting the Examination Together 637

The Techniques 637

The Written Physical Examination 644

General Considerations 651

SECTIONⅢ Evaluation of Specific Patients 651

CHAPTER22 The Pregnant Patient 651

Structure and Physiology 652

Review of Specific Symptoms 656

Obstetric Risk Assessment 660

Calculation of Due Date 661

Impact of Pregnancy on a Patient 662

Physical Examination 662

Initial Comprehensive Evaluation 662

Subsequent Antenatal Examinations 666

Clinicopathologic Correlations 668

General Considerations 671

CHAPTER23 The Pediatric Patient 671

The Pediatric History 672

Examination of the Newborn 681

Examination of the Infant 700

Examination of the Young Child 711

Examination of the Older Child 719

Examination of the Adolescent 722

Clinicopathologic Correlations 726

CHAPTER24 The Geriatric Patient 733

General Considerations 733

Structure and Physiology 734

Basic Principles of Geriatric Medicine 738

The Geriatric History 739

Impact of Growing Old on the Patient 742

Physical Examination 742

Clinicopathologic Correlations 744

CHAPTER25 The Acutely Ⅲ Patient 747

Primary Survey 748

Secondary Survey 750

The Pediatric Emergency 753

Art，Science，and Observation 759

CHAPTER26 Diagnostic Reasoning in Physical Diagnosis 759

SECTION Ⅳ Putting the Data to Work 759

Diagnostic Reasoning from Signs and Symptoms 761

CHAPTER27 The Clinical Record 775

Putting the History and Physical Examination Together 775

The Human Dimension 781

EPILOGUE 783

APPENDICES 787

AppendixA Commonly Abused Drugs 787

AppendixB Signs and Symptoms in Deficiency States 789

AppendixC Conversion Tables 792

Index 795