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Informed by more than thirty years of experience, this guide provides a wealth of insight into the clinical observation, diagnosis and treatment of elderly patients. Organized geographically from (literally) head to toes, it concentrates on the basic geriatric physical examination with each chapter providing general information as well as helpful approaches to specific regional complaints. Emphasis is placed on assisting the dedicated clinician in becoming a more perceptive observer of elderly patients with honed skills in geriatric bedside diagnostic evaluation. The text also includes historical vignettes and anecdotes of great physical diagnosticians to demonstrate the evolution of clinical skills. Tables and line drawings complement the text.Instructors considering this book for use in a course may request an examination copy here.
Mark E. Williams, M.D., is the Ward K. Ensminger Distinguished Professor of Geriatric Medicine in the Department of Medicine at the University of Virginia.
Table of ContentsAcknowledgments Preface A Personal Note 1. General Principles 2. The Approach to the Elderly Patient 3. Initial Impressions 4. The Vital Signs 5. The Hands and Wrists 6. The Upper Extremities 7. The Head 8. The Eyes 9. The Ears, Nose, Mouth and Throat 10. The Neck 11. The Lymph Nodes 12. The Back 13. The Breasts 14. The Respiratory System 15. The Cardiovascular System 16. The Abdomen 17. The Lower Extremities 18. The Peripheral Vascular Examination 19. The Female Genitalia 20. The Male Genitalia 21. The Neurological Examination 22. Evaluation of Mental Status 23. Assessment of Balance and Gait 24. Evaluation of Urinary Incontinence 25. Geriatric Skin Conditions Useful References Index
“highly recommended”—Choice; “highly recommended”—ARBA; “motivated clinicians of all stripes and all degrees of training can gain much from using this book... this excellent scholarly book has much to savor”—Doody; “a wonderful new resource...comprehensive...packed with practical and feasible suggestions”—JAMA.