Clinical Examination Skills in the Adult Critically Ill Patient

Description

This well-illustrated book provides detailed guidance on all aspects of physical examination in patients requiring emergency or intensive care. After an introductory section covering basic principles and the recognition of pre-terminal signs, the approach to examination of individual organ systems is clearly explained. Examination schemes are then presented for particular conditions or settings, including respiratory distress, shock, neurological disease, trauma, suspected infection, and cardiac arrest. The skill of physical examination has become the forgotten art of medicine in both undergraduate and postgraduate studies. Furthermore, most books on the topic have so far focused on examination practices applicable to non-critically ill patients. In emergency and intensive care medicine, however, a different approach and sometimes also different examination techniques are required due to the life-threatening disease process. In summarizing knowledge and providing guidance on physical examination in this specific subgroup of patients, this book will meet the needs of all physicians and allied health care professionals involved in the care of critically ill patients. Front Matter ....Pages i-xiii Front Matter ....Pages 1-1 Basic Principles (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 3-6 The First Impression (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 7-10 Checking Vital Functions (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 11-14 Recognizing Preterminal Signs (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 15-18 Front Matter ....Pages 19-19 The Airway and Lungs (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 21-49 The Circulation (Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer)....Pages 51-80 The Brain (Martin W. Dünser, Ronny Beer, Sirak Petros, Mervyn Mer)....Pages 81-111 The Abdomen (Martin W. Dünser, Daniel Dankl, Sirak Petros, Wilhelm Grander, Dietmar Öfner-Velano, Mervyn Mer)....Pages 113-128 The Liver (Martin W. Dünser, Sirak Petros, Wilhelm Grander, Dietmar Öfner-Velano, Mervyn Mer)....Pages 129-136 The Hydration Status and the Kidneys (Martin W. Dünser, Wilfred Druml, Sirak Petros, Wilhelm Grander)....Pages 137-142 The Neuromuscular System and Spinal Cord (Martin W. Dünser, Ronny Beer)....Pages 143-154 The Coagulation (Martin W. Dünser, Sirak Petros, Herbert Schöchl)....Pages 155-162 Front Matter ....Pages 163-163 The Patient in Respiratory Distress (Martin W. Dünser, Daniel Dankl)....Pages 165-169 The Patient in Shock (Martin W. Dünser, Daniel Dankl)....Pages 171-176 The Patient with Neurological Disease (Martin W. Dünser, Daniel Dankl)....Pages 177-190 The Patient with Severe Trauma (Martin W. Dünser, Daniel Dankl)....Pages 191-200 The Patient with Suspected Infection (Martin W. Dünser, Daniel Dankl)....Pages 201-215 The Patient in Cardiac Arrest (Martin W. Dünser, Daniel Dankl)....Pages 217-222 The Intoxicated Patient (Martin W. Dünser, Daniel Dankl)....Pages 223-226 During the ICU Ward Round (Martin W. Dünser, Daniel Dankl)....Pages 227-232 Front Matter ....Pages 233-233 Dermatologic Pearls (Josef Koller, Martin W. Dünser)....Pages 235-243 Back Matter ....Pages 245-261