General and endocrine examination

Author(s):  
James Thomas ◽  
Tanya Monaghan

Approaching the physical examinationFirst impressionsSet-upGeneral examinationColourTemperatureHydrationOedemaNutritional statusLymph nodesHands and upper limbsRecognizable syndromesVitamin and trace element deficienciesThe elderly patientThe endocrine systemSymptoms in endocrinologyThe rest of the historyGeneral endocrine examinationExamining the thyroidExamining the patient with diabetesImportant presentations

Author(s):  
James Thomas ◽  
Tanya Monaghan

IntroductionHistoryImportant locomotor symptomsThe rest of the historyOutline locomotor historyExaminationOutline locomotor examinationThe GALS screenHandElbowShoulderSpineHipKneeAnkle and footImportant presentationsThe elderly patient


Author(s):  
James Thomas ◽  
Tanya Monaghan

IntroductionHistorySymptomsExaminationExamining the male genitaliaImportant presentationsThe elderly patient


Author(s):  
James Thomas ◽  
Tanya Monaghan

IntroductionHistoryDyspnoeaCough and expectorationOther respiratory symptomsThe rest of the historyExaminationGeneral appearanceHands, face, and neckInspection of the chestPalpationPercussionAuscultationImportant presentationsThe elderly patient


Author(s):  
Jessica Abadía Otero ◽  
Laisa Socorro Briongos Figuero ◽  
Miriam Gabella Mattín ◽  
Iciar Usategui Martín ◽  
Pablo Cubero Morais ◽  
...  

Author(s):  
James Thomas ◽  
Tanya Monaghan

IntroductionHistoryChest painBreathlessness and oedemaFatiguePalpitationsSyncopeClaudicationRest painThe rest of the historyExaminationOutline cardiovascular examinationGeneral inspection and handsPeripheral pulsesThe face and neckThe precordium: inspection and palpationThe precordium: auscultationMurmursExtra soundsExamining beyond the chestImportant presentationsThe elderly patient


1995 ◽  
Vol 10 (supp6) ◽  
pp. 65-68 ◽  
Author(s):  
B. Cianciaruso ◽  
G. Brunori ◽  
G. Traverso ◽  
G. Panarello ◽  
G. Enia ◽  
...  

2015 ◽  
Vol 25 (1) ◽  
pp. 31-52 ◽  
Author(s):  
I Runkle ◽  
E Gomez-Hoyos ◽  
M Cuesta-Hernández ◽  
J Chafer-Vilaplana ◽  
P de Miguel

SummaryHyponatraemia is frequent in older people and induces marked motor and cognitive dysfunction, even in patients deemed ‘asymptomatic’. Nutritional status is worse than in euvolaemic-matched controls, and the risk of fracture is increased following incidental falls. Yet hyponatraemia is undertreated, in spite of the fact that its correction is accompanied by a clear improvement in symptoms. Both evaluation of neurological symptoms and classification by volaemia are essential for a correct diagnosis and treatment of the hyponatraemic elderly patient. The syndrome of inappropriate anti-diuretic hormone secretion (SIADH) is the most common cause of hyponatraemia in older people. Nutritional status and chronicity of SIADH should be taken into account when deciding therapy. We propose an 8-step approach to the management of the elderly patient with hyponatraemia.


Author(s):  
James Thomas ◽  
Tanya Monaghan ◽  
Prarthana Thiagarajan

IntroductionHistorySwallowing symptomsNausea and vomitingAbdominal painBowel habitGeneralized abdominal swellingJaundice and pruritusAppetite and weightLower urinary tract symptomsThe rest of the historyExaminationOutline examinationInspection: handsInspection: upper limbsInspection: faceInspection: neck and chestInspection: abdomenStomasAbdominal scars 1: open surgeryAbdominal scars 2: laparoscopicPalpation: generalPalpation: aortaPalpation: liver and gallbladderPalpation: spleenPalpation: kidneys and bladderPalpation: herniaePercussionAuscultation‘Per rectum’ examinationImportant presentationsThe elderly patient


2020 ◽  
Author(s):  
O. V. Gorchakova ◽  
Yu. P. Kolmogorov ◽  
V. N. Gorchakov ◽  
G. A. Demchenko ◽  
S. N. Abdreshov

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