Download e-book for kindle: History and Physical Examination (Current Clinical by Paul D. Chan, Peter J. Winkle

By Paul D. Chan, Peter J. Winkle

ISBN-10: 1929622287

ISBN-13: 9781929622283

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Extra resources for History and Physical Examination (Current Clinical Strategies)

Sample text

Differential Diagnosis: Nephrolithiasis, appendicitis, cystitis, pyelonephritis, diverticulitis, salpingitis, torsion of hernia, ovarian torsion, ovarian cyst rupture or hemorrhage, bladder obstruction, prostatitis, prostate cancer, endometriosis, ectopic pregnancy, colonic obstruction, carcinoma (colon, prostrate, cervix, blad­ der).

Excessive bleeding, flank pain, anorexia, insomnia, fatigue, malaise, weight loss, paresthesias, anemia. Past Medical History: Past ultrasounds, kidney stones, prostate disease, urethral obstruction. Medications: Nonsteroidal anti-inflammatory drugs, aminoglycosides, contrast dyes. Family History: Polycystic kidney disease, hereditary glomerulonephritis. Physical Examination General Appearance: Evaluate intravascular volume status. Signs of fluid overload. Note whether the patient appears ill, well, or lethargic.

Physical Examination General Appearance: Level of consciousness, lethargy. Note whether the patient appears ill or well. Vital Signs: BP, pulse (bradycardia), temperature, respiratory rate. Cushing’s response (bradycardia, hypertension, abnormal respirations). HEENT: Signs of head trauma, pupil size and reactivity, extraocular movements. Fundi: hypertensive retinopathy, Roth spots (flame-shaped lesions, endocarditis), retinal hemorrhages (subarachnoid hemorrhage), papilledema; facial asymmetry or weak­ ness.

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History and Physical Examination (Current Clinical Strategies) by Paul D. Chan, Peter J. Winkle

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