Read e-book online Bates' Guide to Physical Examination and History Taking (8th PDF

By Lynn S. Bickley, Peter G. Szilagyi

A vintage in evaluate, this "Eighth Edition" revision nonetheless offers the simplest starting place for studying and acting actual exam innovations and historical past taking. It incorporates a fresh, simple procedure that keeps the two-column structure putting exam techniques and correct options at the left, and customary abnormalities and attainable interpretations at the correct. Its hugely visible four-color layout comprises four hundred new items of paintings and previously featured black and white pictures into colour. additionally during this variation are 4 thoroughly revised chapters together with pediatrics rewritten by way of professional Peter G. Szilaygi, MD. loose CD-ROMs are actually packaged with the e-book. the 1st comprises middle sounds; the second one includes movies of Head-to-Toe evaluate and method of the sufferer. A separate booklet of case experiences for extra learn can be on hand.

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A 16-year-old high school student came to the local teen health center because of painful menstrual cramps that were interfering with school. She was dressed in a tight top and short skirt and had multiple piercings, including in her eyebrow. ” . . ” . . ” The teenager felt pressured into accepting birth control pills, even though she had clearly stated that she had never had intercourse and planned to postpone it until she got married. She was an honor student, planning to go to college, but the clinician did not elicit these goals.

Patients may not be able to identify or define their values or beliefs in the abstract but should be able to respond to specific questions. Find out about the patient’s cultural background. Use some of the same questions discussed in “Expanding and Clarifying the Health History” (see p. ___). Maintain an open, respectful, and inquiring attitude. ” If you have established rapport and trust, patients will be willing to teach you. Be ready to acknowledge your ignorance or bias. “I know very little about Ghana.

Questions about drugs are similar. “How much marijuana do you use? Cocaine? Heroin? Amphetamines? (ask about each one by name). ” Another approach is to adapt the CAGE questions to screening for substance abuse by adding “or drugs” to each question. ” . . ” . . ” . . “Have you ever tried to quit? ” Talking about drug use with adolescents can be even more challenging. It may be helpful to ask about substance use by friends or family members first. 44 BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING SPECIAL ASPECTS OF INTERVIEWING “A lot of young people are using drugs these days.

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Bates' Guide to Physical Examination and History Taking (8th Edition) by Lynn S. Bickley, Peter G. Szilagyi

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