| Contributors |
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xxi | |
| Preface |
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xxvii | |
| Acknowledgments |
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xxxi | |
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xxxiii | |
| Instructor Resources |
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xxxiv | |
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PART I FOUNDATIONS OF CLINICAL PRACTICE |
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1 Approach To Evidence-Based Assessment Of Health And Well-being |
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3 | (14) |
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Bernadette Mazurek Melnyk |
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Systematic Approach to Advanced Health and Well-Being Assessment |
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3 | (4) |
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The Importance of Evidence-Based Assessment |
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4 | (2) |
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Moving to a Model of Prevention |
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6 | (1) |
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The Seven Steps of Evidence-Based Practice |
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7 | (5) |
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Step #0 Cultivate a Spirit of Inquiry Within an EBP Culture and Environment |
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7 | (1) |
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Step #1 Formulate the Burning Clinical PICOT Question |
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7 | (1) |
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Step #2 Search for the Best Evidence |
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7 | (1) |
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Step #3 Critical Appraisal of Evidence |
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8 | (3) |
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Step #4 Integrate the Evidence With Clinical Expertise and Patient/Family Preferences to Make the Best Clinical Decision |
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11 | (1) |
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Step #5 Evaluate the Outcomes of the Practice Change Based on Evidence |
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12 | (1) |
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Step #6 Disseminate the Outcomes of the Evidence-Based Practice Change |
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12 | (1) |
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Evidence-Based Practice Resources |
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12 | (3) |
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The U.S. Preventive Services Task Force Evidence-Based Prevention Recommendations |
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12 | (1) |
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Evidence-Based Clinical Practice Guidelines |
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13 | (2) |
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15 | (2) |
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2 Evidence-Based History-Taking Approach For Wellness Exams, Episodic Visits, And Chronic Care Management |
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17 | (26) |
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Wellness Exam, Episodic Visit, and Chronic Care Management |
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17 | (1) |
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History Taking for the Wellness Exam |
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18 | (1) |
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Key History Questions and Considerations |
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18 | (5) |
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History of Present Illness |
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18 | (1) |
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19 | (1) |
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20 | (1) |
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20 | (1) |
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20 | (3) |
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23 | (2) |
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24 | (1) |
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Unique Population Considerations for Examination |
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24 | (1) |
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Evidence-Based Practice Considerations |
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25 | (2) |
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Preventive Care Considerations |
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25 | (2) |
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Case Study: Wellness Exam |
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27 | (2) |
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29 | (1) |
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Key History Questions and Considerations |
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29 | (5) |
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History of Present Illness |
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29 | (1) |
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30 | (1) |
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30 | (2) |
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32 | (1) |
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33 | (1) |
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34 | (1) |
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Evidence-Based Practice Considerations |
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34 | (1) |
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Case Study: Episodic Visit |
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35 | (1) |
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The Chronic Care Management Visit |
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36 | (1) |
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Key History Questions and Considerations |
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37 | (1) |
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History of Present Illness |
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37 | (1) |
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Past Medical, Family, and Social History |
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37 | (1) |
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38 | (1) |
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Review of Systems, Past Medical History, Family History, and Social History |
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38 | (1) |
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Preventive Care Considerations |
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38 | (1) |
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38 | (1) |
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Laboratory Considerations |
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38 | (1) |
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Evidence-Based Practice Considerations |
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38 | (1) |
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CASE STUDY: Chronic Care Management |
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39 | (1) |
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40 | (3) |
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3 Approach To Implementing And Documenting Patient-Centered, Culturally Sensitive Evidence-Based Assessment |
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43 | (12) |
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Health and Well-Being in the Context of Family, Community, and Culture |
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43 | (2) |
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Family and Family Systems |
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43 | (1) |
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Community, Disparities, and Population Health |
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44 | (1) |
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Culture, Cultural Identity, and Health Beliefs |
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44 | (1) |
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Role of the Clinician in Assessing Health and Health Disparities |
