Seidel's Guide to Physical Examination
An Interprofessional Approach
- 11 Edición - 27 de febrero de 2026
- Última edición
- Autores: Jane W. Ball, Joyce E. Dains, John A. Flynn, Barry S. Solomon, Rosalyn W. Stewart
- Idioma: Inglés
Learn how to conduct a patient-centered health history and physical examination! Seidel's Guide to Physical Examination: An Interprofessional Approach, 11th Edition, takes a unique… Leer más
Learn how to conduct a patient-centered health history and physical examination! Seidel's Guide to Physical Examination: An Interprofessional Approach, 11th Edition, takes a uniquely interprofessional collaborative approach to health assessment, with a strong emphasis on lifespan considerations and differential diagnosis of unexpected findings. Each core chapter is organized into four sections ― Anatomy and Physiology, Review of Related History, Examination and Findings, and Abnormalities ― with lifespan content integrated into each area. Written by a team of nurse practitioners and physicians, this one-of-a-kind textbook uses evidence-based guidelines to help you master hands-on exam techniques, as well as communication skills that build rapport and trust with the patient.
- Interprofessional collaborative approach, written by two advanced practice nurses and three physicians, offers balanced expertise in both pediatric and adult-geriatric health
- Integrated lifespan content includes separate sections in each chapter on infants and children, adolescents, pregnant patients, and older adults
- Compassionate, patient-centered approach emphasizes developing good communication skills, use of effective hands-on examination techniques, and reliance on clinical reasoning and clinical decision-making skills
- Strong focus on social inclusiveness and patient-centeredness incorporates LGBTQ+ patients and providers, with special emphasis on cultural competency, history-taking, and special considerations for examination of the breasts, female and male genitalia, reproductive health, thyroid, and anus/rectum/prostate
- Cross-references to Dains’ Advanced Health Assessment & Clinical Diagnosis in Primary Care help you take "the next step" in clinical reasoning abilities and provides a more seamless user experience
Advanced practice and undergraduate nursing, medical, Physician Assistant, Physical Therapy, and other health professions students
1 Cultural Competency
An Overview of Culture
A Definition of Culture and Cultural Values
Distinguishing Physical Characteristics
Culture in Health care
Cultural Competence
Cultural Humility
The Impact of Culture
The Blurring of Cultural Distinctions
The Primacy of the Individual in Health Care
Interprofessional Care: A Culture Shift in the Health Professions
The Impact of Culture on Illness
The Components of a Cultural Response
Modes of Communication
Health Beliefs and Practices
Family Relationships
Diet and Nutritional Practices
Summing Up
2 The History and Interviewing Process
Developing a Relationship With the Patient
The Patient History
Building the History
The Next Step
3 Examination Techniques and Equipment
Precautions
Examination Technique
Modifications for Patients With Disabilities
Equipment
4 Taking the Next Steps: Clinical Reasoning
Clinical Reasoning
Evaluation and Management Plan and Setting Priorities
5 The Health Record
General Guidelines
Problem-Oriented Health Record
Problem-Oriented Health Record Format
Sample Records
Summary
6 Vital Signs and Pain Assessment
Anatomy and Physiology
Vital Signs
Review of Related History
Present Problem
Personal and Social History
Examination and Findings
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
Pain Assessment
Abnormalities
7 Mental Status
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Physical Appearance and Behavior
State of Consciousness
Cognitive Abilities
Speech and Language Skills
Emotional Stability
Abnormalities
Mental Status
8 Growth and Nutrition
Anatomy and Physiology
Differences in Growth by Organ System
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Determination of Diet Adequacy
