Seidel's Guide to Physical Examination, 8e (Mosby's Guide to Physical Examination)

Seidel's Guide to Physical Examination, 8e (Mosby's Guide to Physical Examination)

Language: English

Pages: 736

ISBN: 0323112404

Format: PDF / Kindle (mobi) / ePub

With a strong patient-centered approach to care and an author team comprised of nurses and physicians, Seidel’s Guide to Physical Examination, 8th Edition, addresses teaching and learning health assessment in nursing, medical, and a wide variety of other health-care programs, at both undergraduate and graduate levels. This new edition offers an increased focus on evidence-based practice and improved readability, along with integrated lifespan content and numerous special features such as Clinical Pearls and Physical Variations, Functional Assessment, and Staying Well boxes.

  • Evidence-Based Practice in Physical Examination boxes
  • supply you with current data on the most effective techniques for delivering quality patient care.

  • Clinical Pearls lend insights and clinical expertise to help you develop clinical judgment skills.
  • Functional Assessment boxes present a more holistic approach to patient care that extends beyond the physical exam to patients’ functional ability.
  • Staying Well boxes focus you on patient wellness and health promotion.
  • Risk Factor boxes provide opportunities for patient teaching or genetic testing for a variety of conditions.
  • Differential diagnosis content offers you an understanding of how disease presentations vary and specific information for how to make diagnoses from similar abnormal findings.
  • Abnormal Findings tables equip you with a quick, illustrated reference that allows for comparisons of various abnormalities along with key symptoms and underlying pathophysiology.
  • Sample Documentation boxes clarify appropriate professional language for the process of recording patient assessment data.
  • NEW! Advance Practice Skills
  • highlighted throughout text makes identification and reference easier for students.

  • NEW! Updated content throughout provides you with cutting-edge research and a strong evidence-based approach to care.
  • NEW! Vital Signs and Pain Assessment Chapter groups important, foundational tasks together for easy reference in one location.
  • NEW! Improve readability ensures content remains clear, straightforward, and easy to understand.
  • NEW! Updated illustrations and photographs enhances visual appeal and clarifies anatomic concepts and exam techniques.

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palpable, firm, smooth, not enlarged. Thyroid and cartilages move with swallowing. No nodules or tenderness. No bruits. Full range of motion of neck without discomfort. Chapter 8 Eyes Equipment • Snellen chart or Lea cards, Landolt C or HOTV chart • Eye cover, gauze, or opaque card • Rosenbaum or Jaeger near-vision card • Penlight • Cotton wisp • Ophthalmoscope EXAMINATION Ask patient to sit or stand. Technique Findings Visual Testing Measure visual acuity in each eye separately

shortness of breath. Objective Abdomen rounded and symmetric, with white striae adjacent to umbilicus in all quadrants. A well-healed, 5-cm, white surgical scar evident in RLQ. No areas of visible pulsations or peristalsis. Active bowel sounds audible. Percussion tones tympanic over epigastrium. Liver span 8 cm at right midclavicular line. On inspiration, liver edge firm, smooth, and nontender. No splenomegaly. Musculature soft and relaxed to light palpation. No masses or areas of tenderness to

late as 4 weeks after birth. Discharge may be mixed with blood. UNEXPECTED: Mucoid discharge from irritation by diapers or powder; any discharge in children. Assess pubertal development Assess Tanner stages of female pubic hair development. Six stages of pubic hair development in females. (From Frisch RE, 1971. Reproduced with permission from Pediatrics, Vol. 49, p. 68. Copyright 1972, by the AAP.) “Red Flags” for Sexual Abuse The following signs and symptoms in children or adolescents should

for 5 seconds without losing balance. UNEXPECTED: Instability, need to continually touch floor with opposite foot, or tendency to fall. • Gait: Walking Ask patient to walk without shoes around examining room or down hallway, with eyes open, then closed. EXPECTED: Smooth, regular gait rhythm and symmetric stride length; upright trunk posture swaying with gait phase; and arm swing smooth and symmetric. UNEXPECTED: Shuffling, widely placed feet, toe walking, foot flop, leg lag, scissoring, loss of

venous hums. • Percuss all quadrants for tone. • Percuss liver borders and estimate span. • Percuss left midaxillary line for splenic dullness. • Lightly palpate all quadrants. • Deeply palpate all quadrants. • Palpate right costal margin for liver border. • Palpate left costal margin for spleen. • Palpate at the flanks for right and left kidneys. • Palpate midline for aortic pulsation. • Test abdominal reflexes. • Have patient raise head as you inspect abdominal muscles. Inguinal

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