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45 | (1) |
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Clinician-Patient Partnership |
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45 | (1) |
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45 | (1) |
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45 | (1) |
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Evidence-Based Practice Considerations |
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45 | (1) |
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Quadruple Aim and the Process of Cultural Humility |
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45 | (1) |
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QSEN Competencies as a Foundation for Assessment |
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46 | (1) |
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Documentation of an Evidence-Based Assessment of Health and Well-Being |
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46 | (6) |
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General Guidelines for Documentation |
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48 | (1) |
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Clinical Record as a Legal Document |
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48 | (1) |
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Important Documentation Considerations |
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48 | (3) |
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Clinical Documentation: Example |
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51 | (1) |
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52 | (3) |
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4 Evidence-Based Assessment Of Children And Adolescents |
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55 | (26) |
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Bernadette Mazurek Melnyk |
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Anatomic and Physiologic Variations in Children and Adolescents |
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55 | (3) |
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Head, Eyes, Ears, Nose, and Throat |
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55 | (1) |
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56 | (1) |
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57 | (1) |
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58 | (1) |
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58 | (1) |
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Developmental Approach to History Taking |
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58 | (7) |
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History of Present Illness |
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59 | (2) |
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61 | (1) |
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61 | (1) |
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62 | (1) |
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62 | (2) |
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Preventive Care Considerations |
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64 | (1) |
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Developmental Approach to Physical Examination |
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65 | (13) |
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65 | (1) |
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65 | (1) |
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66 | (1) |
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66 | (7) |
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Key Developmental Considerations |
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73 | (3) |
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76 | (1) |
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Key Diagnostic and Imaging Considerations |
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77 | (1) |
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78 | (3) |
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5 Approach To The Physical Examination: General Survey And Assessment Of Vital Signs |
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81 | (22) |
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General Survey Approach to Physical Examination |
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81 | (3) |
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Initial Steps to Determine Physiologic Stability |
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81 | (1) |
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Components of a General Survey |
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82 | (2) |
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84 | (3) |
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86 | (1) |
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86 | (1) |
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86 | (1) |
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86 | (1) |
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86 | (1) |
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Life-Span Considerations for the Physical Examination |
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86 | (1) |
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Key History Questions and Considerations |
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87 | (2) |
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History of Present Illness |
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87 | (1) |
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Example of Presenting Problem: Fever |
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88 | (1) |
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88 | (1) |
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88 | (1) |
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88 | (1) |
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88 | (1) |
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Preventive Care Considerations |
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88 | (1) |
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88 | (1) |
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Physical Examination and Findings |
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89 | (7) |
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Measurement of Temperature |
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89 | (1) |
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89 | (3) |
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Assessment of Respiratory Rate |
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92 | (1) |
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Blood Pressure Measurement |
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92 | (2) |
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94 | (1) |
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Additional General Survey Assessments |
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94 | (2) |
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Evidence-Based Practice Considerations |
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96 | (1) |
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Normal and Abnormal Findings |
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96 | (2) |
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96 | (1) |
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96 | (1) |
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Hypothermia and Hyperthermia |
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97 | (1) |
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97 | (1) |
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Case Study: Annual Well Exam |
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98 | (1) |
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99 | (4) |
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PART II EVIDENCE BASED PHYSICAL EXAMINATION AND ASSESSMENT OF BOADY SYSTEMS |
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6 EVIDENCE-BASED ASSESSMENT OF THE HEART AND CIRCULATORY SYSTEM |
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103 | (58) |
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Anatomy and Physiology of the Heart and Circulatory System |
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103 | (10) |
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The Pericardial and Cardiac Membrane |
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103 | (1) |
