Common Symptom Guide: A Guide to the Evaluation of Common by John H. Wasson, B. Timothy Walsh, Harold Sox, Robert

By John H. Wasson, B. Timothy Walsh, Harold Sox, Robert Pantell, John W. Wasson

This consultant presents an inventory of pertinent questions, actual findings, and differential diagnoses for over a hundred often obvious indicators in adults and kids. It additionally offers insightful directions on sufferer and kin heritage, actual exam, diagnostic issues and medicines.

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Additional info for Common Symptom Guide: A Guide to the Evaluation of Common Adult and Pediatric Symptoms (4th Edition)

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Environmental HistoryM Was the abrasion/laceration contaminated with feces, soil; if animal bite, was attack unprovoked, what type of animal. ) 53 Copyright 1997 The McGraw-Hill Companies, Inc. Click Here for Terms of Use. qxd 8/29/01 8:41 AM Page 54 54 Abrasion-Laceration PHYSICAL EXAMINATION MEASURE: blood pressure; pulse. wound: size; location; crushed tissue, dirt, or foreign body in wound; if on extremity, check movement, sensation, and pulses distal to injury. SKIN: GENERAL CONSIDERATIONS Any wound is potentially contaminated with bacteria.

Masses; tenderness; any tissue passed; size of uterus and cervical os. ) PELVIC EXAM: 50 Copyright 1997 The McGraw-Hill Companies, Inc. Click Here for Terms of Use. qxd 8/29/01 8:41 AM Page 51 Abortion 51 GENERAL CONSIDERATIONS Up to 20% of pregnancies abort before 20 weeks; there are usually no apparent reasons for abortion. The greater the amount of bleeding, the more likely the female is to develop shock (orthostatic drop in blood pressure; pallor and sweating); shock is a major risk during abortion.

Last menstrual period more than 6 weeks previous; pain in one lower quadrant; acute onset and severe. May note a history of previous “kidney stone”; pain may begin in flank and radiate to groin; painful urination and blood in urine are frequently noted. See URINE TROUBLES. Fever; tenderness with guarding/rebound in lower quadrants; pain on lateral motion of cervix; adnexal tenderness; purulent discharge from cervix. Adnexal tenderness and mass; postural hypotension and tachycardia may be present.

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