Examination and Findings
Equipment
Weight and Standing Height
Body Mass Index
Waist Circumference and Waist-Height Ratio
Sexual Maturation
Abnormalities
Growth
Nutrition
9 Skin, Hair, and Nails
Anatomy and Physiology
Epidermis
Dermis
Hypodermis
Appendages
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Skin
Hair
Nails
Abnormalities
Skin, Hair, and Nails
10 Lymphatic System
Anatomy and Physiology
Lymph Nodes
Lymphocytes
Thymus
Spleen
Tonsils and Adenoids
Peyer Patches
Infants, Children, Pregnant Patients, and Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection and Palpation
Head and Neck
Axillae
Epitrochlear Lymph Nodes
Inguinal and Popliteal Lymph Nodes
Spleen
Abnormalities
Acute Lymphangitis
Acute Suppurative Lymphadenitis
Lymphedema
Lymphangioma/Cystic Hygroma
Lymphatic Filariasis (Elephantiasis)
Non-Hodgkin Lymphoma
Hodgkin Lymphoma
Epstein-Barr Virus Mononucleosis
Toxoplasmosis
Roseola Infantum
Herpes Simplex Virus
Cat Scratch Disease
Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome
Serum Sickness (Type III Hypersensitivity Reaction)
Latex Allergy Type IV Dermatitis
Latex Allergy Type I Reaction
11 Head and Neck
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Head and Face
Neck
Abnormalities
Adults
Infants
12 Eyes
Anatomy and Physiology
External Eye
Internal Eye
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Visual Acuity Testing
External Examination
Extraocular Muscles
Ophthalmoscopic Examination
Abnormalities
Exophthalmos
Episcleritis
Band Keratopathy
Corneal Ulcer
Strabismus
Horner Syndrome
Cataracts
Diabetic Retinopathy (Background or Nonproliferative)
Diabetic Retinopathy (Proliferative)
Lipemia Retinalis
Retinitis Pigmentosa
Glaucoma
Intermediate Uveitis
Chorioretinitis (Chorioretinal Inflammation, Also Called Posterior Uveitis)
Visual Field Defects
13 Ears, Nose, and Throat
Anatomy and Physiology
Ears and Hearing
Nose, Nasopharynx, and Sinuses
Mouth and Oropharynx
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Ears and Hearing
Nose, Nasopharynx, and Sinuses
Mouth and Oropharynx
Abnormalities
Cholesteatoma
Hearing Loss
Sinusitis
Acute Bacterial Pharyngitis
Peritonsillar Abscess
Retropharyngeal Abscess
Oral Cancer
Periodontal Disease (Periodontitis)
Oropharyngeal Clefts (Cleft Lip, Cleft Palate, Cleft Lip and Palate)
14 Chest and Lungs
Anatomy and Physiology
Anatomic Landmarks
Review of Related History
History of Present Illness
Sputum
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Abnormalities
15 Heart
Anatomy and Physiology
Structure
Cardiac Cycle
Electrical Activity
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Abnormalities
General Heart Abnormalities
Heart Rate and Rhythm
16 Blood Vessels
Anatomy and Physiology
Blood Circulation
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Peripheral Veins
Abnormalities
Vessel Disorders
Jugular Venous Pressure Disorder
17 Breasts and Axillae
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Abnormalities
Breasts
Nipples and Areolae
18 Abdomen
Anatomy and Physiology
Musculature and Connective Tissues
Alimentary Tract
Liver
Gallbladder
Pancreas
Spleen
Kidneys, Ureters, and Bladder
Vasculature
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Inspection
Auscultation
Percussion
Palpation
Ascites Assessment
Pain Assessment
Abdominal Signs
Rebound Tenderness
Iliopsoas Muscle Test
Obturator Muscle Test
Ballottement
Inspection
Auscultation and Percussion
Palpation
Abnormalities
Hepatobiliary System
Pancreas
Spleen
Kidney
19 Female Genitalia
Anatomy and Physiology
External Genitalia
Internal Genitalia
Bony Pelvis
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Positioning
Draping and Gloving
External Examination
Internal Examination
Bimanual Examination
Rectovaginal Examination
Abnormalities
Lesions From Sexually Transmitted Infections
Vulva and Vagina
Cervix
Uterus
Adnexa
20 Male Genitalia
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection and Palpation
Inspection and Palpation
Transillumination
Abnormalities
Hernias
Penis
Scrotum
Infertility
21 Anus, Rectum, and Prostate
