Faculty Reviewers and Additional Contributors
How To Use Bates? Guide to Physical Examination and History Taking
Foundations of Health Assessment
Approach to the Clinical Encounter
FOUNDATIONAL SKILLS ESSENTIAL TO THE CLINICAL ENCOUNTER
APPROACH TO THE CLINICAL ENCOUNTER
STRUCTURE AND SEQUENCE OF THE CLINICAL ENCOUNTER
Stage 1: Initiating the Encounter
Stage 2: Gathering Information
Stage 3: Performing the Physical Examination
Stage 4: Explaining and Planning
Stage 5: Closing the Encounter
Documenting the Clinical Encounter
Interviewing, Communication, and Interpersonal Skills
FUNDAMENTALS OF SKILLED INTERVIEWING
APPROPRIATE VERBAL COMMUNICATION
APPROPRIATE NONVERBAL COMMUNICATION
OTHER CONSIDERATIONS IN COMMUNICATION AND INTERPERSONAL�SKILLS
Working with a Medical Interpreter
Interprofessional Communication
CHALLENGING PATIENT SITUATIONS AND�BEHAVIORS
Patient with Confusing Narrative
Patient with Altered State or Cognition
Patient with Emotional Lability
Patient Who Is Angry or Aggressive
Patient with Low or Impaired Vision
Patient with Limited Intelligence
Patient Burdened by Personal Problems
Patient with Low Health Literacy
Patient with Limited Language Proficiency
Patient with Terminal Illness or Who Is Dying
BEING PATIENT-CENTERED IN COMPUTERIZED CLINICAL SETTINGS
LEARNING COMMUNICATION SKILLS FROM STANDARDIZED PATIENTS
Different Kinds of Health Histories
Determining the Scope of Your Patient Assessment: Comprehensive or Focused?
Subjective versus Objective Data
COMPREHENSIVE ADULT HEALTH HISTORY
MODIFICATION OF THE CLINICAL INTERVIEW FOR VARIOUS CLINICAL SETTINGS
ROLE OF THE PHYSICAL EXAMINATION IN THE ERA OF TECHNOLOGY
DETERMINING SCOPE OF THE PHYSICAL EXAMINATION: COMPREHENSIVE OR�FOCUSED?
Comprehensive Adult Physical Examination
HEAD-TO-TOE PHYSICAL EXAMINATION
Head, Eyes, Ears, Nose, Throat
ADAPTING THE PHYSICAL EXAMINATION: SPECIFIC PATIENT CONDITIONS
Patient on Special Precautions
Clinical Reasoning, Assessment, and Plan
Basic Structure of the Clinical Reasoning Process
CLINICAL REASONING: DOCUMENTATION
Document the Problem Representation (Summary Statement)
PROGRESS NOTE AND PATIENT PROBLEM LIST IN THE ELECTRONIC HEALTH RECORD
Health Maintenance and�Screening
U.S. Preventive Services Task Force Approach
Grading of Recommendations, Assessment, Development, and Evaluation
SCREENING GUIDELINES FOR ADULTS
Screening for Unhealthy Weight and Diabetes�Mellitus
Screening for Substance Use Disorders, Including Misuse of Prescription and Illicit Drugs
Screening for IPV, Domestic Violence, Elder Abuse, and Abuse of Vulnerable Adults
COUNSELING GUIDELINES FOR ADULTS
Healthful Diet and Physical Activity
SCREENING AND COUNSELING GUIDELINES�FOR ADULTS
Screening and Counseling for STIs
IMMUNIZATION GUIDELINES FOR ADULTS
Tetanus, Diphtheria, Pertussis Vaccine
PREVENTIVE CARE IN SPECIAL POPULATIONS
DISEASE-SPECIFIC RECOMMENDATIONS
USING ELEMENTS OF THE HISTORY AND�PHYSICAL EXAMINATION AS DIAGNOSTIC TESTS
APPLYING CONCEPTS TO SCREENING TESTS
CRITICALLY APPRAISING THE CLINICAL EVIDENCE
COMMUNICATING CLINICAL EVIDENCE TO PATIENTS
General Survey, Vital Signs, and Pain
HEALTH HISTORY: GENERAL APPROACH
Fever, Chills, and Night Sweats
PHYSICAL EXAMINATION: GENERAL APPROACH
Assessing Acute and Chronic Pain
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Blood Pressure and Dietary Sodium
Cognition, Behavior, and�Mental Status
HEALTH HISTORY: GENERAL APPROACH
Patients with Medically Unexplained Symptoms
PHYSICAL EXAMINATION: GENERAL APPROACH
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Screening for Neurocognitive Disorders
Pilosebaceous Glands and Sweat Glands
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Lighting, Equipment, and Dermoscopy
Standard Technique: Patient Position?Seated Then Standing
Alternative Technique: Patient Position?Supine Then Prone
Patient Instructions for the Skin Self-Examination
Examining the Patient with Hair Loss
Evaluating the Bedbound Patient
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Screening for Melanoma: The ABCDEs
HEALTH HISTORY: GENERAL APPROACH
Thyroid Mass, Nodule, or Goiter
PHYSICAL EXAMINATION: GENERAL APPROACH
Carotid Arteries and Jugular Veins
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Screening for Thyroid Dysfunction
Autonomic Nerve Supply to the Eyes
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Ophthalmoscopic (Funduscopic) Examination
Eye Protrusion (Proptosis or Exophthalmos)
Everting Upper Eyelid to Search for Foreign Body
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
HEALTH HISTORY: GENERAL APPROACH
Rhinorrhea and Nasal Congestion
PHYSICAL EXAMINATION: GENERAL APPROACH
Ear Canal and Tympanic Membrane
Testing Auditory Acuity or Gross Hearing
Testing for Conductive versus Sensorineural Hearing Loss: Tuning Fork Tests
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Roof and Floor of the Mouth and the Tongue
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Locating Findings on the Chest
HEALTH HISTORY: GENERAL APPROACH
Shortness of Breath (Dyspnea) and Wheezing
Daytime Sleepiness, Snoring and Disordered Sleep
