By Lynn Bickley

The eleventh version of the pre-eminent textbook on actual exam comprises foundational content material to steer students’ methods to heritage taking, interviewing, and different center evaluate abilities, in addition to absolutely illustrated, step by step recommendations that define right functionality of actual exam. The publication encompasses a bright full-color artwork application and an easy-to-follow two-column layout with step by step exam suggestions at the left and abnormalities with differential diagnoses at the correct. the excellent, evidence-based content material is meant for scientific students, high-level nursing schooling and perform markets, in addition to comparable overall healthiness professions comparable to health practitioner assistants.

New for this edition:
--Content has been totally revised and up-to-date to mirror the newest health and wellbeing care literature.
--More than two hundred new and revised images and drawings were additional to raised illustrate key issues within the accompanying text.
--Design and format has been revised to extend discoverability of center fabric and distinct overview tips.
--Techniques of interviewing bankruptcy has been reorganized to supply clearer insights into the talents of empathic listening.

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Additional info for Bates' Guide to Physical Examination and History-Taking (11th Edition)

Example text

For the breast examination, uncover the right breast but keep the left chest draped. Redrape the right chest, then uncover the left chest and proceed to examine the left breast and heart. For the abdominal examination, only the abdomen should be exposed. Adjust the gown to cover the chest and place the sheet or drape at the inguinal level. To help the patient prepare for potentially awkward segments of the examination, briefly describe your plans before starting. As you proceed with the examination, keep the patient informed, especially when you anticipate embarrassment or discomfort, as when checking for the femoral pulse.

If indicated, measure the body temperature. Skin. Observe the skin of the face and its characteristics. Assess skin moisture or dryness and temperature. Identify any lesions, noting their location, distribution, arrangement, type, and color. Inspect and palpate the hair and nails. Study the patient’s hands. Continue your assessment of the skin as you examine the other body regions. The patient is sitting on the edge of the bed or examining table. Stand in front of the patient, moving to either side as needed.

9. Simel DL, Rennie D. The clinical examination. An agenda to make it more rational. JAMA 1997;277:572–574. 10. Sackett DL. A primer on the precision and accuracy of the clinical examination. JAMA 1992;267:2638–2644. 11. Evidence-Based Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA 1992;268:2420–2425. 12. Centers for Disease Control and Prevention (CDC). Standard precautions. Guidelines for isolation precautions: preventing transmission of infectious agents in healthcare settings 2007.

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