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104 | (2) |
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106 | (1) |
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The Cardiac Cycle and Heart Sounds |
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107 | (3) |
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110 | (2) |
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112 | (1) |
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Pediatric Anatomical and Physiological Considerations |
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113 | (1) |
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113 | (1) |
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Geriatric Anatomical and Physiological Considerations |
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114 | (1) |
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Key History Questions and Considerations |
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115 | (1) |
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History of Present Illness |
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115 | (1) |
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115 | (1) |
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115 | (1) |
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115 | (1) |
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115 | (1) |
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116 | (1) |
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Preventive Care Considerations |
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116 | (1) |
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Physical Examination of the Heart and Circulatory System |
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116 | (13) |
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116 | (1) |
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Approach to the Physical Examination |
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117 | (1) |
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Cardiovascular Examination of the Patient: Seated Position |
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117 | (3) |
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Cardiovascular Examination of the Patient: Supine Position |
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120 | (2) |
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Peripheral Vascular Examination of the Patient: Supine Position |
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122 | (7) |
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Cardiovascular and Peripheral Vascular Examination of the Patient: Specia I Maneuvers |
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129 | (1) |
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Pediatric Cardiac Examination Considerations |
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129 | (1) |
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Laboratory Considerations for the Heart and Circulatory System |
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129 | (2) |
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Laboratory Tests to Assess for Cardiac Disorders and Cardiovascular Status |
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129 | (1) |
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Laboratory Tests to Assess for Myocardial Injury and Myocardial Infarction |
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130 | (1) |
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Laboratory Tests to Consider for Alternative Causes |
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131 | (1) |
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Laboratory Tests to Assess for Selected Comorbid Conditions |
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131 | (1) |
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Diagnostic Considerations for the Heart and Circulatory System |
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131 | (8) |
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131 | (1) |
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131 | (3) |
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134 | (1) |
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135 | (1) |
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135 | (2) |
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Coronary Computed Tomography Angiography and Coronary Calcium Scoring |
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137 | (1) |
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137 | (1) |
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Cardiovascular Magnetic Resonance Imaging |
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138 | (1) |
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Cardiac Computed Tomography |
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138 | (1) |
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Evidence-Based Practice Considerations for the Heart and Circulatory System |
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139 | (1) |
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American College of Cardiology and the American Heart Association |
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139 | (1) |
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United States Preventive Services Task Force Recommendations |
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139 | (1) |
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Choosing Wisely® Recommendations |
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140 | (1) |
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Abnormal Findings of the Heart and Circulatory System |
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140 | (14) |
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140 | (1) |
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Abdominal Aortic Aneurysm |
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141 | (1) |
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Atherosclerosis and Coronary Artery Disease |
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141 | (1) |
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142 | (1) |
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Chronic Venous Insufficiency |
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143 | (1) |
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144 | (2) |
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146 | (1) |
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146 | (1) |
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147 | (1) |
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148 | (1) |
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148 | (1) |
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148 | (1) |
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Peripheral Artery Disease |
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149 | (1) |
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150 | (1) |
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151 | (1) |
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151 | (1) |
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Ventricular Septal Defect |
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152 | (2) |
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154 | (1) |
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Case Study: Hypertension Follow-Up |
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155 | (1) |
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156 | (5) |
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7 Evidence-Based Assessment Of The Lungs And Respiratory System |
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161 | (44) |
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Anatomy and Physiology of the Lungs and Respiratory System |
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161 | (7) |
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Anatomic Structures of the Thorax |
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161 | (2) |
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Anatomic Structures of the Lower Respiratory Tract |
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163 | (3) |
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Physiology of Breathing/Respiration |
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166 | (2) |
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Life-Span Differences and Considerations for the Lungs and Respiratory System |
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168 | (1) |
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Key History Questions and Considerations for the Lungs and Respiratory System |
