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For more than a decade, Textbook of Physical Diagnosis has detailed how to derive the maximum diagnostic information from interviewing and examining patients. Now the text that has been labeled "the Gray's Anatomy of physical diagnosis" returns in a New Edition that continues to emphasize a "patient first" philosophy. The New Edition features a more colorful, user-friendly format · a DVD-ROM with video clips of actual examination techniques · and access to the entire text online, links to bonus online content, and more. And, at no extra charge, purchasers also receive online access to the complete contents of the text via Elsevier's innovative studentconsult.com website.
- Offers pathophysiology discussions explaining the conditions underlying various physical exam findings.
- Includes over 900 illustrations, capturing the appearance of a full range of diseases.
- Greatly expanded the complementary and alternative medicine section to an entire chapter.
- Incorporates additional color artwork and photography for a more user-friendly format.
- Discusses hot topics such as ethics in medicine.
- Includes a DVD-ROM with approximately two hours of video clips depicting actual examination techniques, including modifications for pediatric and geriatric patients, delivering bad news, and other topics.
- Includes a new chapter on Complimentary & Alternative Medicine
- Now includes STUDENT CONSULT access! www.studentconsult.com is an innovative website that allows you to build a personalized, fully integrated, online library, where you'll find...
- The entire contents of every STUDENT CONSULT title you purchase.
- Powerful search capabilities- View all excerpts relevant to keyword or subject searches (up to 300 words per hit) from every book in the series.
- Image library
- POCKETCONSULT - Download portions of your personal library onto your handheld.
- Student resources- Sharpen your skills, stay informed, and have fun!
- Sales Rank: #1241829 in Books
- Brand: Brand: Saunders
- Published on: 2005-10-28
- Original language: English
- Number of items: 1
- Dimensions: 1.25" h x 8.82" w x 11.20" l,
- Binding: Hardcover
- 928 pages
- Used Book in Good Condition
From The New England Journal of Medicine
This textbook has many strengths. It is our current choice for students in our own course on physical diagnosis, and its earlier editions have been our choice for more than 10 years. The overall design of the book has much to recommend it. It is probably as brief as such a book can be without being reduced to an outline format. The CD-ROM in the fourth edition is beautifully produced and filmed and is a major addition to the textbook. In fact, we cannot find any comparable resource. This book gets students excited about physical diagnosis. It also helps faculty to design lectures about physical diagnosis, since it is very well pitched at the second-year medical student. Each chapter contains a series of typical questions that students can practice asking in their own history-taking routines. The diagrams and photographs are first-rate. Appropriate draping of both male and female patients is illustrated throughout the book and discussed in the text. Several chapters and sections -- "Putting the History Together," "Putting the Examination Together," and "Putting the Data to Work" -- synthesize subject matter in a way that helps the learner. The author does not confine himself strictly to physical examination and includes the interpretation of signs and symptoms, which we think is very helpful to students. We found the chapter on cultural issues to be nicely presented and useful. The focus on various cultures illustrates the practicality of incorporating cultural issues into the evaluation of the patient. Although we embrace this book and use it widely, some areas could be improved. For example, figures Figure 10-11 and 10-12 in the chapter about the ear show a 128-Hz tuning fork being used for the Rinne and Weber test; these figures should be replaced with photographs showing a 512-Hz tuning fork, which is described in the text as the proper one. Chapter 12, about the chest, is in general very good, and Table 12-7, about adventitious sounds, fills an important need for the student. The description of breath sounds, however, should be simplified to "normal," "decreased," and "bronchial." Chapter 15, about the breast, should advocate and include a diagram of the vertical-strip method of breast examination, which is superior to the old radial method of palpation. Chapter 19, "The Musculoskeletal System," is generally well written, but we prefer a rapid screening musculoskeletal examination such as that described by George V. Lawry and his colleagues. The ideal chapter might contain both the screening examination and a more sophisticated examination from the orthopedic point of view. Chapter 20, "The Nervous System," begins appropriately with a review of neuroanatomy and physiology; our quibble is with the mental-status examination. We applaud the avoidance of the Mini-Mental State Examination, since this is probably too much of a shortcut. Nevertheless, the example of the mental-status examination given in the book is from the neurologist's point of view, and it would be better if it were presented from the psychiatric perspective. The major omissions from the neurologic examination are the appearance, behavior, attitude, thought processes and content, and suicidal ideation of the patient. The section about coma could be enriched by an explanation of the Glasgow Coma Scale, which is widely used by neurosurgeons and emergency medicine physicians. Not only would this textbook be a wise purchase for the second-year medical student, it is also a useful reference for the practicing physician. The material in the book is well presented and easy to read and to reference. Despite the few exceptions noted above, it is the most accurate, up-to-date, and comprehensive textbook of physical diagnosis available today. Amid the mounting debate about the relevance of the physical examination, this book serves as a good reminder of its fundamental role in the practice of medicine, even in 2003. Holly J. Humphrey, M.D.
