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Atlas of Adult Physical Diagnosis by Dale Berg MD, Katherine Worzala MD

By Dale Berg MD, Katherine Worzala MD

Written through famous physicians and educators at Thomas Jefferson college, this completely illustrated text/atlas is the main accomplished advisor to actual exam options and actual prognosis. insurance of every anatomic website features a assessment of anatomy, a common screening exam, and particular problem-oriented examinations, plus instructing issues for physicians who principle scientific scholars. various recommendations for every website and challenge are proven, in order that readers can adapt the exam to the patient.

More than seven hundred illustrations—139 in complete color—depict anatomic information, exam options, and demanding findings. Tables current the proof foundation for numerous options. Annotated bibliographies also are included.

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Large exophytic carcinoma of the lateral tongue. ch01pp001-038 07/15/05 8:34 AM Page 27 27 The Head, Ears, Nose, and Throat (HENT) Examination: Practice and Teaching and inspection are components requisite to the tongue examination. Recall, most early squamous cell carcinomas are not white but actually are red. Strawberry tongue manifests with mild swelling of the tongue such that the filiform papillae appear enlarged and edematous. This is preceded by white strawberry tongue, in which the surface is covered with a diffuse, adherent white substance which desquamates to form red strawberry tongue.

The penis is divided into two components, the shaft and the glans, which is the tip. The corona, which is between the shaft and glans, is easily demonstrated in circumcised patients, because it is the site of origin of the foreskin. The foreskin, present in uncircumcised individuals, envelopes the glans and, at its distal end, forms an opening called the prepuce. The scrotum is a sac inferior to the penis. It is composed of ruggated, wrinkled, and retractible skin. The scrotum wall includes fibers of muscle called the “dartos” muscle.

Hypertrophy of interdental papilla between the two maxillary incisors. ch01pp001-038 07/15/05 8:33 AM Page 20 20 Chapter 1 T E A C H I N G P O I N T S GINGIVA AND MUCOSA 1. Gingival hypertrophy is caused by gingivitis vulgaris infiltration by tumor or inflammatory cells or is a side effect of phenytoin use. 2. Red or white mucosal plaques on mucosa may indicate carcinoma. 3. One excellent method to expose the oral cavity is the two-tongue blade approach. 4. Thrush is relatively common as a cause of white lesions in the mouth.

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