Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process, you will be able to recognize specific diseases and prescribe the most effective therapy.
Each chapter addresses one common complaint and begins with a case and guidance on how to organize the differential diagnosis. As the case progresses, clinical reasoning is explained in detail. The differential diagnosis for that particular case is summarized in tables that highlight the clinical clues and important tests for the leading diagnostic hypothesis and alternative diagnostic hypotheses. As the chapter progresses, the pertinent diseases are reviewed. Just as in real life, the case unfolds in a stepwise fashion as tests are performed and diagnoses are confirmed or refuted.
The third edition is enhanced by the addition of five new chapters--Bleeding Disorders, Dysuria, Hematuria, Hypotension, and Sore Throat--as well as a greater emphasis on how to master the process of working from patient level data (signs, symptoms, and laboratory tests). All chapters incorporate the latest research resulting in new and refined approaches to common symptoms encountered in clinical medicine.
Much more than a text describing how to perform a history and physical examination, DeGowin's Diagnostic Examination is unmatched in its ability to help you logically assess symptoms and physical signs to facilitate development of reasonable, testable diagnostic hypotheses.
Part physical examination primer, part differential diagnosis guide, DeGowin's:Describes how to obtain a complete history and perform a thorough physical examination Links symptoms and signs with the pathophysiology of disease Presents a symptom, sign, anatomy, and physiology-based approach to differential diagnosis Facilitates efficient cost-effective diagnostic testing using focused differential diagnoses
Organized as a practical bedside guide to assist diagnosis, DeGowin's is valuable as a quick reference at the point-of-care or as a text to study the principles and practice of history taking and physical examination.
COVERS:Basic principles of diagnostic testing, common blood, urine and cerebrospinal fluid laboratory tests, therapeutic drug monitoring, microbiologic test selection and interpretation and diagnostic imaging tests by body system , electrocardiography, and differential diagnosis tables & algorithms Tests used in internal medicine, pediatrics, surgery, neurology and obstetrics and gynecology
INCLUDES:Costs and risks of diagnostic tests Evidence-based information Diseases associated with abnormal test results, including test sensitivities Full literature citations with PubMed (PMID) numbers included for each reference More than 24 NEW clinical laboratory test entries, 6 NEW differential diagnosis tables 5 NEW diagnostic algorithms NEW sections on point-of-care testing, provider-performed microscopy, pharmacogenetic testing, and diagnostic echocardiography
LABORATORY AND DIAGNOSTIC TESTS WITH NURSING IMPLICATIONS, 9/e brings together current information on more than 420 modern laboratory and diagnostic tests, together with their corresponding nursing implications. For each test, it presents reference values/normal findings, descriptions, purpose(s), clinical problems, procedures, factors affecting results, and nursing implications with rationales, including client teaching. This edition contains new, rewritten, or updated coverage of dozens of tests, including IgE, arsenic, blood smear, chromosomal analysis, CBC, cyanide, cytokines, heroin, HIV, influenza, macular degeneration risk analysis, SCID, sexual assault/attack, ABG, bilirubin tests, C-reactive protein (hs CRP) and glucose, cardiac catheterization, echocardiography, colonoscopy, ERCP, CT, MRI, and many others. An updated section on Therapeutic Drug Monitoring now covers HIV drugs, and revised appendices address everything from abbreviations to test values.
The first section Principles of clinical assessment examines different approaches to diagnosis, reviews the fundamental elements necessary for accurate patient assessment, provides a helpful template for a ‘routine workup’ and describes how to adapt the assessment to fit the clinical context.
The second core section of the book Assessment of common presenting problems contains a series of ‘diagnostic guides’ that lead the reader, step-by-step through the major presenting problems in medicine and surgery, explaining how to recognise red flag features, eliminate life-threatening conditons and generate a logical differential diagnosis.
This book has been praised as an invaluable resource for senior medical students and junior doctors as they attempt to make the difficult transition from mastering basic clinical skills to assessing patients in the real world of clinical medicine.A unique book allowing a reader to apply the skills of clinical examination in the formulation of a differential diagnosis and placing a patient’s symptoms in context.
Takes a problem-based approach to diagnostic reasoning, reflecting both modern medical and current educational practices.
Builds on the clinical skills outlined in the companion Macleod’s Clinical Examination textbook.
For this Second Edition the text has been expanded with five new topics covering nausea and vomiting; vaginal bleeding; red eye; urinary incontinence; and weight loss.