Copyright © 2003 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
Review
"This well crafted book provides plentiful examples, whether as sample questions to elicit accurate and helpful history, or in the form of photographs and other illustrations that translate nicely to the bedside or office."
--Doody's Review Service, 5 Stars
About the Author
Mark H. Swartz, MD, FACP, Professor of Medicine, State University of New York (SUNY), Downstate College of Medicine, Brooklyn, NY; Adjunct Professor of Medicine, New York College of Podiatric Medicine, New York, NY
Most helpful customer reviews
0 of 0 people found the following review helpful.
Awesome!
By David V. Mejia Mejia
This book is excellent. It is for me one of the best that I have read, since "Semiologia de Suros". glossy pages, color print, many pics and schemes. If you are a physician you must have this book.
17 of 17 people found the following review helpful.
Great introduction to the physical exam.
By J. Greene
I think it is the best "first text" on the physical exam out there. The pros to choosing this book over the others are:
1. Targeted specifically to medical students: This book takes nothing for granted and starts with the basics. From principles of a good interview to minutia of the physical exam such as proper draping of a patient, this book covers everything a medical student needs to know for acing Step 2 CS.
2. Organization: Each chapter covers basic anatomy relevant to the physical exam, common signs and symptoms a patient may present with, a step-by-step approach to the physical exam, and clinicopathologic correlations. Each chapter also closes with sample write-ups for that particular part of the exam to give you an idea how to put such information in your note.
3. For the common symptoms, a list of questions are presented that are helpful in gathering more information from the patient's chief complaint. Knowing these is essential for the real-world as well as Step 2 CS. Edit: The Patient History: Evidence-Based Approach (Lange Medical Books) is an outstanding book that goes into much more detail in this area that I would recommend you at least check out from your library.
4. Pictures: each chapter has tons of pictures, most in full color. The pictures illustrate anatomy, follow the step-by-step physical exam, and demonstrate TONS of pathology. There are probably 1000 or more high-quality pictures and they are certainly the highlight of the book. No other book that I am aware of has such great pictures.
5. Videos of Dr. Swartz demonstrating the complete physical exam: Not everything is shown as another reviewer mentioned, but the basics are.
6. Chapters, as well as videos, that deal with specific patient populations such as the elderly, children, and the pregnant patient.
The book, however, is only an introduction and focuses more on the "how" than the "why." After mastering this book, if you are interested in more information on physical diagnosis, you could try DeGowin's Diagnostic Examination, Ninth Edition, Physical Diagnosis Secrets: With STUDENT CONSULT Online Access, or Sapira's Art and Science of Bedside Diagnosis. Each of these have their own strengths and weaknesses but they are all excellent and I would recommend you read the reviews or look at them yourself before you buy them.
5 of 8 people found the following review helpful.
Must Have for Medical Students
By Med Student
I'm not going to give a very detailed review, but I will simply say that this text has great content and a great layout. It's very easy to read, and it's fairly detailed.
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