, LABORATORY MANUAL m
CAROLYN JARVIS, PhD, APN, CNP
m m m m
ProfessormofmNursing
SchoolmofmNursin
gmIllinois mWesleyanm U niversi
tymBloomington, m Illinois
and
mFamily mNurse mPractitione
rmBloomington,mIllinois
Physical
mExamination m
& Health As m m
sessment
Seventh Edition
7 m
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m 2004,m 2000,m 1996 m bym Saunders,m an m imprintm of m Elsevierm Inc.m Allm rights m reserved.
,3251 m Riverport m Lane
St.m Louis,m Missouri m 63043
LABORATORYm MANUAL m FORmP H YSIC AL m EX AMI NATI ON m ISBN:m 978-0-323-26541-6
ANDm HEAL THm ASSESSMENT, m EDI TI ONm SEVEN
Copyright m©m2016 mby mElseviermInc.mAllmrightsmreserved.
Copyright m©m2012,m2008,m2004,m2000,m1996,mby mSaunders, manmaffiliatemof mElseviermInc.mAllmrightsmreserved.
All m rightsmreserved.mNompartmofm thism publicationm maym bem reproducedm ormtransmittedminmanymformm ormb
ym anym means,melectronicmormmechanical,mincludingmphotocopying, mrecording, mormanyminformationm storage
m and m retrieval m system, mwithout mpermission min mwritingmfrommthempublisher. mDetailsm on mhowm tomseekmpe
rmission, m furtherm informationmabout mthe mPublisher’sm permissionsm policiesm andmourm arrangementsm withm
organizationsm suchmasmthem CopyrightmClearancem Centermandm them Copyright mLicensingmAgency,mcanm be m f
oundm atm ourm website:m www.elsevier. m com/permissions.
Thism bookmandmthemindividualmcontributionsmcontainedminmitmaremprotectedmundermcopyrightmbymthemPublisher
m (other m than m asm maym be m noted m herein).
Notices
Knowledge mandmbestm practice minmthismfieldmare mconstantlymchanging.mAsmnewmresearchmandmexperience
mbroadenm ourm understanding,m changesminmresearchm methods, mprofessionalm practices,mormmedicalm treat
ment m maym become m necessary.
Practitionersmandmresearchersmmust malwaysmrelymonmtheirmownmexperience mandmknowledgeminmevalu
atingmandm usingmanyminformation,mmethods, mcompounds,m ormexperimentsmdescribedm herein.m Inmusing
m such m informationm orm methodsm theymshouldm be mmindfulm ofm theirmown msafetym and mthe msafetym ofmoth
ers,m includingm partiesm form whomm theym have m am professional m responsibility.
Withm respect mtom anymdrugm ormpharmaceutical mproductsm identified, mreadersmare madvisedmtomcheckmt
he m most m currentm informationmprovidedm(i)m onmproceduresm featuredm orm(ii)m bym them manufacturerm ofm
eachm productmtombem administered, mtomverifym themrecommended mdosemormformula,mthemmethodm and
m duration mofmadministration,m and mcontraindications. mIt mism them responsibilitymofmpractitioners,m relyingm
onm theirm ownm experience mandm knowledge mofm theirmpatients,mtommakemdiagnoses, mtomdeterminemdosa
gesm andm the mbestmtreatmentmformeachm individual mpatient,mandmtom takem all mappropriatem safetym preca
utions.
Tomthe mfullest mextentmofmthe mlaw,mneithermthemPublishermnormthemauthors,mcontributors, mormeditors,m
assume m anym liabilitymformanyminjurymand/orm damagem tompersonsm ormpropertym asmam matterm ofm produc
tsm liability,m negligence morm otherwise, morm frommanymusemormoperationmofmanymmethods, m products, mins
tructions, m orm ideasm contained m inm the m material m herein.
Internationalm Standardm Bookm Number: m 978-0-323-26541-6
Content m Strategist:m Lee m Henderson
Content m DevelopmentmManager:mLauriemGowerm S
eniormContentmDevelopmentmSpecialist:mHeathermBa
ysm PublishingmServicesmManager:mDeborahmL.m Vo
gel m Seniorm Project m Manager:m Brandilyn m Flagg
Design m Direction:m Juliam Dummitt
Printedm inm the m Unitedm Statesm ofm America
Last m digit m ism the m print m number:m m 9m m 8m m 7m m 6m m 5m m 4m m 3m m 2m m 1
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m 2004,m 2000,m 1996 m bym Saunders,m an m imprintm of m Elsevierm Inc.m Allm rights m reserved.
, Contributor/Reviewer
CONTRIBU TOR REVIEWER
MariamLauer-Pfrommer,mPhD,mRN,mAPN- Kathrynm Schartz,mMSN,mRN,mPPCPNP-BC
C,mCNE AssistantmProfessormSch
AssistantmProfessormHo oolmofmNursingmBakerm
lymFamilymUniversity UniversitymTopeka,mKa
Philadelphia, mPennsylvania nsas
Reviewm Questions
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m2004,m2000,m 1996 mbymSaunders,m an mimprintm of m ElseviermInc.m Allm ri iii
ghts m reserved.