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Positioning
Sacrococcygeal and Perianal Areas
Anus
Sphincter
Anal Ring
Lateral and Posterior Rectal Walls
Bidigital Palpation
Anterior Rectal Wall
Prostate
Uterus and Cervix
Stool
Abnormalities
Anus, Rectum, and Surrounding Skin
Prostate
22 Musculoskeletal System
Anatomy and Physiology
Upper Extremities
Head and Spine
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Range of Motion and Muscle Tone
Muscle Strength
Specific Joints and Muscles
Advanced Skills
Hand and Wrist Assessment
Shoulder Assessment
Lower Spine Assessment
Hip Assessment
Knee Assessment
Abnormalities
Musculoskeletal
Sports Injuries
23 Neurologic System
Anatomy and Physiology
Brain
Spinal Cord and Spinal Tracts
Spinal Nerves
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Cranial Nerves
Proprioception and Cerebellar Function
Sensory Function
Reflexes
Advanced Skills
Protective Sensation
Meningeal Signs
Jolt Accentuation of Headache
Posturing
Abnormalities
Multiple Sclerosis
24 Head-to-Toe Examination
Beginning the Examination Process
Measurements
Physical Examination of Infants
Examination Sequence for Infants
Examination Sequence of Children
Physical Examination in Pregnant Patients and Older Adults
The Closing Discussion
25 Sports Participation Evaluation
Overview of Preparticipation Physical Evaluation
26 Emergency or Life-Threatening Situations
Emergency Assessment of the Injured Patient
Injury Mechanisms
Assessment of an Acute Medical Emergency
Legal Considerations
Abnormalities
References
An Overview of Culture
A Definition of Culture and Cultural Values
Distinguishing Physical Characteristics
Culture in Health care
Cultural Competence
Cultural Humility
The Impact of Culture
The Blurring of Cultural Distinctions
The Primacy of the Individual in Health Care
Interprofessional Care: A Culture Shift in the Health Professions
The Impact of Culture on Illness
The Components of a Cultural Response
Modes of Communication
Health Beliefs and Practices
Family Relationships
Diet and Nutritional Practices
Summing Up
2 The History and Interviewing Process
Developing a Relationship With the Patient
The Patient History
Building the History
The Next Step
3 Examination Techniques and Equipment
Precautions
Examination Technique
Modifications for Patients With Disabilities
Equipment
4 Taking the Next Steps: Clinical Reasoning
Clinical Reasoning
Evaluation and Management Plan and Setting Priorities
5 The Health Record
General Guidelines
Problem-Oriented Health Record
Problem-Oriented Health Record Format
Sample Records
Summary
6 Vital Signs and Pain Assessment
Anatomy and Physiology
Vital Signs
Review of Related History
Present Problem
Personal and Social History
Examination and Findings
Temperature
Pulse Rate
Respiratory Rate
Blood Pressure
Pain Assessment
Abnormalities
7 Mental Status
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Physical Appearance and Behavior
State of Consciousness
Cognitive Abilities
Speech and Language Skills
Emotional Stability
Abnormalities
Mental Status
8 Growth and Nutrition
Anatomy and Physiology
Differences in Growth by Organ System
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Determination of Diet Adequacy
Examination and Findings
Equipment
Weight and Standing Height
Body Mass Index
Waist Circumference and Waist-Height Ratio
Sexual Maturation
Abnormalities
Growth
Nutrition
9 Skin, Hair, and Nails
Anatomy and Physiology
Epidermis
Dermis
Hypodermis
Appendages
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Skin
Hair
Nails
Abnormalities
Skin, Hair, and Nails
10 Lymphatic System
Anatomy and Physiology
Lymph Nodes
Lymphocytes
Thymus
Spleen
Tonsils and Adenoids
Peyer Patches
Infants, Children, Pregnant Patients, and Older Adults
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection and Palpation
Head and Neck
Axillae
Epitrochlear Lymph Nodes
Inguinal and Popliteal Lymph Nodes
Spleen
Abnormalities
Acute Lymphangitis
Acute Suppurative Lymphadenitis
Lymphedema
Lymphangioma/Cystic Hygroma
Lymphatic Filariasis (Elephantiasis)
