临床检查（第5版）Clinical Examination 下载 pdf 百度网盘 epub 免费 2025 电子书 mobi 在线

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.

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

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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)