
作者:MarkH.Swartz
页数:425
出版社:北京大学医学出版社
出版日期:2016
ISBN:9787565918643
电子书格式:pdf/epub/txt
内容简介
美国经典、权威的物理诊断学教材。通过讨论疾病的病理生理和强调人文因素,作者试图展示传统的医生对患者处置的重要性。包括问诊的艺术、物理检查的科学、特殊患者的评估、物理诊断的剖析与文件书写。配以二维码,扫码后可以直接链接网络资源查看著者的规范化操作。
作者简介
Mark H. Swartz,世界知名诊断学专家。纽约州立大学医学院内科教授,纽约医学院内科教授。在国际上享有盛誉,其运用人文的方式,开拓了物理诊断的新路径。
本书特色
利用最更新的资源,从对患者的问诊和体格检查中获得最量的诊断信息。通过运用同理心、人文的方式,Swartz博士对文化差异如何影响沟通、饮食、家庭关系、健康实践和信念进行了探索,并明确在物理诊断中,你所持有的人与人之间关怀的意识,与你的技能操作水平同样重要。众多高质量的彩图、可操作性强的设计以及对检查技巧的细节描述,使这本书成为医师、护士和医疗辅助人员的第一指南。
目录
SECTION 1 The Art of Interviewing
CHAPTER 1 The Interviewer’s Questions
Basic Principles
Using an interpreter
Important Interviewing Concepts
Symptoms and Signs
Conducting an Interview
Basic Interviewing Techniques
Format of the History
Taking Notes
Concluding Thoughts
CHAPTER 2 The Patient’s Responses
Responses to Illness
Responses to the Interviewer
Influence of Background and Age on Patient Response
Influence of Disease on Patient Response
CHAPTER 3 Putting the History Together
Interview of Mr. John Doe
Written History of Mr. John Doe
SECTION 2 The Science of the Physical Examination
CHAPTER 4 The Physical Examination
The Basic Procedures
Preparation for the Examination
Health Care Infection Control Practices
Goal of the Physical Examination
CHAPTER 5 The Skin
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Skin Disease on the Patient
Physical Examination
Description of Lesions
Clinicopathologic Correlations
CHAPTER 6 The Head and Neck
General Considerations
Structure and Physiology
Effect of Head and Neck Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 7 The Eye
Historical Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Blindness on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 8 The Ear and Nose
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Deafness on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 9 The Oral Cavity and Pharynx
General Considerations
Structure and Physiologic Characteristics
The Pharynx
Review of Specific Symptoms
Effect of a Voice Disorder on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 10 The Chest
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Lung Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 11 The Heart
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Cardiac Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 12 The Peripheral Vascular System
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Vascular Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 13 The Breast
General Considerations
Structure and Physiology
Review of Specific Symptoms
Impact of Breast Disease on the Woman
Physical Examination
The Male Breast
Clinicopathologic Correlations
CHAPTER 14 The Abdomen
General Considerations
Structure and Physiology
Review of Specific Symptoms
Impact of Inflammatory Bowel Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 15 Male Genitalia and Hernias
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Impact of Erectile Dysfunction on the Man
Physical Examination
Clinicopathologic Correlations
CHAPTER 16 Female Genitalia
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Infertility on the Woman
Physical Examination
Preparation for the Examination
Clinicopathologic Correlations
CHAPTER 17 The Musculoskeletal System
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Musculoskeletal Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 18 The Nervous System
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Chronic Neurologic Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 19 Putting the Examination Together
The Techniques
The Written Physical Examination
SECTION 3 Evaluation of Specific Patients
CHAPTER 20 The Pregnant Patient
General Considerations
Structure and Physiologic Characteristics
Review of Specific Systems
Obstetric Risk Assessment
Calculation of Due Date
Effect of Pregnancy on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 21 The Pediatric Patient
General Considerations
The Pediatric History
Examination of the Newborn
Examination of the Infant
Review of Systems and Examination of the Young Child
Review of Systems and Examination of the Older Child
Review of Systems and Examination of the Adolescent
Clinicopathologic Correlations
CHAPTER 22 The Geriatric Patient
General Considerations
Structure and Physiologic Characteristics
Basic Principles of Geriatric Medicine
The Geriatric History
Effect of Growing Old on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 23 The Acutely III or Injured Patient
Personal Safety
Current Cardiopulmonary Resuscitation Guidelines
C-A-B
Cardiopulmonary Resuscitation Survey
Summary of CPR Guidelines for Adults, Children, and Infants
Assessment of the Acutely III or Injured Patient
The Pediatric Emergency
SECTION 4 Putting the Data to Work
CHAPTER 24 Diagnostic Reasoning in Physical Diagnosis
Art, Science, and Observation
Diagnostic Reasoning from Signs and Symptoms
CHAPTER 25 The Clinical Record
Putting the History and Physical Examination Together
The Human Dimension
CHAPTER 26 The Focused History and Physical Examination最
General Considerations
Illustrative Case
Diagnostic Evaluation
SECTION 5 Special Additional ImportantTopics (Internet-Based)
CHAPTER 27 Caring for Patients in a Culturally Diverse Society最
General Considerations
Specific Cross-Cultural Perspectives
Concluding Thoughts
CHAPTER 28 Understanding Complementary and Alternative Medicine最
General Considerations
Classifications of Complementary and Alternative Medicine
Traditional Chinese Medicine
Concluding Thoughts
CHAPTER 29 Assessment of Nutritional Status最
Medical History
Physical Examination
Special Populations
Clinicopathologic Correlations
Concluding Thoughts
Epilogue最
Ethical Challenges
Unethical Labeling of Patients
Health Care Proxy
Concluding Thoughts
APPENDIX A Commonly Abused Drugs最
APPENDIX B Signs and Symptoms of Deficiency States最
APPENDIX C Conversion Tables最
APPENDIX D The Rational Clinical Examination: Additional References最
APPENDIX E Advisory Committee on Immunization Practices (ACIP)
Recommended Immunization Schedule for Adults Aged 19