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168 | (5) |
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168 | (1) |
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History of Present Illness |
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169 | (1) |
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169 | (1) |
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170 | (1) |
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170 | (1) |
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171 | (2) |
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Physical Examination of the Lungs and Respiratory System |
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173 | (8) |
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173 | (1) |
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Approach to the Physical Examination |
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173 | (1) |
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173 | (2) |
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175 | (1) |
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176 | (2) |
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178 | (3) |
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Pediatric Physical Examination Considerations |
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181 | (1) |
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Geriatric Physical Examination Considerations |
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181 | (1) |
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Laboratory Considerations for the Lungs and Respiratory Systems |
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181 | (4) |
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Laboratory Tests to Assess for Respiratory Disorders and Respiratory Status |
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181 | (1) |
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Testing to Monitor Lung Function |
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182 | (1) |
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Pulmonary Function Tests/Spirometry |
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182 | (3) |
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Imaging Considerations for the Lungs and Respiratory System |
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185 | (2) |
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185 | (1) |
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185 | (2) |
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Evidence-Based Considerations for the Lungs and Respiratory System |
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187 | (1) |
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Abnormal Findings: Variations in Patterns of Breathing |
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187 | (2) |
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Abnormal Findings: Common Respiratory Disorders |
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189 | (11) |
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189 | (1) |
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190 | (1) |
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191 | (1) |
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Chronic Obstructive Pulmonary Disease |
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192 | (1) |
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193 | (2) |
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195 | (1) |
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195 | (1) |
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196 | (1) |
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196 | (1) |
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197 | (1) |
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198 | (2) |
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Case Study: Shortness of Breath |
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200 | (1) |
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Case Study: Cough and Fatigue |
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201 | (2) |
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203 | (2) |
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8 Approach To Evidence-Based Assessment Of Body Habitus (Height, Weight, Body Mass Index, Nutrition) |
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205 | (22) |
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205 | (8) |
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205 | (3) |
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208 | (4) |
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212 | (1) |
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Life-Span Differences and Considerations in Anatomy and Physiology |
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213 | (1) |
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Key History Questions and Considerations for Body Habitus |
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213 | (2) |
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History of Present Illness |
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213 | (1) |
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214 | (1) |
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214 | (1) |
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214 | (1) |
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214 | (1) |
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214 | (1) |
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Preventive Care Considerations |
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215 | (1) |
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Physical Examination of Body Habitus |
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215 | (6) |
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215 | (3) |
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218 | (3) |
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Life-Span Considerations for Physical Examination |
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221 | (1) |
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Laboratory Considerations for Body Habitus |
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221 | (1) |
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Evidence-Based Practice Considerations for Body Habitus |
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222 | (1) |
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Abnormal Findings of Body Habitus |
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222 | (2) |
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222 | (1) |
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222 | (1) |
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223 | (1) |
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224 | (1) |
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224 | (1) |
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Case Study: Wellness Visit |
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224 | (1) |
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225 | (2) |
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9 Evidence-Based Assessment Of Skin, Hair, And Nails |
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227 | (40) |
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Anatomy and Physiology of Skin, Hair, and Nails |
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227 | (3) |
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Life-Span Differences and Considerations in Anatomy and Physiology of Skin, Hair, and Nails |
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229 | (1) |
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Key History Questions and Considerations for Skin, Hair, and Nails |
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230 | (4) |
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History of Present Illness |
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231 | (1) |
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231 | (1) |
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232 | (1) |
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232 | (1) |
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Preventive Care Considerations |
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232 | (1) |
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Life-Span Considerations for History |
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232 | (1) |
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Unique Population Considerations for History |
