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Atlas of Adult Physical Diagnosis PDF

438 Pages·2005·15.98 MB·English
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4886.LWW.Berg FMppi-xii 8/15/05 4:16 PM Page i Atlas of adult Physical Diagnosis Dale Berg, MD Director of Curriculum, Rector Clinical Skills Center Jefferson Medical College Director Advanced Physical Diagnosis Course Jefferson Medical College and Harvard Medical School Visiting Faculty, Harvard Medical School Associate Professor of Medicine Jefferson Medical College Philadelphia, Pennsylvania Katherine Worzala, , MD MPH Director, Rector Clinical Skills Center Jefferson Medical College Assistant Professor of Medicine Jefferson Medical School Philadelphia, Pennsylvania 4886.LWW.Berg FMppi-xii 8/15/05 4:16 PM Page ii Acquisitions Editor: Sonya Seigafuse Managing Editor: Julia Seto Production Manager:Bridgett Dougherty Senior Manufacturing Manager:Benjamin Rivera Marketing Manager:Kathy Neely Design Coordinator:Holly McLaughlin Compositor:Nesbitt Graphics,Inc. Printer:Quebecor World Copyright © 2006 Lippincott Williams & Wilkins 351 West Camden Street Baltimore,MD 21201 530 Walnut Street Philadelphia,PA 19106 All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner. The publisher is not responsible (as a matter of product liability, negligence, or otherwise) for any injury resulting from any material contained herein. This publication contains information relating to general principles of medical care that should not be construed as specific instructions for indi- vidual patients. Manufacturers’ product information and package inserts should be reviewed for current information, including contraindications, dosages, and precautions. Printed in the United States of America 0-7817-4190-4 Library of Congress Cataloging-in-Publication Data available upon request The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertently overlooked any, they will be pleased to make the necessary arrangements at the first opportunity. To purchase additional copies of this book, call our customer service department at (800) 638- 3030 or fax orders to (301) 824-7390. International customers should call (301) 714-2324. Visit Lippincott Williams & Wilkins on the Internet: http://www.LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 10 9 8 7 6 5 4 3 2 1 06 07 08 09 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page iii To Stephanie,Sara,Brian,Michael and Christopher, and to all of our students,and their students. iii 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page iv 4886.LWW.Berg FMppi-xii 8/15/05 4:16 PM Page v ■ Coauthors Coauthor of Chapter 4: Ajit Babu,MBBS,MPH,FACP Cardiovascular Examination Professor of Medicine Amrita Institute of Medical Science Kerala, India Emeritus Associate Professor of Medicine St. Louis University School of Medicine Coauthor of Chapter 6: David Axelrod,MD Abdomen Examination Assistant Professor of Medicine Jefferson Medical College v 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page vi 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page vii ■ Contents 1 The Head, Ears, Nose, and Throat (HENT) Examination 1 2 The Male Genitourinary Examination 39 3 Female Genitourinary Examination 51 4 Cardiovascular Examination 75 5 Lung and Chest Examination 105 6 Abdominal Examination 131 7 Neurologic Examination 161 8 Knee Examination 201 9 Shoulder Examination 225 10 Hand, Wrist, and Thumb Examination 255 11 Elbow Examination 277 12 Hip, Back, and Trunk Examination 289 13 Foot and Ankle Examination 315 14 Skin Examination 339 15 Eye Examination 381 Appendix 407 Index 411 vii 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page viii 4886.LWW.Berg FMppi-xii 8/15/05 4:16 PM Page ix ■ Contributors Clara Callahan, MD Bernardo Menajovsky, MD Professor of Pediatrics Associate Professor of Medicine Senior Associate Dean Jefferson Medical College Jefferson Medical College Thomas Nasca, MD Jeannie Hoffman-Censits Professor of Medicine Chief Medical Resident Dean Instructor of Medicine Jefferson Medical College Jefferson Medical College Susan Rattner, MD Lindsey Lane, MD Associate Professor of Medicine Associate Professor of Pediatrics Associate Dean for Education Clerkship Director, Pediatrics Jefferson Medical College Jefferson Medical College Richard Schmidt, PhD Hector Lopez, MD Professor of Anatomy Assistant Professor of Anatomy Course Director Human Form and Development Jefferson Medical College Jefferson Medical College Joseph Majdan, MD, FACP John Spandorfer, MD Assistant Professor of Medicine Associate Professor of Medicine Faculty, Rector Clinical Skills Center Jefferson Medical College Jefferson Medical College ix 4886.LWW.Berg FMppi-xii 8/1/05 1:03 PM Page x

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