,
, 4th Edition
Evidence-Based
Physical Diagnosis
Steven McGee, MD
Professor of Medicine,
University of Washington School of Medicine,
Seattle, Washington
, 1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
EVIDENCE-BASED PHYSICAL DIAGNOSIS ISBN: 978-0-323392761
Copyright © 2018 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, elec-
tronic or mechanical, including photocopying, recording, or any information storage and retrieval
system, without permission in writing from the publisher. Details on how to seek permission, further
information about the Publisher’s permissions policies and our arrangements with organizations such
as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our web-
site: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experi-
ence broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein.
In using such information or methods they should be mindful of their own safety and the safety
of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of
each product to be administered, to verify the recommended dose or formula, the method and
duration of administration, and contraindications. It is the responsibility of practitioners, relying
on their own experience and knowledge of their patients, to make diagnoses, to determine dosages
and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of prod-
ucts liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.
Previous editions copyrighted 2012 and 2007
Library of Congress Cataloging-in-Publication Data
Names: McGee, Steven R., author.
Title: Evidence-based physical diagnosis / Steven McGee, MD, Professor of
Medicine, University of Washington School of Medicine, Seattle, WA.
Description: 4th [edition]. | Philadelphia, PA : Elsevier, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2016043652 (print) | LCCN 2016044413 (ebook) | ISBN
9780323392761 (pbk. : alk. paper) | ISBN 9780323508711 (Online)
Subjects: LCSH: Physical diagnosis. | Evidence-based medicine.
Classification: LCC RC76 .M347 2018 (print) | LCC RC76 (ebook) | DDC
616.07/5--dc23
LC record available at https://lccn.loc.gov/2016043652
Content Strategist: Sarah Barth
Content Development Specialist: Anne E. Snyder
Publishing Services Manager: Hemamalini Rajendrababu
Project Manager: Dr. Atiyaah Muskaan
Design Direction: Ashley Miner
Marketing Manager: Melissa Darling
Printed in
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, 4th Edition
Evidence-Based
Physical Diagnosis
Steven McGee, MD
Professor of Medicine,
University of Washington School of Medicine,
Seattle, Washington
, 1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
EVIDENCE-BASED PHYSICAL DIAGNOSIS ISBN: 978-0-323392761
Copyright © 2018 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, elec-
tronic or mechanical, including photocopying, recording, or any information storage and retrieval
system, without permission in writing from the publisher. Details on how to seek permission, further
information about the Publisher’s permissions policies and our arrangements with organizations such
as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our web-
site: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experi-
ence broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein.
In using such information or methods they should be mindful of their own safety and the safety
of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer of
each product to be administered, to verify the recommended dose or formula, the method and
duration of administration, and contraindications. It is the responsibility of practitioners, relying
on their own experience and knowledge of their patients, to make diagnoses, to determine dosages
and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of prod-
ucts liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.
Previous editions copyrighted 2012 and 2007
Library of Congress Cataloging-in-Publication Data
Names: McGee, Steven R., author.
Title: Evidence-based physical diagnosis / Steven McGee, MD, Professor of
Medicine, University of Washington School of Medicine, Seattle, WA.
Description: 4th [edition]. | Philadelphia, PA : Elsevier, [2018] | Includes
bibliographical references and index.
Identifiers: LCCN 2016043652 (print) | LCCN 2016044413 (ebook) | ISBN
9780323392761 (pbk. : alk. paper) | ISBN 9780323508711 (Online)
Subjects: LCSH: Physical diagnosis. | Evidence-based medicine.
Classification: LCC RC76 .M347 2018 (print) | LCC RC76 (ebook) | DDC
616.07/5--dc23
LC record available at https://lccn.loc.gov/2016043652
Content Strategist: Sarah Barth
Content Development Specialist: Anne E. Snyder
Publishing Services Manager: Hemamalini Rajendrababu
Project Manager: Dr. Atiyaah Muskaan
Design Direction: Ashley Miner
Marketing Manager: Melissa Darling
Printed in
Last digit is the print number: 9 8 7 6 5 4 3 2 1