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233 | (1) |
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233 | (1) |
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Physical Examination of Skin, Hair, and Nails |
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234 | (14) |
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Total Body Skin Examination |
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234 | (1) |
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234 | (1) |
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Lesion-Focused Examination |
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234 | (3) |
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Life-Span Considerations for Physical Exam |
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237 | (9) |
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Unique Population Considerations for Examination |
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246 | (2) |
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Laboratory Considerations for Skin, Hair, and Nails |
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248 | (1) |
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248 | (1) |
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248 | (1) |
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248 | (1) |
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Evidence-Based Practice Considerations for Skin, Hair, and Nails |
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248 | (1) |
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Abnormal Findings of Skin, Hair, and Nails |
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249 | (11) |
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249 | (1) |
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249 | (1) |
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250 | (1) |
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250 | (1) |
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251 | (1) |
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252 | (1) |
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252 | (1) |
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253 | (1) |
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253 | (1) |
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254 | (1) |
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254 | (1) |
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255 | (1) |
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255 | (1) |
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256 | (1) |
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256 | (1) |
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256 | (1) |
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257 | (1) |
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258 | (1) |
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258 | (1) |
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259 | (1) |
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259 | (1) |
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260 | (1) |
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Case Study: Atypical Skin Lesions |
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261 | (1) |
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262 | (5) |
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10 Evidence-Based Assessment Of The Lymphatic System |
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267 | (22) |
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Anatomy and Physiology of the Lymphatic System |
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267 | (6) |
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267 | (1) |
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Lymphatic Organs and Tissues |
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268 | (2) |
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270 | (2) |
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272 | (1) |
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Life-Span Differences and Considerations in Anatomy and Physiology of the Lymphatic System |
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273 | (1) |
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Key History Questions and Considerations for the Lymphatic System |
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273 | (1) |
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History of Present Illness |
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273 | (1) |
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274 | (1) |
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274 | (1) |
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274 | (1) |
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274 | (1) |
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Preventive Care Considerations |
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274 | (1) |
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274 | (5) |
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274 | (1) |
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275 | (4) |
|
Laboratory Considerations for the Lymphatic System |
|
|
279 | (1) |
|
Imaging Considerations for the Lymphatic System |
|
|
279 | (1) |
|
Abnormal Findings of the Lymphatic System |
|
|
280 | (5) |
|
Cat Scratch Disease (Fever) |
|
|
280 | (1) |
|
|
|
280 | (1) |
|
|
|
281 | (1) |
|
|
|
281 | (1) |
|
|
|
281 | (1) |
|
Lymphatic Filariasis (Elephantiasis) |
|
|
282 | (1) |
|
|
|
283 | (1) |
|
|
|
283 | (1) |
|
|
|
284 | (1) |
|
|
|
284 | (1) |
|
Case Study: Fever, Sore Throat, Fatigue, and Lymphadenopathy |
|
|
285 | (1) |
|
Case Study: Flu-Like Symptoms |
|
|
285 | (1) |
|
|
|
286 | (3) |
|
11 Evidence-Based Assessment Of The Head And Neck |
|
|
289 | (18) |
|
|
|
|
|
Anatomy and Physiology of the Head and Neck |
|
|
289 | (4) |
|
Skeletal Structure of the Head |
|
|
289 | (1) |
|
|
|
290 | (1) |
|
Structure and Function of the Thyroid and Parathyroid Glands |
|
|
291 | (1) |
|
Life-Span Differences and Considerations |
|
|
292 | (1) |
|
Key History Questions and Considerations for the Head and Neck |
|
|
293 | (1) |
|
History of Present Illness |
|
|
293 | (1) |
|
|
|
293 | (1) |
|
|
|
294 | (1) |
|
|
|
294 | (1) |
|
|
|
294 | (1) |
|
Preventive Care Considerations |
|
|
294 | (1) |
|
Physical Examination of the Head and Neck |
|
|
294 | (3) |
|
Inspection of Head, Face, and Neck |
|
|
294 | (1) |
|
Palpation of Head and Neck |
|
|
295 | (1) |
|
Percussion and Auscultation of Head and Neck |
|
|
296 | (1) |
|
Pediatric Physical Examination Considerations |
|
|
296 | (1) |
|
Laboratory Considerations for the Head and Neck |
|
|
297 | (1) |
|
Assessment of Thyroid Function |
|
|
297 | (1) |
|
Assessment of Parathyroid Function |
|
|
298 | (1) |
|
Imaging Considerations for the Head and Neck |
|
|
298 | (1) |
|
|
|
298 | (1) |
|
Discrete Thyroid Lesions (Nodules) |
|
|
298 | (1) |
|
Evidence-Based Practice Considerations for the Head and Neck |
|
|
298 | (1) |
|
|
|
298 | (1) |
|
|
|
299 | (1) |
|
Abnormal Findings of the Head and Neck |
|
|
299 | (3) |
|
|
|
299 | (1) |
|
|
|
299 | (2) |
|
|
|
301 | (1) |
|
|
|
301 | (1) |
|
|
|
302 | (1) |
|
|
|
302 | (1) |
|
Case Study: Recurrent Headaches |
|
|
303 | (1) |
|
Case Study: Constellation of Symptoms and Comorbidities |
|
|
304 | (1) |
|
|
|
305 | (2) |
|
12 Evidence-Based Assessment Of The Eye |
|
|
307 | (30) |
|
|
|
|
|
|
|
Anatomy and Physiology of the Eye |
|
|
307 | (6) |
|
Accessory Structures of the Eye |
|
|
307 | (2) |
|
Principal Structures of the Eye |
|
|
309 | (2) |
|
Neurologic Components of the Ocular System |
|
|
311 | (2) |
|
Key History Questions and Considerations for the Eye |
|
|
313 | (1) |
|
History of Present Illness |
|
|
313 | (1) |
|
|
|
313 | (1) |
|
|
|
314 | (1) |
|
|
|
314 | (1) |
|
|
|
314 | (1) |
|
Preventive Care Considerations |
|
|
314 | (1) |
|
Physical Examination of the Eye |
|
|
314 | (5) |
|
|
|
314 | (1) |
|
Assessment of Corneal Light Reflex |
|
|
314 | (1) |
|
Assessment of Pupillary Light Reflex, Accommodation, and Convergence |
|
|
315 | (1) |
|
|
|
315 | (1) |
|
Testing Movement of the Extraocular Muscles |
|
|
316 | (1) |
|
Assessment of the Red Reflex |
|
|
316 | (1) |
|
|
|
316 | (1) |
|
Measurement of Visual Acuity |
|
|
317 | (1) |
|
Intraocular Pressure Testing |
|
|
318 | (1) |
|
Life-Span Considerations for the Eye |
|
|
319 | (1) |
|
|
|
319 | (1) |
|
|
|
319 | (1) |
|
Considerations for the Older Adult |
|
|
320 | (1) |
|
Ocular Assessments Completed by Specialists |
|
|
320 | (2) |
|
|
|
320 | (1) |
|
|
|
321 | (1) |
|
|
|
322 | (1) |
|
Laboratory Considerations for the Eye |
|
|
