Table of Contents

What is evidence-based physical diagnosis?.
Diagnostic accuracy of physical findings.
Using the tables in this book.
Using the evidence-based medicine calculator (expert consult).
Reliability of physical findings.
Mental status examination.
Stance and gait.
Protein-energy malnutrition and weight loss.
Cushing syndrome.
Pulse rate and contour.
Abnormalities of pulse rhythm.
Blood pressure.
Respiratory rate and abnormal breathing patterns.
Pulse oximetry.
The pupils.
Diabetic retinopathy.
The red eye.
Thyroid and its disorders.
Peripheral lymphadenopathy.
Inspection of the chest.
Palpation and percussion of the chest.
Auscultation of the lungs.
Ancillary tests.
Chronic obstructive lung disease.
Pulmonary embolism.
Pleural effusion.
Inspection of the neck veins.
Percussion of the heart.
Palpation of the heart.
Auscultation of the heart : general principles.
The first and second heart sounds.
The third and fourth heart sounds.
Miscellaneous heart sounds.
Heart murmurs : general principles.
Aortic stenosis.
Aortic regurgitation.
Miscellaneous heart murmurs.
Disorders of the pericardium.
Congestive heart failure.
Coronary artery disease.
Inspection of the abdomen.
Palpation and percussion of the abdomen.
Abdominal pain and tenderness.
Auscultation of the abdomen.
Peripheral vascular disease.
The diabetic foot.
Edema and deep vein thrombosis.
Examination of the musculoskeletal system.
Visual field testing.
Nerves of the eye muscles (iii, iv, and vi) : approach to diplopia.
Miscellaneous cranial nerves.
Examination of the motor system : approach to weakness.
Examination of the sensory system.
Examination of the reflexes.
Disorders of the nerve roots, plexuses, and peripheral nerves.
Coordination and cerebellar testing.
Tremor and Parkinson disease.
Hemorrhagic versus ischemic stroke.
Acute vertigo and imbalance.
Examination of nonorganic neurologic disorders.
Examination of patients in the intensive care unit.
Likelihood ratios, confidence intervals, and pre-test probability. Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones.