Table of contents for Advanced clinical skills and physical diagnosis / Dale Berg.


Bibliographic record and links to related information available from the Library of Congress catalog. Note: Contents data are machine generated based on pre-publication information provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.


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Contents [detailed]
1. Vital Signs
Basic Examination
Measure temperature: auricular or oral probe
Measure temperature: rectal probe
Measure blood pressure: sphygmomanometer
Measure pulse rate and rhythm
Inspect respiratory pattern
Measure Weight
Advanced Examination
Approach to a patient with a fever
Approach to a patient with elevated blood pressure
Diagnoses
2. Head, Ears, Nose, and Throat (HENT)
Basic Examination
Inspect auricles
Direct otoscopic examination: external ear canal
Direct otoscopic examination: tympanic membrane
Palpate and inspect external nose
Visually inspect oropharynx
Palpate and inspect gingival
Visually inspect teeth
Palpate and visually inspect lips
Palpate and visually inspect tongue
Palpate and visually inspect soft and hard palates
Palpate and visually inspect posterior pharynx
Advanced Examination
Approach to a patient with bumps on, or painful, auricles
Approach to a patient with external canal problems
Approach to a patient with earache and/or tympanic membrane findings
Approach to a patient with a nose complaint
Approach to a patient with neck lumps and bumps
Approach to a patient with suspected hyperthyroidism
Approach to a patient with suspected hypothyroidism
Approach to a patient with oral cavity bumps and lesions
Approach to a patient with gingival lesions
Approach to a patient with tooth problems
Approach to a patient with a sore throat complaint
Approach to a patient with a headache
Approach to a patient with recent head trauma
Diagnoses
3. Eye
Basic Examination
Snellen chart: 20 feet
Snellen chart: 15 and 10 feet
Finger counting test: 3 feet, 2 feet, and 1 foot
Hand movement test: 3 feet, 2 feet, and 1 foot
Shine a light from 3 feet away to test light perception
Snellen chart: with eyeglasses on
Snellen chart: through pinhole
Visually inspect pupils in darkened room
Shine light into pupils
Observe accommodation-constriction of pupils
Visually inspect anterior chamber, lens, and iris using slit lamp or direct 
light
Administer EOM (extraocular eye movements) examination
Test visual field by confrontation
Perform direct funduscopic examination
Advanced Examination
Approach to a patient with a red eye
Approach to a patient with scleral/corneal findings
Approach to a patient with suspected cataract
Approach to a patient with potential chronic open angle glaucoma
Approach to a patient with suspected papilledema
Approach to a patient with yellow/white blotches on the retina
Approach to a patient with black or pigmented blotches on the retina
Approach to a patient with red blotches on the retina
Approach to a patient with diabetes and/or hypertension or vessel changes
Approach to a patient with periorbital structure abnormalities
Approach to a patient with strabismus
Approach to a patient with acute monocular blindness
Diagnoses
4. Cardiology
Basic Examination
Palpate chest wall
Auscult chest; note and grade intensity of murmur
Auscult murmur; note position in cycle and site where it is loudest
Auscult for radiation
Advanced Examination
Approach to a patient with a murmur of equal intensity at base and apex
Approach to a patient with a systolic murmur loudest at base
Approach to a patient with a diastolic murmur loudest at base
Approach to a patient with a diastolic murmur loudest at apex
Approach to a patient with a systolic murmur loudest at apex
Approach to a patient with second heart sound splitting
Approach to a patient with a gallop/diastolic sounds
Approach to a patient with suspected peripheral arterial disease
Approach to a patient with syncope or near syncope
Approach to a patient with peripheral edema/venous disease
Approach to a patient with suspected pericardial disease
Diagnoses
5. Chest/Lungs
Basic Examination
Percuss lung fields
Feel for tactile fremitus
Auscult lung fields
Inspect mucous membranes
Observe patient's positioning
Inspect chest wall
Inspect sternocleidomastoid muscles
Inspect thoracic spine
Inspect intercostal muscles
Inspect abdomen for movements during respiration
Visually inspect expectorated sputum
Inspect fingers for signs of clubbing
Advanced Examination
Approach to a patient with consolidation or effusion
Approach to a patient with suspected congestive heart failure
Approach to a patient with suspected obstructive lung disease
Diagnoses
6. Abdomen
Basic Examination
Auscult abdomen
Perform general visual inspection of abdomen
Palpate abdominal quadrants
Palpate abdomen for rebound tenderness
Perform liver scratch test
Advanced Examination
Approach to a patient with abdominal masses
Approach to a patient with suspected hepatomegaly
Approach to a patient with suspected splenomegaly
Approach to a patient with abdominal pain
Approach to a patient with abdominal enlargement
Approach to a patient with anorectal dysfunction
Diagnoses
7. Neurology
Basic Examination
Assess strength (power) and/or patterns of weakness in specific muscles
Observe tone during passive range of motion (ROM)
Check reflexes: wrist extensor, triceps, patellar, Achilles
Perform Jendrassik's maneuver
Perform Romberg test
Assess arm movements with gait
Assess gait
Test vibratory sensation
Superficial pain assessment
Assess cranial nerves: CN I-XII
Advanced Examination 
Approach to a patient with weakness
Approach to a patient with tremor
Approach to a patient with suspected dementia