322 | (1) |
|
Imaging Considerations for the Eye |
|
|
322 | (1) |
|
Evidence-Based Considerations for the Eye |
|
|
323 | (1) |
|
Abnormal Findings of the Eye |
|
|
323 | (11) |
|
|
|
323 | (1) |
|
|
|
323 | (3) |
|
|
|
326 | (1) |
|
Dacryostenosis and Dacryocystitis |
|
|
326 | (1) |
|
|
|
327 | (1) |
|
|
|
327 | (1) |
|
|
|
328 | (1) |
|
Optic Neuritis and Retrobulbar Neuritis |
|
|
328 | (1) |
|
Orbital and Periorbital Cellulitis |
|
|
328 | (2) |
|
Pingueculum and Pterygium |
|
|
330 | (1) |
|
Retinal Tears, Floaters, and Retinal Detachment |
|
|
330 | (1) |
|
|
|
330 | (1) |
|
Scleritis and Episcleritis |
|
|
331 | (1) |
|
|
|
332 | (1) |
|
|
|
332 | (1) |
|
Subconjunctival Hemorrhage |
|
|
333 | (1) |
|
|
|
333 | (1) |
|
Case Study: Eye Pain and Swelling |
|
|
334 | (1) |
|
|
|
335 | (2) |
|
13 Evidence-Based Assessment Of The Ears, Nose, And Throat |
|
|
337 | (38) |
|
|
|
|
|
Anatomy and Physiology of Ears, Nose, and Throat |
|
|
337 | (9) |
|
|
|
337 | (3) |
|
|
|
340 | (1) |
|
|
|
341 | (5) |
|
|
|
346 | (1) |
|
Key History Questions and Considerations for the Ears, Nose, and Throat |
|
|
346 | (5) |
|
History of Present Illness |
|
|
346 | (2) |
|
|
|
348 | (1) |
|
|
|
348 | (1) |
|
|
|
348 | (1) |
|
|
|
348 | (1) |
|
Preventive Care Considerations |
|
|
349 | (2) |
|
Physical Examination of the Ears, Nose, and Throat |
|
|
351 | (7) |
|
Inspection and Palpation of the Ear |
|
|
351 | (1) |
|
Assessing Auditory Acuity |
|
|
352 | (1) |
|
Assessing Air and Bone Conduction |
|
|
352 | (1) |
|
|
|
353 | (1) |
|
Inspection and Palpation of the Nose and Sinuses |
|
|
354 | (1) |
|
Inspection of the Mouth and Posterior Pharynx |
|
|
355 | (1) |
|
Palpation of the Mouth and Jaw |
|
|
356 | (1) |
|
Temporal Mandibular Joint |
|
|
356 | (1) |
|
Life-Span Considerations for Physical Examination of the Ears, Nose, and Throat |
|
|
356 | (2) |
|
Laboratory Considerations for the Ears, Nose, and Throat |
|
|
358 | (1) |
|
Imaging Considerations for the Ears, Nose, and Throat |
|
|
358 | (1) |
|
|
|
358 | (1) |
|
|
|
358 | (1) |
|
Evidence-Based Practice Considerations for the Ears, Nose, and Throat |
|
|
358 | (2) |
|
Abnormal Findings of the Ears, Nose, and Throat |
|
|
360 | (12) |
|
Abnormal Findings of the Ear |
|
|
360 | (3) |
|
Abnormal Findings of the Nose |
|
|
363 | (3) |
|
Abnormal Findings of the Throat |
|
|
366 | (6) |
|
|
|
372 | (3) |
|
14 Evidence-Based Assessment Of The Nervous System |
|
|
375 | (28) |
|
|
|
Anatomy and Physiology of the Nervous System |
|
|
375 | (5) |
|
|
|
375 | (1) |
|
|
|
376 | (1) |
|
|
|
376 | (1) |
|
|
|
376 | (1) |
|
|
|
377 | (1) |
|
|
|
377 | (1) |
|
|
|
377 | (1) |
|
|
|
378 | (1) |
|
|
|
378 | (1) |
|
|
|
379 | (1) |
|
Life-Span Differences and Considerations in Anatomy and Physiology of the Nervous System |
|
|
379 | (1) |
|
Key History Questions and Considerations |
|
|
380 | (2) |
|
History of Present Illness |
|
|
380 | (1) |
|
|
|
381 | (1) |
|
|
|
381 | (1) |
|
|
|
381 | (1) |
|
|
|
381 | (1) |
|
Preventative Care Considerations |
|
|
381 | (1) |
|
Physical Examination of the Nervous System |
|
|
382 | (13) |
|
|
|
382 | (1) |
|
|
|
382 | (1) |
|
Mental Status Examination |
|
|
382 | (1) |
|
|
|
383 | (3) |
|
Proprioception and Cerebellar Function |
|
|
386 | (4) |
|
|
|
390 | (2) |
|
|
|
392 | (1) |
|
|
|
393 | (2) |
|
Abnormal Findings of the Nervous System |
|
|
395 | (4) |
|
|
|
395 | (1) |
|
|
|
395 | (1) |
|
|
|
396 | (1) |
|
|
|
396 | (1) |
|
|
|
396 | (1) |
|
|
|
397 | (1) |
|
|
|
397 | (1) |
|
|
|
397 | (1) |
|
|
|
398 | (1) |
|
|
|
398 | (1) |
|
|
|
398 | (1) |
|
|
|
398 | (1) |
|
Case Study: Facial Weakness and Drooping |
|
|
399 | (1) |
|
|
|
399 | (1) |
|
|
|
400 | (3) |
|
15 Evidence-Based Assessment Of The Musculoskeletal System |
|
|
403 | (40) |
|
|
|
|
|
Anatomy and Physiology of the Musculoskeletal System |
|
|
403 | (8) |
|
Anatomy and Physiology of the Head and Spine |
|
|
406 | (1) |
|
Anatomy and Physiology of the Upper Extremity |
|
|
406 | (1) |
|
Anatomy and Physiology of the Lower Extremity |
|
|
406 | (3) |
|
Life-Span Differences and Considerations in Anatomy and Physiology of the Musculoskeletal System |
|
|
409 | (2) |
|
Key History Questions and Considerations for the Musculoskeletal System |
|
|
411 | (2) |
|
History of Present Illness |
|
|
411 | (1) |
|
|
|
412 | (1) |
|
|
|
412 | (1) |
|
|
|
412 | (1) |
|
|
|
412 | (1) |
|
Preventive Care Considerations |
|
|
412 | (1) |
|
Life-Span Considerations for History |
|
|
412 | (1) |
|
Physical Examination of the Musculoskeletal System |
|
|
413 | (22) |
|
|
|
413 | (1) |
|
|
|
413 | (1) |
|
Range of Motion and Special Tests |
|
|
413 | (1) |
|
|
|
413 | (1) |
|
|
|
414 | (2) |
|
|
|
416 | (1) |
|
Special Tests of the Lumbar Spine |
|
|
417 | (1) |
|
|
|
417 | (9) |
|
|
|
426 | (7) |
|
Life-Span Considerations for Physical Examination |
|
|
433 | (2) |
|
Imaging Considerations for the Musculoskeletal System |
|
|
435 | (1) |
|
|
|
435 | (1) |
|
Magnetic Resonance Imaging |
|
|
436 | (1) |
|
|
|
436 | (1) |
|
Dual-Energy X-Ray Absorptiometry Scan |
|
|
436 | (1) |
|
Evidence-Based Practice Considerations |
|
|
436 | (1) |
|
Abnormal Findings of the Musculoskeletal System |
|
|
437 | (3) |
|
|
|
437 | (1) |
|
Nursemaid's Elbow (Radial Head Subluxation) |
|
|
437 | (1) |
|
|
|
437 | (1) |
|
|
|
437 | (1) |
|
|
|
438 | (1) |
|
|
|
438 | (1) |
|
|
|
438 | (1) |
|
|
|
438 | (1) |
|
|
|
439 | (1) |
|
|
|
439 | (1) |
|
|
|
439 | (1) |
|
Case Study: Knee Pain, Swelling, and Instability |
|
|
440 | (1) |
|
Case Study: Insidious Knee Pain and Limp |
|
|
440 | (1) |
|
|
|
441 | (2) |
|
16 Evidence-Based Assessment Of The Abdominal, Gastrointestinal, And Urological Systems |
|
|
443 | (40) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
443 | (8) |
|
Landmarks, Musculature, and Contents of the Abdomen |
|
|
443 | (3) |
|
|
|
446 | (1) |
|
Accessory Digestive Organs |
|
|
447 | (1) |
|
|
|
448 | (1) |
|
|
|
449 | (1) |
|
Life-Span Differences and Considerations in Anatomy and Physiology |
|
|
450 | (1) |
|
Key History Questions and Considerations |
|
|
451 | (3) |
|
History of Present Illness |
|
|
451 | (1) |
|
Medical History for Gastrointestinal Concerns |
|
|
452 | (1) |
|
Family History for Gastrointestinal Concerns |
|
|
453 | (1) |
|
Social History for Gastrointestinal Concerns |
|
|
453 | (1) |
|
Medical History for Urinary Concerns |
|
|
453 | (1) |
|
Family History for Urinary Concerns |
|
|
453 | (1) |
|
Social History for Urinary Concerns |
|
|
453 | (1) |
|
Review of Systems for Gastrointestinal/Genitourinary Systems |
|
|
453 | (1) |
|
Preventive Care Considerations Related to the Gastrointestinal System |
|
|
453 | (1) |
|
Life-Span Considerations for History |
|
|
453 | (1) |
|
Unique Population Consideration for History |
|
|
454 | (1) |
|
|
|
454 | (10) |
|
Preparation for the Examination |
|
|
454 | (1) |
|
|
|
454 | (2) |
|
|
|
456 | (1) |
|
|
|
456 | (1) |
|
|
|
457 | (7) |
|
Laboratory Considerations |
|
|
464 | (1) |
|
|
|
464 | (1) |
|
Inflammatory Bowel Disease |
|
|
464 | (1) |
|
|
|
464 | (1) |
|
|
|
464 | (1) |
|
Urinary Tract Infection or Pyelonephritis |
|
|
464 | (1) |
|
|
|
464 | (1) |
|
|
|
464 | (1) |
|
Gastroesophageal Reflux Disease |
|
|
465 | (1) |
|
|
|
465 | (1) |
|
|
|
465 | (1) |
|
|
|
465 | (1) |
|
Other Testing Considerations |
|
|
465 | (1) |
|
Evidence-Based Preventive Practice Considerations |
|
|
465 | (1) |
|
Abnormal Findings of the Gastrointestinal System |
|
|
465 | (1) |
|
|
|
465 | (1) |
|
|
|
466 | (1) |
|
|
|
466 | (1) |
|
Abnormal Findings Based on Location of Abdominal Pain |
|
|
466 | (6) |
|
Right Upper Quadrant Pain: Duodenum, Liver, Gallbladder, Pancreas |
|
|
466 | (1) |
|
Right Lower Quadrant Pain: Appendix, Ascending Colon |
|
|
467 | (2) |
|
Left Upper Quadrant: Spleen, Stomach, Cardiac |
|
|
469 | (1) |
|
Left Lower Quadrant Pain: Descending Colon |
|
|
470 | (1) |
|
Periumbilical/Epigastric Pain: Stomach, Transverse Colon, Aorta |
|
|
470 | (2) |
|
Abnormal Findings of the Urinary System |
|
|
472 | (3) |
|
Lower Urinary Tract Infection |
|
|
472 | (1) |
|
|
|
473 | (1) |
|
Renal Colic (Urolithiasis, Ureterolithiasis) |
|
|
474 | (1) |
|
|
|
474 | (1) |
|
Case Study: Epigastic Abdominal Pain |
|
|
475 | (1) |
|
Case Study: Periumbilical Abdominal Pain |
|
|
475 | (2) |
|
|
|
477 | (6) |
|
PART III EVIDENCE BASED PHYSICAL EXAMINATION AND ASSESSMENT OF SEXUAL AND REPRODUCTIVE HEALTH |
|
|
|
17 Evidence-Based Assessment Of The Breasts And Axillae |
|
|
483 | (20) |
|
|
|
|
|
Anatomy and Physiology of the Breasts and Axillae |
|
|
483 | (2) |
|
Life-Span Differences and Considerations in Anatomy and Physiology of the Breasts and Axillae |
|
|
484 | (1) |
|
Key History Questions and Considerations for the Breasts and Axillae |