Non-Hodgkin Lymphoma
Hodgkin Lymphoma
Epstein-Barr Virus Mononucleosis
Toxoplasmosis
Roseola Infantum
Herpes Simplex Virus
Cat Scratch Disease
Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome
Serum Sickness (Type III Hypersensitivity Reaction)
Latex Allergy Type IV Dermatitis
Latex Allergy Type I Reaction
11 Head and Neck
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Head and Face
Neck
Abnormalities
Adults
Infants
12 Eyes
Anatomy and Physiology
External Eye
Internal Eye
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Visual Acuity Testing
External Examination
Extraocular Muscles
Ophthalmoscopic Examination
Abnormalities
Exophthalmos
Episcleritis
Band Keratopathy
Corneal Ulcer
Strabismus
Horner Syndrome
Cataracts
Diabetic Retinopathy (Background or Nonproliferative)
Diabetic Retinopathy (Proliferative)
Lipemia Retinalis
Retinitis Pigmentosa
Glaucoma
Intermediate Uveitis
Chorioretinitis (Chorioretinal Inflammation, Also Called Posterior Uveitis)
Visual Field Defects
13 Ears, Nose, and Throat
Anatomy and Physiology
Ears and Hearing
Nose, Nasopharynx, and Sinuses
Mouth and Oropharynx
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Ears and Hearing
Nose, Nasopharynx, and Sinuses
Mouth and Oropharynx
Abnormalities
Cholesteatoma
Hearing Loss
Sinusitis
Acute Bacterial Pharyngitis
Peritonsillar Abscess
Retropharyngeal Abscess
Oral Cancer
Periodontal Disease (Periodontitis)
Oropharyngeal Clefts (Cleft Lip, Cleft Palate, Cleft Lip and Palate)
14 Chest and Lungs
Anatomy and Physiology
Anatomic Landmarks
Review of Related History
History of Present Illness
Sputum
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Abnormalities
15 Heart
Anatomy and Physiology
Structure
Cardiac Cycle
Electrical Activity
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Percussion
Auscultation
Abnormalities
General Heart Abnormalities
Heart Rate and Rhythm
16 Blood Vessels
Anatomy and Physiology
Blood Circulation
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Peripheral Veins
Abnormalities
Vessel Disorders
Jugular Venous Pressure Disorder
17 Breasts and Axillae
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Abnormalities
Breasts
Nipples and Areolae
18 Abdomen
Anatomy and Physiology
Musculature and Connective Tissues
Alimentary Tract
Liver
Gallbladder
Pancreas
Spleen
Kidneys, Ureters, and Bladder
Vasculature
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Inspection
Auscultation
Percussion
Palpation
Ascites Assessment
Pain Assessment
Abdominal Signs
Rebound Tenderness
Iliopsoas Muscle Test
Obturator Muscle Test
Ballottement
Inspection
Auscultation and Percussion
Palpation
Abnormalities
Hepatobiliary System
Pancreas
Spleen
Kidney
19 Female Genitalia
Anatomy and Physiology
External Genitalia
Internal Genitalia
Bony Pelvis
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Positioning
Draping and Gloving
External Examination
Internal Examination
Bimanual Examination
Rectovaginal Examination
Abnormalities
Lesions From Sexually Transmitted Infections
Vulva and Vagina
Cervix
Uterus
Adnexa
20 Male Genitalia
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection and Palpation
Inspection and Palpation
Transillumination
Abnormalities
Hernias
Penis
Scrotum
Infertility
21 Anus, Rectum, and Prostate
Anatomy and Physiology
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Preparation
Positioning
Sacrococcygeal and Perianal Areas
Anus
Sphincter
Anal Ring
Lateral and Posterior Rectal Walls
Bidigital Palpation
Anterior Rectal Wall
Prostate
Uterus and Cervix
Stool
Abnormalities
Anus, Rectum, and Surrounding Skin
Prostate
22 Musculoskeletal System
Anatomy and Physiology
Upper Extremities
Head and Spine
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Inspection
Palpation
Range of Motion and Muscle Tone
Muscle Strength
Specific Joints and Muscles
Advanced Skills
Hand and Wrist Assessment
Shoulder Assessment
Lower Spine Assessment
Hip Assessment
Knee Assessment
Abnormalities
Musculoskeletal
Sports Injuries
23 Neurologic System
Anatomy and Physiology
Brain
Spinal Cord and Spinal Tracts