Approach to a patient with a waddling gait
Approach to a patient with a poker gait
Approach to a patient with a spastic/scissors gait
Approach to a patient with a steppage gait
Approach to a patient with an ataxic, cerebellar gait
Approach to a patient with an ataxic, proprioceptive gait
Approach to a patient with an ataxic, vestibular gait
Approach to a patient with a parkinsonian gait
Diagnoses
8. Finger/Thumb/Hand/Wrist
Basic Examination
Test sensation of hands, wrists, and fingers
Observe active abduction of digits
Observe active dorsiflexion of hand at wrist
Test the tip-to-tip "OK" sign
Perform active and passive range of motion of all joints
Examine skin color: Allen test
Advanced Examination
Approach to a patient with finger dysfunction/trauma
Approach to a patient with thumb dysfunction/trauma
Approach to a patient with hand and wrist dysfunction
Approach to a patient with suspected ulnar neuropathy
Approach to a patient with suspected radial neuropathy
Approach to a patient with suspected median neuropathy
Diagnoses
9. Elbow
Basic Examination
Inspect active and passive range of motion (ROM): flexion and extension
Inspect active and passive ROM: supination and pronation
Palpate structures in and around elbow
Advanced Examination
Approach to a patient with medial (ulnar) elbow pain
Approach to a patient with posterior elbow pain
Approach to a patient with lateral (radial) elbow pain
Diagnoses
10. Shoulder
Basic Examination
Inspect and palpate shoulder structures
Passive crank test
Active crank test
Assess the motor function of each nerve root
Observe ROM in shoulder
Observe active ROM
Perform Apley scratch test from bottom
Perform Apley scratch test from top
Advanced Examination
Approach to a patient with anterior shoulder pain
Approach to a patient with lateral shoulder pain 
Approach to a patient with neck and shoulder pain
Diagnoses
11. Hip/Back
Basic Examination
Perform active ROM of hip
Perform active ROM of spine
Observe gait
Inspect erect back
Inspect reversal lumbar lordosis
Palpate structures of hip and back
Percuss spinous processes
Perform FABERE (Patrick's) test
Actively extend knee
Actively dorsiflex foot
Actively plantarflex foot
Test Achilles' reflex
Perform sensory examination
Advanced Examination
Approach to a patient with hip trauma
Approach to a patient with hip pain and/or decreased range of motion
Approach to a patient with lower back pain
Approach to a patient with suspected ankylosing spondylitis
Diagnoses
12. Knee
Basic Examination
Inspect varus/valgus
Perform a passive ROM examination
Examine for ballotable patella and bulge sign
Inspect for fluid displacement
Measure Q angle
Locate condyles and anterior tibial spine
Advanced Examination
Approach to a patient with anterior knee pain
Approach to a patient with posterior knee/popliteal fossa complaints
Approach to a patient with medial knee pain
Approach to a patient with lateral knee pain
Approach to a patient with knee laxity/clicking/locking
Diagnoses
13. Foot/Ankle
Basic Examination
Assess passive ROM at tibiotalar and subtalar joints
Actively dorsiflex great toe
Actively plantarflex ankle
Actively dorsiflex ankle
Actively evert foot
Actively invert ankle
Inspect anterior compartment muscles
Perform sensory examination of dorsal foot
Perform sensory examination of plantar foot
Check reflexes: Achilles
Advanced Examination
Approach to a patient with foot/ankle trauma
Approach to a patient with an anterior foot complaint
Approach to a patient with lateral mid-foot/ankle pain
Approach to a patient with a plantar foot complaint
Approach to a patient with posterior heel/foot pain
Approach to a patient with medial ankle/foot pain
Approach to a patient with lower extremity swelling
Diagnoses
14. Dermatology
Basic Examination
Visually inspect and palpate skin lesions
Advanced Examination
Approach to a patient with purple lesions
Approach to a patient with pink/red lesions
Approach to a patient with cellulitis
Approach to a patient with a suspected erythema
Approach to a patient with a suspected exanthem
Approach to a patient with nonpigmented, flesh-colored lesions
Approach to a patient with hypopigmented lesions in skin and hair
Approach to a patient with pigmented lesions
Approach to a patient with ulcerating/erosive skin lesions
Approach to a patient with plaque and plaque-like lesions
Approach to a patient with urticaria
Approach to a patient with vesicular lesions
Approach to a patient with bullous lesions
Approach to a patient with pustules/purulent lesions
Approach to a patient with hair loss
Approach to a patient with fingernail and/or toenail complaints
Diagnoses
15. Obstetrics & Gynecology
Basic Examination
Inspect breast and nipples
Palpate axilla
Palpate breasts
Inspect and palpate external genitalia
Examine vagina and vaginal mucosa using speculum
Examine cervix using speculum
Obtain Papanicolaou (pap) smear
Perform bimanual examination
Examine rectovaginal area
Advanced Examination
Approach to a patient with vulvar/external genitalia lesions
Approach to a patient with urinary incontinence
Approach to a patient with a vaginal complaint
Diagnoses
16. Male Genitalia
Basic Examination 
Palpate scrotum and groin
Advanced Examination
Approach to a patient with scrotal mass or tenderness
Approach to a patient with a penile complaint
Diagnoses




Library of Congress Subject Headings for this publication: Diagnosis Handbooks, manuals, etc, Physical diagnosis Handbooks, manuals, etc, Diagnosis, Differential Handbooks, Diagnosis, Differential Problems and Exercises, Physical Examination methods Handbooks, Physical Examination methods Problems and Exercises, Clinical Competence Handbooks, Clinical Competence Problems and Exercises