|
|
485 | (2) |
|
History of Present Illness |
|
|
485 | (1) |
|
|
|
486 | (1) |
|
|
|
486 | (1) |
|
|
|
486 | (1) |
|
Preventive Care Considerations |
|
|
486 | (1) |
|
Life-Span and Unique Population Consideration for History |
|
|
486 | (1) |
|
Breast Cancer Risk Assessment Tools |
|
|
486 | (1) |
|
Physical Examination of the Breasts and Axillae |
|
|
487 | (3) |
|
Inspection of the Breasts |
|
|
487 | (1) |
|
Palpation of the Breasts and Axillae |
|
|
487 | (2) |
|
Life-Span Consideration for Physical Examination of the Breasts and Axillae |
|
|
489 | (1) |
|
Unique Population Considerations for Physical Examination of the Breasts and Axillae |
|
|
489 | (1) |
|
Laboratory Considerations for the Breasts and Axillae |
|
|
490 | (1) |
|
Genetic Testing for BRCA and Other Gene Mutations |
|
|
490 | (1) |
|
|
|
491 | (1) |
|
Imaging Considerations for the Breasts and Axillae |
|
|
491 | (1) |
|
|
|
491 | (1) |
|
Digital Breast Tomosynthesis |
|
|
491 | (1) |
|
|
|
491 | (1) |
|
Magnetic Resonance Imaging |
|
|
492 | (1) |
|
Evidence-Based Practice Considerations for the Breasts and Axillae |
|
|
492 | (1) |
|
Current Recommendations for Breast Cancer Screening |
|
|
492 | (1) |
|
Abnormal Findings of the Breast and Axillae |
|
|
493 | (5) |
|
|
|
493 | (1) |
|
|
|
493 | (1) |
|
|
|
493 | (1) |
|
|
|
494 | (1) |
|
|
|
495 | (1) |
|
|
|
496 | (1) |
|
Conditions Associated With Skin Changes of the Breast |
|
|
497 | (1) |
|
Case Study: Bilateral Breast Pain |
|
|
498 | (1) |
|
Case Study: Well-Woman Exam |
|
|
498 | (1) |
|
|
|
499 | (4) |
|
18 Evidence-Based Assessment Of Sexual Orientation, Gender Identity, And Health |
|
|
503 | (14) |
|
|
|
|
|
|
|
503 | (3) |
|
|
|
504 | (1) |
|
|
|
504 | (1) |
|
Life-Span Differences and Considerations in Anatomy and Physiology |
|
|
505 | (1) |
|
Key History Questions and Considerations |
|
|
506 | (4) |
|
Preventive Care Considerations |
|
|
507 | (3) |
|
|
|
510 | (1) |
|
Laboratory Considerations |
|
|
511 | (1) |
|
Considerations Related to Sexual Orientation |
|
|
511 | (1) |
|
Considerations Related to Gender Identity |
|
|
512 | (1) |
|
|
|
512 | (1) |
|
Considerations Related to Gender Identity |
|
|
512 | (1) |
|
Evidence-Based Practice Considerations |
|
|
512 | (1) |
|
|
|
513 | (1) |
|
|
|
514 | (3) |
|
19 Evidence-Based Assessment Of Male Genitalia, Prostate, Rectum, And Anus |
|
|
517 | (22) |
|
|
|
|
|
Anatomy and Physiology of Male Genitalia |
|
|
517 | (3) |
|
Male Pelvic Organs and Reproductive System |
|
|
517 | (2) |
|
Anatomy of the Rectum and Anus |
|
|
519 | (1) |
|
Structure and Function of the Prostate Gland |
|
|
519 | (1) |
|
Life-Span Differences and Considerations |
|
|
520 | (1) |
|
Key History Questions and Considerations for Male Genitalia, Prostate, Rectum, and Anus |
|
|
520 | (2) |
|
History of Present Illness |
|
|
520 | (1) |
|
|
|
521 | (1) |
|
|
|
521 | (1) |
|
|
|
521 | (1) |
|
|
|
521 | (1) |
|
Preventive Care Considerations |
|
|
521 | (1) |
|
Life-Span and Population Considerations for History |
|
|
522 | (1) |
|
Physical Examination of Male Genitalia, Prostate, Rectum, and Anus |
|
|
522 | (4) |
|
|
|
522 | (1) |
|
|
|
522 | (3) |
|
Pediatric and Adolescent Considerations for Physical Examination |
|
|
525 | (1) |
|
Laboratory Considerations for Male Genitalia, Prostate, Rectum, and Anus |
|
|
526 | (1) |
|
Screening for Sexually Transmitted Infections |
|
|
526 | (1) |
|
Testing for Prostate-Specific Antigen |
|
|
527 | (1) |
|
Imaging Considerations for Male Genitalia, Prostate, Rectum, and Anus |
|
|
527 | (1) |
|
|
|
527 | (1) |
|
Evidence-Based Practice Considerations for Male Genitalia, Prostate, Rectum, and Anus |
|
|
527 | (1) |
|
Testicular Cancer Screening |
|
|
528 | (1) |
|
Prostate Cancer Screening |
|
|
528 | (1) |
|
Common Abnormalities of the Male Genitalia, Prostate, Rectum, and Anus |
|
|
528 | (9) |
|
Congenital or Developmental Abnormalities |
|
|
528 | (3) |
|
Infection or Inflammatory Disorders |
|
|
531 | (1) |
|
Other Abnormalities of Male Genitalia |
|
|
532 | (2) |
|
Abnormalities of the Anus, Rectum, and Prostate |
|
|
534 | (3) |
|
|
|
537 | (1) |
|
|
|
538 | (1) |
|
20 Evidence-Based Assessment Of The Female Genitourinary System |
|
|
539 | (46) |
|
|
|
|
|
Anatomy and Physiology of the Female Genitourinary System |
|
|
539 | (8) |
|
|
|
539 | (1) |
|
|
|
540 | (1) |
|
|
|
541 | (1) |
|
Internal Structures of the Female Genitourinary System and Reproductive Systems |
|
|
541 | (3) |
|
|
|
544 | (1) |
|
Life-Span Differences and Considerations in Anatomy and Physiology |
|
|
545 | (2) |
|
Key History Questions and Considerations for the Female Genitourinary System |
|
|
547 | (6) |
|
History of Present Illness |
|
|
547 | (2) |
|
|
|
549 | (1) |
|
|
|
549 | (1) |
|
|
|
549 | (1) |
|
|
|
550 | (1) |
|
|
|
550 | (1) |
|
|
|
550 | (2) |
|
|
|
552 | (1) |
|
Preventive Care Considerations |
|
|
552 | (1) |
|
Life-Span Considerations for History |
|
|
553 | (1) |
|
Unique Population Considerations for History |
|
|
553 | (1) |
|
Physical Examination of the Female Genitourinary System |
|
|
553 | (7) |
|
Performing the Pelvic Examination |
|
|
554 | (1) |
|
Inspection and Palpation of External Genitalia |
|
|
554 | (1) |
|
Internal Inspection: Speculum Examination |
|
|
554 | (3) |
|
Palpation: Bimanual Examination |
|
|
557 | (1) |
|
Life-Span Considerations for Physical Examination |
|
|
558 | (1) |
|
Special Population Considerations for Physical Examination |
|
|
559 | (1) |
|
Laboratory Considerations for the Genitourinary System |
|
|
560 | (1) |
|
|
|
560 | (1) |
|
|
|
561 | (1) |
|
Testing for Sexually Transmitted Infections |
|
|
561 | (1) |
|
Human Papillomavirus Testing |
|
|
561 | (1) |
|
Imaging Considerations for the Female Genitourinary System |
|
|
561 | (1) |
|
Transvaginal and Transabdominal Pelvic Ultrasound |
|
|
561 | (1) |
|
Evidence-Based Practice Considerations for the Female Genitourinary System |
|
|
562 | (4) |
|
The Well-Woman Examination |
|
|
562 | (1) |
|
Pelvic Examinations for Asymptomatic and Nonpregnant Adult Women |
|
|
562 | (1) |
|
Cervical Cancer Screening and Human Papillomavirus Testing |
|
|
562 | (1) |
|
Human Papillomavirus Vaccination |
|
|
562 | (1) |
|
Assessment and Screening for Breast, Ovarian, and Endometrial Cancers |
|
|
563 | (1) |
|
|
|
564 | (1) |
|
Sexually Transmitted Infection Screening |
|
|
565 | (1) |
|
|
|
565 | (1) |
|
Abnormal Findings of the Female Genitourinary System |
|
|
566 | (9) |
|
Sexually Transmitted Infections |
|
|
566 | (3) |
|
|
|
569 | (1) |
|
Vulvar/Vaginal/Urethral Lesions |
|
|
570 | (2) |
|
|
|
572 | (1) |
|
Genital Lesions/Masses: Malignant and Nonmalignant |
|
|
572 | (1) |
|
|
|
573 | (2) |
|
|
|
575 | (1) |
|
Case Study: Abdominal Pain and Discharge |
|
|
575 | (1) |
|
Case Study: Abdominal Pain and Bleeding |
|
|
576 | (2) |
|
|
|
578 | (7) |
|
21 Evidence-Based Obstetric Assessment |
|
|
585 | (24) |
|
|
|
|
|
585 | (3) |
|
|
|
585 | (1) |
|
|
|
585 | (1) |
|
|
|
586 | (1) |
|
|
|
587 | (1) |
|
|
|
588 | (1) |
|
|
|
588 | (1) |
|
|
|
588 | (1) |
|
|
|
588 | (1) |
|
|
|
588 | (1) |
|
Skeletal Structure and Function |
|
|
588 | (1) |
|
Key History Questions and Considerations |
|
|
588 | (3) |
|
History of Present Illness |
|
|
589 | (1) |
|
|
|
589 | (1) |
|
|
|
590 | (1) |
|
|
|
590 | (1) |
|
|
|
590 | (1) |
|
Preventive Care Considerations |
|
|
591 | (1) |
|
Unique Population Considerations for History |
|
|
591 | (1) |
|
|
|
591 | (3) |
|
|
|
591 | (1) |
|
|
|
592 | (1) |
|
|
|
593 | (1) |
|
Unique Population Considerations for Physical Examination |
|
|
593 | (1) |
|
Laboratory Considerations |
|
|
594 | (2) |
|
Initial Obstetric Lab Work |
|
|
594 | (1) |
|
Gestational Diabetes Screening |
|
|
595 | (1) |
|
|
|
595 | (1) |
|
Labs at 24-28 Weeks' Gestation |
|
|
596 | (1) |
|
Labs at 35-37 Weeks' Gestation |
|
|
596 | (1) |
|
|
|
596 | (1) |
|
Evidence-Based Practice Considerations |
|
|
597 | (2) |
|
Folic-Acid Supplementation |
|
|
597 | (1) |
|
Gestational Diabetes Screening |
|
|
597 | (1) |
|
|
|
598 | (1) |
|
Fetal Surveillance in Third Trimester |
|
|
598 | (1) |
|
Management of Women at High Risk for Preterm Birth |
|
|
599 | (1) |
|
|
|
599 | (1) |
|
|
|
599 | (4) |
|
Acute Cystitis Urinary Tract Infection |
|
|
599 | (1) |
|
|
|
599 | (1) |
|
|
|
600 | (1) |
|
Constipation in Pregnancy |
|
|
600 | (1) |
|
|
|
600 | (1) |
|
|
|
601 | (1) |
|
|
|
601 | (1) |
|
|
|
601 | (1) |
|
Pruritic Urticarial Papules and Plaques of Pregnancy |
|
|
602 | (1) |
|
Gestational Thrombocytopenia |
|
|
602 | (1) |
|
Case Study: Routine Prenatal Visit |
|
|
603 | (1) |
|
Case Study: Problem Obstetric Visit |
|
|
603 | (1) |
|
|
|
604 | (5) |
|
