Geriatric Physical Diagnosis

A Guide to Observation and Assessment


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About the Book

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.

About the Author(s)

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.

Bibliographic Details

Mark E. Williams, M.D.
Format: softcover (7 x 10)
Pages: 344
Bibliographic Info: 208 photos, tables, bibliography, index
Copyright Date: 2009 [2008]
pISBN: 978-0-7864-4731-2
eISBN: 978-0-7864-5160-9
Imprint: McFarland

Table of Contents

Acknowledgments      vii

Preface      1

A Personal Note      5

1. General Principles      9

2. The Approach to the Elderly Patient      11

3. Initial Impressions      19

4. The Vital Signs      32

5. The Hands and Wrists      48

6. The Upper Extremities      67

7. The Head      81

8. The Eyes      88

9. The Ears, Nose, Mouth and Throat      109

10. The Neck      124

11. The Lymph Nodes      131

12. The Back      135

13. The Breasts      141

14. The Respiratory System      144

15. The Cardiovascular System      159

16. The Abdomen      181

17. The Lower Extremities      198

18. The Peripheral Vascular Examination      213

19. The Female Genitalia      224

20. The Male Genitalia      230

21. The Neurological Examination      235

22. Evaluation of Mental Status      268

23. Assessment of Balance and Gait      274

24. Evaluation of Urinary Incontinence      285

25. Geriatric Skin Conditions      294

Useful References      307

Index      309

Book Reviews & Awards

“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.