By Dale Berg MD, Katherine Worzala MD
Written by way of famous physicians and educators at Thomas Jefferson college, this completely illustrated text/atlas is the main complete consultant to actual exam suggestions and actual analysis. insurance of every anatomic web site contains a evaluation of anatomy, a normal screening exam, and particular problem-oriented examinations, plus educating issues for physicians who principle scientific scholars. numerous concepts for every website and challenge are proven, in order that readers can adapt the exam to the patient.
More than seven-hundred illustrations—139 in complete color—depict anatomic information, exam suggestions, and demanding findings. Tables current the facts foundation for varied strategies. Annotated bibliographies also are included.
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Extra info for Atlas of Adult Physical Diagnosis
For the primary care physician, an overview of pigmented entities in the mouth, including the normal entity—melanoplakia—broad patches in the buccal mucosa, perfectly normal; also reviews Peutz-Jeghers pigmented macules in the lips, buccal mucous membranes, polyps in intestine, amalgam tattoo—silver amalgam adjacent to a restored tooth—the amalgam precipitates collagen, nevi, and melanoma—localized black patch with diffuse borders and secondary ulceration, lead line—on the tooth surface adjacent to gingival—lead precipitated out as lead sulfide by bacteria.
These are caused by thyroid hormone or catecholaminerelated spasm of Müller’s muscle. , 3+ deep tendon reflexes that are symmetric and have short, staccato contraction and relaxation phases. , Plummer’s nails in which the plates are thin and distally lifted off the nailbeds (Fig. 69). Finally, the patient may have tachycardia and the absence of wrinkles in forehead on looking upward (Joffroy’s sign). Graves’ disease manifests with findings of a diffuse goiter when the thyroid is involved, which is virtually always visible on inspection (Fig.
Of fine touch and vibratory sensation if caused by B12 deficiency, but no such neuropathy in folate deficiency. Geographic tongue manifests with red patches of denuded tongue epithelium, surrounded by rims of white and areas of normal tongue epithelium, which change from day to day (Fig. 52). This is an idiopathic process that is self-limited. 50. 51. Tongue papilloma. Large exophytic ulcerating lesion on lateral tongue. Atrophic glossitis of B12 deficiency. Classic shiny, smooth surface of the tongue.