CAROLYN JARVIS, PhD, APN, CNP
m m m m
ProfessormofmNursing
SchoolmofmNursin
gmIllinois mWesleyanm U niversi
tymBloomington, m Illinois
and
mFamily mNurse mPractitione
rmBloomington,mIllinois
Physical
mExamination m
& Health As m m
sessment
Seventh Edition
7 m
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m 2004,m 2000,m 1996 m bym Saunders,m an m imprintm of m Elsevierm Inc.m Allm rights m reserved.
,3251 m Riverport m Lane
St.m Louis,m Missouri m 63043
LABORATORYm MANUAL m FORmP H YSIC AL m EX AMI NATI ON m ISBN:m 978-0-323-26541-6
ANDm HEAL THm ASSESSMENT, m EDI TI ONm SEVEN
Copyright m©m2016 mby mElseviermInc.mAllmrightsmreserved.
Copyright m©m2012,m2008,m2004,m2000,m1996,mby mSaunders, manmaffiliatemof mElseviermInc.mAllmrightsmreserved.
All m rightsmreserved.mNompartmofm thism publicationm maym bem reproducedm ormtransmittedminmanymformm ormb
ym anym means,melectronicmormmechanical,mincludingmphotocopying, mrecording, mormanyminformationm storage
m and m retrieval m system, mwithout mpermission min mwritingmfrommthempublisher. mDetailsm on mhowm tomseekmpe
rmission, m furtherm informationmabout mthe mPublisher’sm permissionsm policiesm andmourm arrangementsm withm
organizationsm suchmasmthem CopyrightmClearancem Centermandm them Copyright mLicensingmAgency,mcanm be m f
oundm atm ourm website:m www.elsevier. m com/permissions.
Thism bookmandmthemindividualmcontributionsmcontainedminmitmaremprotectedmundermcopyrightmbymthemPublisher
m (other m than m asm maym be m noted m herein).
Notices
Knowledge mandmbestm practice minmthismfieldmare mconstantlymchanging.mAsmnewmresearchmandmexperience
mbroadenm ourm understanding,m changesminmresearchm methods, mprofessionalm practices,mormmedicalm treat
ment m maym become m necessary.
Practitionersmandmresearchersmmust malwaysmrelymonmtheirmownmexperience mandmknowledgeminmevalu
atingmandm usingmanyminformation,mmethods, mcompounds,m ormexperimentsmdescribedm herein.m Inmusing
m such m informationm orm methodsm theymshouldm be mmindfulm ofm theirmown msafetym and mthe msafetym ofmoth
ers,m includingm partiesm form whomm theym have m am professional m responsibility.
Withm respect mtom anymdrugm ormpharmaceutical mproductsm identified, mreadersmare madvisedmtomcheckmt
he m most m currentm informationmprovidedm(i)m onmproceduresm featuredm orm(ii)m bym them manufacturerm ofm
eachm productmtombem administered, mtomverifym themrecommended mdosemormformula,mthemmethodm and
m duration mofmadministration,m and mcontraindications. mIt mism them responsibilitymofmpractitioners,m relyingm
onm theirm ownm experience mandm knowledge mofm theirmpatients,mtommakemdiagnoses, mtomdeterminemdosa
gesm andm the mbestmtreatmentmformeachm individual mpatient,mandmtom takem all mappropriatem safetym preca
utions.
Tomthe mfullest mextentmofmthe mlaw,mneithermthemPublishermnormthemauthors,mcontributors, mormeditors,m
assume m anym liabilitymformanyminjurymand/orm damagem tompersonsm ormpropertym asmam matterm ofm produc
tsm liability,m negligence morm otherwise, morm frommanymusemormoperationmofmanymmethods, m products, mins
tructions, m orm ideasm contained m inm the m material m herein.
Internationalm Standardm Bookm Number: m 978-0-323-26541-6
Content m Strategist:m Lee m Henderson
Content m DevelopmentmManager:mLauriemGowerm S
eniormContentmDevelopmentmSpecialist:mHeathermBa
ysm PublishingmServicesmManager:mDeborahmL.m Vo
gel m Seniorm Project m Manager:m Brandilyn m Flagg
Design m Direction:m Juliam Dummitt
Printedm inm the m Unitedm Statesm ofm America
Last m digit m ism the m print m number:m m 9m m 8m m 7m m 6m m 5m m 4m m 3m m 2m m 1
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m 2004,m 2000,m 1996 m bym Saunders,m an m imprintm of m Elsevierm Inc.m Allm rights m reserved.
, Contributor/Reviewer
CONTRIBU TOR REVIEWER
MariamLauer-Pfrommer,mPhD,mRN,mAPN- Kathrynm Schartz,mMSN,mRN,mPPCPNP-BC
C,mCNE AssistantmProfessormSch
AssistantmProfessormHo oolmofmNursingmBakerm
lymFamilymUniversity UniversitymTopeka,mKa
Philadelphia, mPennsylvania nsas
Reviewm Questions
Jarvis,mCarol yn :m PH YSIC AL m EX AMIN ATIO N m AND m H EAL TH m ASSESSM EN T:m Se ven th m Editi on,
Laboratorym Manual.m Copyrightm © m 2016,m 2012,m 2008,m2004,m2000,m 1996 mbymSaunders,m an mimprintm of m ElseviermInc.m Allm ri iii
ghts m reserved.