PHYSICAL EXAMINATION: GENERAL APPROACH
Initial Survey of Respiration and the Thorax
Clinical Assessment of Pulmonary Function
Identification of a Fractured Rib
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Surface Projections of the Heart and Great Vessels
Cardiac Chambers, Valves, and Circulation
Relation of Auscultatory Findings to the Chest Wall
Arterial Pulses and Blood Pressure
Jugular Venous Pressure and Pulsations
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
SPECIAL TECHNIQUES: BEDSIDE MANEUVERS TO IDENTIFY MURMURS AND HEART FAILURE
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Challenges of Cardiovascular Disease Prevention
Health Disparities in Cardiovascular Disease
Screening for Cardiovascular Risk Factors
Promoting Lifestyle Change and Risk Factor Modification
HEALTH HISTORY: GENERAL APPROACH
Peripheral Venous Disease (or Venous Thromboembolism)
PHYSICAL EXAMINATION: GENERAL APPROACH
Assessing for Peripheral Arterial Disease
Evaluating Arterial Perfusion of the Hand
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Screening for Lower Extremity Peripheral Artery Disease
Screening for Abdominal Aortic Aneurysm
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Examination after Mastectomy or Breast Reconstruction
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
HEALTH HISTORY: GENERAL APPROACH
Abdominal Pain and Associated Gastrointestinal Symptoms
Difficulty Swallowing (Dysphagia) and/or Painful Swallowing (Odynophagia)
PHYSICAL EXAMINATION: GENERAL APPROACH
Assessing Possible Appendicitis
Assessing Possible Acute Cholecystitis
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Male Sexual Development and Function
HEALTH HISTORY: GENERAL APPROACH
Penile Discharge or Lesions and Scrotal or Testicular Pain, Swelling, or Lesions
Sexually Transmitted Infections
PHYSICAL EXAMINATION: GENERAL APPROACH
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Menopause and Hormone Replacement Therapy
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Patient without a Prostate (Woman or Man with Prostatectomy)
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Articular and Extraarticular Joint Structures
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Special Techniques: Tests for Knee Joint Effusions
Describing Limited Joint Motion
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Spinal Reflexes: Muscle Stretch Response
HEALTH HISTORY: GENERAL APPROACH
Numbness or Abnormal or Absent Sensation
Fainting and Blacking Out (Near-Syncope and�Syncope)
Tremors or Involuntary Movements
PHYSICAL EXAMINATION: GENERAL APPROACH
Cutaneous or Superficial Stimulation Reflexes
Lumbosacral Radiculopathy: Straight-Leg Raise
Assessing the Comatose Patient
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Preventing Cerebrovascular Disease
Screening for Asymptomatic Carotid Artery�Stenosis
Screening for Diabetic Peripheral Neuropathy
Children: Infancy through Adolescence
GENERAL PRINCIPLES OF CHILD�DEVELOPMENT
Social and Emotional Development
KEY COMPONENTS OF HEALTH PROMOTION
HEALTH HISTORY: GENERAL APPROACH
Cognitive and Language Development
Social and Emotional Development
PHYSICAL EXAMINATION: GENERAL APPROACH
TECHNIQUES OF EXAMINATION: INFANTS
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
PRESCHOOL AND SCHOOL-AGED CHILDREN?HEALTH HISTORY: GENERAL APPROACH
SURVEILLANCE OF DEVELOPMENT: EARLY CHILDHOOD: 1 TO 4 YEARS
Cognitive and Language Development
SURVEILLANCE OF DEVELOPMENT: MIDDLE CHILDHOOD, 5 TO 10 YEARS
Cognitive and Language Development
Social and Emotional Development
PHYSICAL EXAMINATION: GENERAL APPROACH
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
SURVEILLANCE OF DEVELOPMENT: 11 TO 20 YEARS
Social and Emotional Development
Gender and Sexual Identity Formation among�Adolescents
PHYSICAL EXAMINATION: GENERAL APPROACH
Somatic Growth: Height and Weight
Head, Eyes, Ears, Nose, Mouth, and Neck
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
HEALTH HISTORY: GENERAL APPROACH
PHYSICAL EXAMINATION: GENERAL APPROACH
Height, Weight, and Vital Signs
Anus, Rectum, and Rectovaginal Septum
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Exercise and Physical Activity
Substance Use including Tobacco, Alcohol, and Illicit Drugs
Intimate Partner Violence Screening
Screening for Perinatal Depression
Prenatal Laboratory Screenings
Genetic Testing and Aneuploidy Screening
Nose, Mouth, Teeth, and Lymph Nodes
Male and Female Genitourinary System; Prostate
HEALTH HISTORY: GENERAL APPROACH
Communicating Effectively with Older Adults
Shaping the Content and Pace of the Visit
Eliciting Symptoms from the Older Adult
Addressing Cultural Dimensions of Aging
Functional Impairments in Activities of Daily Living and Instrumental Activities of Daily Living
SPECIAL TOPICS IN OLDER ADULT CARE
Advance Directives and Palliative Care
PHYSICAL EXAMINATION: GENERAL APPROACH
Female Genitalia and Pelvic Examination
HEALTH PROMOTION AND COUNSELING: EVIDENCE AND RECOMMENDATIONS
Screening for Visual and Hearing Impairments
Exercise and Physical Activity
Household Safety and Fall Prevention