Spinal Nerves
Review of Related History
History of Present Illness
Past Medical History
Family History
Personal and Social History
Examination and Findings
Equipment
Cranial Nerves
Proprioception and Cerebellar Function
Sensory Function
Reflexes
Advanced Skills
Protective Sensation
Meningeal Signs
Jolt Accentuation of Headache
Posturing
Abnormalities
Multiple Sclerosis
24 Head-to-Toe Examination
Beginning the Examination Process
Measurements
Physical Examination of Infants
Examination Sequence for Infants
Examination Sequence of Children
Physical Examination in Pregnant Patients and Older Adults
The Closing Discussion
25 Sports Participation Evaluation
Overview of Preparticipation Physical Evaluation
26 Emergency or Life-Threatening Situations
Emergency Assessment of the Injured Patient
Injury Mechanisms
Assessment of an Acute Medical Emergency
Legal Considerations
Abnormalities
References
Review of the previous edition:
“…provides a comprehensive approach to patient-centered history and physical examination, information gathering and sharing, clinical reasoning, as well as clinical decision-making and problem solving. The book begins with information on culture competence and humility and developing a relationship with patients.…. Each chapter includes evidence-based practice in physical examination boxes, clinical pearls, tables, illustrations, pictures, and information on specific patient populations such as children, the elderly, and transgender and gender-diverse patients…. This updated book…continues to provide interprofessional health professionals with the essentials of the history and physical examination while adding information in important areas including care of LGBTQ+ populations, updated information regarding controversaries, such as in cancer care, and updated evidence for incorporating new research into clinical practice and decision-making…. The handbook and online resource are helpful to use in the clinical setting. *4 stars*" --©Doody’s Review Service, 2023, Suzanne M Allen, MD, MPH (University of Washington School of Medicine)
“…provides a comprehensive approach to patient-centered history and physical examination, information gathering and sharing, clinical reasoning, as well as clinical decision-making and problem solving. The book begins with information on culture competence and humility and developing a relationship with patients.…. Each chapter includes evidence-based practice in physical examination boxes, clinical pearls, tables, illustrations, pictures, and information on specific patient populations such as children, the elderly, and transgender and gender-diverse patients…. This updated book…continues to provide interprofessional health professionals with the essentials of the history and physical examination while adding information in important areas including care of LGBTQ+ populations, updated information regarding controversaries, such as in cancer care, and updated evidence for incorporating new research into clinical practice and decision-making…. The handbook and online resource are helpful to use in the clinical setting. *4 stars*" --©Doody’s Review Service, 2023, Suzanne M Allen, MD, MPH (University of Washington School of Medicine)
- Edición: 11
- Última edición
- Publicado: 27 de febrero de 2026
- Idioma: Inglés
JB
Jane W. Ball
Afiliaciones y experiencia
Chief Nursing and Content O? cer,Triaj, Inc, Havre de Grace, Maryland, USAJD
Joyce E. Dains
Afiliaciones y experiencia
Professor and Executive Director, Advanced Practice, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USAJF
John A. Flynn
Afiliaciones y experiencia
Professor of Medicine; The University of Chicago, Chicago, Illinois, USABS
Barry S. Solomon
Afiliaciones y experiencia
Professor of Pediatrics, Chief, Division of General Pediatrics; Assistant Dean for Medical Students, The Johns Hopkins University, School of Medicine, Baltimore, Maryland, USARS
Rosalyn W. Stewart
Afiliaciones y experiencia
Professor of Medicine and Pediatrics; The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA