Textbook of Physical Diagnosis: History and Examination - Hardcover

Swartz, Mark H.

Hardcover

ISBN 10: 0721655300 ISBN 13: 9780721655307

Publisher: W B Saunders Co, 1994

Synopsis

This new 2nd Edition completely updates the text NEJM described as "well on its way to becoming the Gray's Anatomy of Physical Diagnosis." Expanded and revised coverage, clear organization and numerous illustrations help students move from the classroom to the role of an empathetic physician skilled in listening and responding to patients. The text emphasizes the doctor-patient relationship. It continues the first edition's integration of all aspects of physical diagnosis: patient history taking, physical examination, signs and symptoms and their pathophysiology, and it retains its unique address of the physical examination's utility. Illustrations (including 20 new photographs in full colour) provide easier visual recognition of conditions. New chapter on the geriatric patient teaches students how to address this population's special health needs. New chapter on the obstetric patient. Each chapter begins with a review of the anatomy, physiology, and pathophysiologic states of the respective organ system. Then, the techniques of examination and the major symptoms of that organ system are presented. Students learn about the pathophysiologic causes of symptoms. Each chapter discusses the impact of disease on a patient's life and heightens student empathy and understanding for the patient's condition. Covers medical terminology to promote word-building skills and interviewing skills so students may obtain accurate information from their patients.

About this title

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

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.

Edition details

• Publisher: W B Saunders Co
• Publication date: 1994
• ISBN 10: 0721655300
• ISBN 13: 9780721655307
• Binding: Hardcover
• Language: English
• Edition number: 2
• Number of pages: 664