PART IV EVIDENCE BASED PHYSICAL EXAMINATION AND ASSESSMENT OF MENTAL HEALTH |
|
|
|
22 Evidence-Based Assessment Of Mental Health |
|
|
609 | (20) |
|
|
|
Bernadette Mazurek Melnyk |
|
|
|
|
609 | (2) |
|
Key History Questions and Considerations |
|
|
611 | (3) |
|
Assessment of Mental Status |
|
|
611 | (1) |
|
Approach to Assessing Mental Status and Mental Health History |
|
|
612 | (1) |
|
History of Present Illness |
|
|
612 | (1) |
|
|
|
612 | (1) |
|
Past Medical History and Review of Systems |
|
|
612 | (1) |
|
|
|
613 | (1) |
|
Strengths, Goals, and Interests |
|
|
613 | (1) |
|
Preventive Care Considerations |
|
|
613 | (1) |
|
Unique Population Considerations for History |
|
|
613 | (1) |
|
|
|
614 | (1) |
|
Laboratory Considerations |
|
|
614 | (1) |
|
Evidence-Based Practice Considerations |
|
|
615 | (4) |
|
Evidence-Based Depression and Suicidality Screening |
|
|
615 | (1) |
|
Evidence-Based Mental Health Screening Tools |
|
|
616 | (3) |
|
Evidence-Based Screening Instruments Specific to Children/Teens |
|
|
619 | (1) |
|
Findings in Common Mental Health Disorders |
|
|
619 | (3) |
|
Anxiety and Anxiety Disorders |
|
|
619 | (1) |
|
Trauma and Stressor-Related Disorders |
|
|
620 | (1) |
|
Depression and Mood Disorders |
|
|
621 | (1) |
|
|
|
621 | (1) |
|
Comorbid Mental Health Conditions |
|
|
622 | (1) |
|
Special Considerations for Children and Adolescents |
|
|
622 | (2) |
|
|
|
622 | (1) |
|
Attention Deficit Hyperactivity Disorder |
|
|
623 | (1) |
|
|
|
623 | (1) |
|
The Write-Up for a Mental Health Assessment |
|
|
624 | (1) |
|
Case Study: Adult Mental Health Assessment |
|
|
625 | (1) |
|
Case Study: Pediatric Mental Health Assessment |
|
|
625 | (2) |
|
|
|
627 | (2) |
|
23 Evidence-Based Assessment Of Substance Use Disorder |
|
|
629 | (16) |
|
|
|
|
|
Overview: Defining the Problem of Substance Use Disorder |
|
|
629 | (2) |
|
Anatomy and Physiology of the Brain and Nervous System Involved in Substance Use Disorder |
|
|
631 | (3) |
|
Neurons, Neurotransmitters, and Nervous System Involvement |
|
|
631 | (1) |
|
Regions of the Brain Disrupted with Substance Use Disorder |
|
|
632 | (1) |
|
|
|
633 | (1) |
|
Key History Questions and Considerations for Substance Use Disorder |
|
|
634 | (4) |
|
Approach to Assessment of Substance Use: Screening, Brief Intervention, and Referral to Treatment |
|
|
634 | (2) |
|
History of Present Illness |
|
|
636 | (1) |
|
|
|
637 | (1) |
|
|
|
637 | (1) |
|
|
|
637 | (1) |
|
|
|
637 | (1) |
|
Preventive Care Considerations |
|
|
638 | (1) |
|
|
|
638 | (1) |
|
Physical Examination for Substance Use Disorder |
|
|
638 | (1) |
|
Laboratory Considerations for Substance Use Disorder |
|
|
638 | (1) |
|
Imaging Considerations for Substance Use Disorders |
|
|
639 | (1) |
|
Evidence-Based Practice Considerations for Substance Use Disorders |
|
|
639 | (1) |
|
Abnormal/Common Findings Related to Substance Use Disorder |
|
|
640 | (2) |
|
Substance and Non-Substance Addictive Behaviors |
|
|
640 | (1) |
|
|
|
640 | (1) |
|
Withdrawal Symptoms and Neonatal Abstinence Syndrome |
|
|
641 | (1) |
|
|
|
641 | (1) |
|
Case Study: Illicit Prescription Use |
|
|
642 | (1) |
|
|
|
643 | (2) |
|
24 Evidence-Based Assessment And Screening For Traumatic Experiences: Abuse, Neglect, And Intimate Partner Violence |
|
|
645 | (38) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
645 | (4) |
|
Adverse Childhood Experiences |
|
|
647 | (2) |
|
Abuse and Neglect of Children |
|
|
649 | (3) |
|
Physical and Sexual Abuse |
|
|
649 | (1) |
|
|
|
650 | (1) |
|
|
|
651 | (1) |
|
Intimate Partner Violence |
|
|
652 | (1) |
|
Elderly and Disabled Adult Abuse |
|
|
653 | (1) |
|
Key History Questions and Considerations |
|
|
654 | (8) |
|
History of Present Illness |
|
|
654 | (5) |
|
|
|
659 | (1) |
|
|
|
659 | (1) |
|
|
|
660 | (1) |
|
|
|
660 | (1) |
|
Preventive Care Considerations |
|
|
660 | (2) |
|
|
|
662 | (7) |
|
|
|
662 | (4) |
|
|
|
666 | (3) |
|
|
|
669 | (1) |
|
Imaging and Laboratory Considerations |
|
|
669 | (2) |
|
Additional Considerations |
|
|
671 | (3) |
|
Evidence-Based Practice Considerations |
|
|
674 | (1) |
|
|
|
675 | (1) |
|
|
|
675 | (1) |
|
Case Study: Well-Child Visit |
|
|
675 | (1) |
|
Case Study: Vaginal Discharge and Pain |
|
|
676 | (1) |
|
|
|
677 | (6) |
|
25 Evidence-Based Therapeutic Communication And Motivational Interviewing In Health Assessment |
|
|
683 | (16) |
|
|
|
|
|
|
|
Therapeutic Communication in the Context of Health Assessment |
|
|
683 | (2) |
|
Therapeutic Communication, Motivational Interviewing, and Stages of Change |
|
|
683 | (2) |
|
Key Skills and Considerations When Eliciting Patient History |
|
|
685 | (3) |
|
Therapeutic Skills to Elicit Chief Concern and Reason for Visit |
|
|
685 | (2) |
|
Eliciting the Past Medical History |
|
|
687 | (1) |
|
|
|
687 | (1) |
|
|
|
687 | (1) |
|
Preventive Care Considerations |
|
|
687 | (1) |
|
|
|
688 | (1) |
|
Special Considerations for Communicating During the Physical Exam |
|
|
688 | (1) |
|
Evidence-Based Practice Considerations |
|
|
689 | (4) |
|
|
|
689 | (1) |
|
Motivational Interviewing |
|
|
689 | (3) |
|
|
|
692 | (1) |
|
Case Study: Therapeutic Communication |
|
|
693 | (1) |
|
|
|
694 | (5) |
|
PART V SPECIAL TOPICS IN EVIDENCE BASED ASSESSMENT |
|
|
|
26 Evidence-Based History And Physical Examinations For Sports Participation Evaluation |
|
|
699 | (14) |
|
|
|
Anatomy and Physiology of the Adolescent |
|
|
699 | (1) |
|
Key History Questions and Considerations |
|
|
700 | (2) |
|
History of Presenting Illness |
|
|
700 | (1) |
|
|
|
700 | (2) |
|
|
|
702 | (1) |
|
|
|
702 | (1) |
|
|
|
702 | (1) |
|
Preventive Care Considerations |
|
|
702 | (1) |
|
|
|
702 | (4) |
|
|
|
702 | (1) |
|
|
|
703 | (2) |
|
|
|
705 | (1) |
|
|
|
705 | (1) |
|
Contraindications and Restrictions for Sports Participation |
|
|
706 | (1) |
|
Laboratory Considerations |
|
|
706 | (1) |
|
|
|
706 | (1) |
|
Evidence-Based Practice Considerations |
|
|
707 | (1) |
|
|
|
707 | (2) |
|
Hypertrophic Cardiomyopathy |
|
|
707 | (1) |
|
|
|
708 | (1) |
|
|
|
709 | (1) |
|
Case Study: Pre-Participation Sports Evaluation |
|
|
709 | (2) |
|
|
|
711 | (2) |
|
27 Using Health Technology In Evidence-Based Assessment |
|
|
713 | (10) |
|
|
|
|
|
Health Technology in Evidence-Based Practice |
|
|
713 | (3) |
|
Terminology Across Disciplines |
|
|
713 | (1) |
|
Ethical and Legal Considerations |
|
|
714 | (2) |
|
Evaluation of Evidence to Support Use of Health Technology |
|
|
716 | (1) |
|
Variations in Approach to Evidence |
|
|
716 | (1) |
|
Locating Health Technology Evidence |
|
|
716 | (1) |
|
Keeping Pace With Evolving Health Technology |
|
|
716 | (2) |
|
Case Study: How Technology Can Support Evidence-Based Assessment |
|
|
718 | (1) |
|
Case Study: How Technology Can Support Evidence-Based Practice |
|
|
719 | (1) |
|
|
|
719 | (1) |
|
|
|
720 | (3) |
|
28 Evidence-Based Assessment Of Personal Health And Well-Being For Clinicians: Key Strategies To Achieve Optimal Wellness |
|
|
723 | (14) |
|
Bernadette Mazurek Melnyk |
|
|
|
|
|
|
The Importance of Clinician Health and Well-Being |
|
|
723 | (1) |
|
The National Academy of Medicine's Action Collaborative on Clinician Well-Being and Resilience |
|
|
724 | (1) |
|
Healthcare System Interventions |
|
|
724 | (2) |
|
Key Questions for Self-Assessment of Clinician Health and Well-Being |
|
|
726 | (1) |
|
Key Strategies for Optimizing Personal Health and Well-Being in the Nine Dimensions of Well-Being |
|
|
726 | (8) |
|
|
|
726 | (4) |
|
|
|
730 | (1) |
|
|
|
731 | (1) |
|
|
|
732 | (1) |
|
|
|
732 | (1) |
|
|
|
732 | (1) |
|
|
|
733 | (1) |
|
|
|
733 | (1) |
|
|
|
733 | (1) |
|
Take Action to Improve Your Health and Well-Being Now: Bern's Story |
|
|
734 | (1) |
|
|
|
734 | (1) |
|
|
|
735 | (2) |
|
29 Evidence-Based Health And Well-Being Assessment: Putting It All Together |
|
|
737 | (4) |
|
|
|
|
|
|
|
737 | (1) |
|
Components of Advanced Assessment |
|
|
737 | (1) |
|
Episodic/Acute Visit: Review History of Present Illness |
|
|
737 | (1) |
|
Chronic Care Management Visit: Support Self-Management |
|
|
737 | (1) |
|
|
|
738 | (1) |
|
|
|
738 | (1) |
|
|
|
738 | (1) |
|
Review of Systems: Focused, Extended, or Complete |
|
|
738 | (1) |
|
Preventive Care Considerations |
|
|
738 | (1) |
|
Physical Examination Components |
|
|
738 | (3) |
|
|
|
738 | (1) |
|
|
|
738 | (1) |
|
Head and Neck (Including Lymphatics) |
|
|
739 | (1) |
|
|
|
739 | (1) |
|
|
|
739 | (1) |
|
|
|
739 | (1) |
|
|
|
739 | (1) |
|
Anterior, Posterior, and Lateral Chest |
|
|
739 | (1) |
|
Cardiovascular and Peripheral Vascular |
|
|
739 | (1) |
|
|
|
740 | (1) |
|
Musculoskeletal and Neurologic |
|
|
740 | (1) |
| Index |
|
741 | |
Lisainfo e-raamatute kohta