Years and OldermUnited States, 2013最
APPENDIX F Advisory Committee on Immunizatior/Practices (ACIP)
Recommended Immunization Schedule for Persons Aged
0 Through 18 YearsmUnited States, 2013最
Index
CHAPTER 1 The Interviewer’s Questions
Basic Principles
Using an interpreter
Important Interviewing Concepts
Symptoms and Signs
Conducting an Interview
Basic Interviewing Techniques
Format of the History
Taking Notes
Concluding Thoughts
CHAPTER 2 The Patient’s Responses
Responses to Illness
Responses to the Interviewer
Influence of Background and Age on Patient Response
Influence of Disease on Patient Response
CHAPTER 3 Putting the History Together
Interview of Mr. John Doe
Written History of Mr. John Doe
SECTION 2 The Science of the Physical Examination
CHAPTER 4 The Physical Examination
The Basic Procedures
Preparation for the Examination
Health Care Infection Control Practices
Goal of the Physical Examination
CHAPTER 5 The Skin
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Skin Disease on the Patient
Physical Examination
Description of Lesions
Clinicopathologic Correlations
CHAPTER 6 The Head and Neck
General Considerations
Structure and Physiology
Effect of Head and Neck Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 7 The Eye
Historical Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Blindness on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 8 The Ear and Nose
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Deafness on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 9 The Oral Cavity and Pharynx
General Considerations
Structure and Physiologic Characteristics
The Pharynx
Review of Specific Symptoms
Effect of a Voice Disorder on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 10 The Chest
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Lung Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 11 The Heart
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Cardiac Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 12 The Peripheral Vascular System
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Vascular Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 13 The Breast
General Considerations
Structure and Physiology
Review of Specific Symptoms
Impact of Breast Disease on the Woman
Physical Examination
The Male Breast
Clinicopathologic Correlations
CHAPTER 14 The Abdomen
General Considerations
Structure and Physiology
Review of Specific Symptoms
Impact of Inflammatory Bowel Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 15 Male Genitalia and Hernias
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Impact of Erectile Dysfunction on the Man
Physical Examination
Clinicopathologic Correlations
CHAPTER 16 Female Genitalia
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Infertility on the Woman
Physical Examination
Preparation for the Examination
Clinicopathologic Correlations
CHAPTER 17 The Musculoskeletal System
General Considerations
Structure and Physiology
Review of Specific Symptoms
Effect of Musculoskeletal Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 18 The Nervous System
General Considerations
Structure and Physiologic Characteristics
Review of Specific Symptoms
Effect of Chronic Neurologic Disease on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 19 Putting the Examination Together
The Techniques
The Written Physical Examination
SECTION 3 Evaluation of Specific Patients
CHAPTER 20 The Pregnant Patient
General Considerations
Structure and Physiologic Characteristics
Review of Specific Systems
Obstetric Risk Assessment
Calculation of Due Date
Effect of Pregnancy on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 21 The Pediatric Patient
General Considerations
The Pediatric History
Examination of the Newborn
Examination of the Infant
Review of Systems and Examination of the Young Child
Review of Systems and Examination of the Older Child
Review of Systems and Examination of the Adolescent
Clinicopathologic Correlations
CHAPTER 22 The Geriatric Patient
General Considerations
Structure and Physiologic Characteristics
Basic Principles of Geriatric Medicine
The Geriatric History
Effect of Growing Old on the Patient
Physical Examination
Clinicopathologic Correlations
CHAPTER 23 The Acutely III or Injured Patient
Personal Safety
Current Cardiopulmonary Resuscitation Guidelines
C-A-B
Cardiopulmonary Resuscitation Survey
Summary of CPR Guidelines for Adults, Children, and Infants
Assessment of the Acutely III or Injured Patient
The Pediatric Emergency
SECTION 4 Putting the Data to Work
CHAPTER 24 Diagnostic Reasoning in Physical Diagnosis
Art, Science, and Observation
Diagnostic Reasoning from Signs and Symptoms
CHAPTER 25 The Clinical Record
Putting the History and Physical Examination Together
The Human Dimension
CHAPTER 26 The Focused History and Physical Examination最
General Considerations
Illustrative Case
Diagnostic Evaluation
SECTION 5 Special Additional ImportantTopics (Internet-Based)
CHAPTER 27 Caring for Patients in a Culturally Diverse Society最
General Considerations
Specific Cross-Cultural Perspectives
Concluding Thoughts
CHAPTER 28 Understanding Complementary and Alternative Medicine最
General Considerations
Classifications of Complementary and Alternative Medicine
Traditional Chinese Medicine
Concluding Thoughts
CHAPTER 29 Assessment of Nutritional Status最
Medical History
Physical Examination
Special Populations
Clinicopathologic Correlations
Concluding Thoughts
Epilogue最
Ethical Challenges
Unethical Labeling of Patients
Health Care Proxy
Concluding Thoughts
APPENDIX A Commonly Abused Drugs最
APPENDIX B Signs and Symptoms of Deficiency States最
APPENDIX C Conversion Tables最
APPENDIX D The Rational Clinical Examination: Additional References最
APPENDIX E Advisory Committee on Immunization Practices (ACIP)
Recommended Immunization Schedule for Adults Aged 19
Years and OldermUnited States, 2013最
APPENDIX F Advisory Committee on Immunizatior/Practices (ACIP)
Recommended Immunization Schedule for Persons Aged
0 Through 18 YearsmUnited States, 2013最
Index















