Sapira Art and Science of Bedside Medical Diagnosis 4th Edition

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The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination from the fundamentals to the most advanced levels. Written in an artful storytelling style, the book describes methods in step-by-step detail, with clinical pearls, vignettes, practical clinical experience, personal history, explanations of the physiologic significance of findings, and extensive discussions of evidence-based medicine. Even with all of today's sophisticated laboratory and imaging technology, a skillfully performed patient interview and physical examination can be a quicker and more cost-effective route to an accurate diagnosis. The Fourth Edition of Sapira's Art and Science of Bedside Diagnosis is your guide to gaining the most reliable information from your patients, developing a differential diagnosis and an efficient diagnostic strategy. Key Features NEW: "Points to Remember" box with three or four bullets per chapter NEW: More than 300 questions with answers and discussion NEW: Revisions based on new material from journals (especially JAMA, the New England Journal of Medicine, Mayo Clinic Proceedings, and the Annals of Internal Medicine) CME conferences, especially the weekly grand rounds at Carondelet St. Joseph's Hospital specialty conferences pertaining to orthopedics and neurology and cases that recently came up in practice NEW: More than 120 references added, some new and some old classics newly discovered by the author NEW: Expanded discussion of evidence-based medicine, both its appropriate usage and pitfalls, with additional information on sensitivity, specificity, and other features of various findings from recent studies and review articles. Insights on the development of expertise have been added. NEW: Expanded discussion of sleep apnea, blast injury, "minor" head trauma, and cervical spine involvement in rheumatoid arthritis NEW: New findings pertaining to transplantation-related graft-versus-host problems, AIDS and the adverse effects of therapy, drug abuse, especially methamphetamine, and egg donation NEW: Additional maneuvers include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation NEW: Additional information on dementia, hysteria, missed aneurysms, pulmonary embolism, evaluation of dehydration/malnutrition, and compressions-only cardiopulmonary resuscitation NEW: Updated and substantially simplified discussion of carotid stenosis and indications for carotid endarterectomy NEW: More historical tidbits, for example, on the development of thermometry "Photos of objets d'art" are included "A Method" feature throughout the text describes a specific method that the author found to be particularly successful Details of the patient interview and how to organize case records Icons are used throughout text: "Pearl" indicates particular wisdom based on author's teaching "$" indicates a piece of equipment that should be purchased "Flag" signifies a situation indicative of a real or impending emergency ANCILLARY ASSETS: Companion Website with fully searchable text and 300-question online test bank Table of Contents 1: Introduction 2: The Interview 3: The History 4: The Case Record 5: General Appearance 6: The Vital Signs 7: Integument 8:Lymph Nodes 9: The Head 10: The Eye 11: The Ear 12: The Nose 13: The Oropharynx 14: The Neck 15: The Breast 16: The Chest 17: The Heart 18: Arteries 19: Veins 20: The Abdomen 21: Male Genitalia 22: Female Genitalia 23: The Rectum 24: The Extremities 25: The Musculoskeletal System 26: The Neurologic Examination 27: Clinical Reasoning 28: Some Bedside Laboratory Tricks 29: Annotated Bibliography