CONTENTS
Preface ix
User’s Manual xiii
Procedures in Examination XF
Diagnosis 1
FART I
SYMPTOMS AMD SIGNS / 13
2* History and the Medical Record 15
3® Methods in. the Physical Examination 37
4. Skin 53
Pruritus / 55 Hirsutism and Hypertrichosis / 64 Melanism / 66
5® Head and Neck 71
Headache / 71 Pain in the face / 84 Pain in
the eye / 88 Lacrimination / 88 Epistaxis / 152 Dysphagia / 154 Bleeding gums / 161 Odor of the breath /163 Trismus /164 Thirst /169 Soreness of the tongue or mouth /169 Hoarseness / 186 Ptyalism / 194 Earache / 197 Tinnitus / 198 Discharge from the ear / 204 Vertigo / 213 Pain in the neck / 222
6. Thorax: Respiratory, Cardiovascular, and
Lymphatic Systems 247
Chest pain with tenderness/ ,247 Respiratory pain /
249 Six-dermatome pain / 255 Pain in the breast /
271 Secretions of the breast / 274 Masses in the breast / 280 Cough / 298 Hiccup / 299 Hemoptysis / 299 Cheyne-Stokes respiration /
301 Dyspnea / 302 Pleural fluid / 337 Palpitation / 354 Pallor / 355 Cyanosis / 356 Edema / 356 Lymphadenopathy / 488
7. Abdomen: Gastrointestinal
and Hepatobiliary Systems 495
Jaundice / 502 Tympanites/ 506 Ascites / 508
Anorexia and polyphagia / 547 Weight loss / 548 Vomiting / 549 Hematemesis / 550 Acute diarrhea / 551 Chronic diarrhea and malnutrition / 557 Blood in the feces / 559 Constipation / 562 Acute abdominal pain / 563 Chronic abdominal pain / 582 Pain in the perineum / 595 Fecal incontinence / 602
8. Genitalia
Frequent urination / 605 Urinary incontinence /
606 Difficult urination / 606 Painful urination /
606 Urinary retention / 606 ; Anuria and oliguria / 607 Discolored urine / 608 Hematuria / 609 Hemoglobinuria / 611 Myoglobinuria / 612 Urethral discharge / 619 Impotence / 622 Pain in the testis / 626 Menstrual disorders /638 Dyspareunia / 640
9. Spine and Extremities 661
Bone pain / 661 Pain in the joints / 672 Muscle pain / 685 Pain in the upper arm, forearm, and hand / 688 Clubbing of the fingers / 708 Pain in the shoulder / 731 Backache / 744 Pain in the hip, thigh, or leg / 762
10. Neuropsychiatric Examination 803
Sciatica / 832 Syncope / 864 Delirium / 868 Coma / 870 Dementia / 877 , The signs of death
/ 881