One of the key challenges of writing a textbook of diagnostic medicine is to balance the "bottom up" approach of constructing a differential diagnosis from individual clinical findings, and the "top down" approach of learning the key features pertaining to a particular diagnosis. The 13th edition of Chamberlain's Symptoms and Signs in Clinical Medicine integrates both approaches into a coherent working framework that will assist the reader in preparing for academic and professional examinations, and in everyday practice.
Presented in full colour and illustrated with relevant images, this book provides a thorough lesson in diagnostic medicine, ensuring the reader is fully prepared to deal with the challenging process of differential diagnosis through a thorough knowledge of the central features of the conditions that they are likely to encounter.
Key features: Teaches the reader how to diagnose correctly through assessment of symptoms and signs while simultaneously recalling all key features of a given condition Full colour and generously illustrated Conforms with the core competencies required for the foundation years Includes bullet point lists and tip boxes Chapters conclude with a summary of key points for easy revision Written and edited by a highly experienced team of specialists Companion website
With contributions from leading international experts inevidence-based medicine, this book is an indispensable guide on howto conduct and interpret studies in clinical diagnosis. It willserve as a valuable resource for all investigators who want toembark on diagnostic research and for clinicians, practitioners andstudents who want to learn more about its principles and therelevant methodological options available.
"This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine
"The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings
5 STAR DOODY'S REVIEW!
"Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data.
"This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth.
"This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service
Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again.
Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without.
FEATURESPacked with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
Organizes disease information with a Disorders Index on the inside front cover, allowing for quick access to specific guidance, and a brand new Regional Diagnosis Atlas in chapter 1.
Uses a consistent format in every chapter to present information in a logical, easy-reference fashion.Make rapid, confident decisions on diagnosis and treatment by comparing your clinical findings to over 1,000 of the highest quality color images—including hundreds of original, never-before-published photographs—depicting virtually any skin condition.
Apply the newest developments in diagnosis and treatmentthanks to thorough updates throughout including an extensive section on the management of acne, eczema, and psoriasis as well as expanded coverage of arthropod disease.
Prescribe effective dermatologic treatmentwith an expanded formulary to the most commonly used drugs; detailed guidance on the use of antibiotics; and the inclusion of the latest drug treatment options.
Quickly access vital, up-to-date informationfrom new tables throughout summarizing "need to know" diagnostic and therapeutic evidence.
Easily identify the likeliest diagnosis through diagnostic possibilities listed in order of incidence.
Tap into the authoritative guidance of Dr. Fred Ferri, the respected expert responsible for best-selling titles such as Ferri’s Clinical Advisor, Ferri’s Fast Facts, and Practical Guide to the Care of the Medical Patient.Apply the differential diagnosis of over 100 new signs, symptoms, and clinical disorders.
A Doody's Core Title for 2017!
Written by clinicians renowned in their respective fields, CMDT offers the most current insights into symptoms, signs, epidemiology, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based information about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest medical advances, prevention strategies, and cost-effective treatments.
Here’s why CMDT is an essential reference for any primary care setting:
• Strong emphasis on the practical aspects of clinical diagnosis and patient management throughout the broad fields of internal medicine
• Full review of internal medicine and additional primary care topics, such as gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care
• The only text with an annual update on HIV/AIDS and new emerging viral diseases
• Specific disease prevention information
• Medication treatment tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms
• Updated PMID numbers for quick reference
• Many full-color photographs and illustrations
Here are just a few of the many exciting new additions and updates:
• New information on Zika, dengue, chikungunya, MERS and other infections
• Two new online chapters: Lesbian & Bisexual Women’s Health and Transgender Health & Disease Prevention
• Update on influenza pneumococcal, HPV, and meningococcal vaccines
• Latest information on new therapies for inflammatory bowel disease
• Revised recommendations for cardiovascular prevention methods
• Recent advances in diagnosis and treatment of Clostridium difficile infections
• New FDA approved medications for diabetes mellitus and hypercholesterolemia
• Extensively revised material on alcoholism
• Latest information on treatment options for obesity
• Expanded online Podiatry chapter
Designed for quick and easy reference with separate chapters foreach ailment, each chapter incorporates a decision making frameworkin which the information necessary for treatment and suggestions on‘when to refer’ is distilled into helpful summaryboxes. Decision making support is provided in cases involvingethical dilemmas. It also includes example case studies providingthe view of pharmacists and doctors and, in their own words,patient perspectives of what it is like to live with and manageconditions such as migraine and eczema. These easy-to-followchapters can be read cover to cover or turned to for quickreference.
This seventh edition covers the availability of new medicines andincludes new sections and case studies for 'POM' to 'P' switches.It continues to draw upon the latest evidence for treatmentguidelines and includes expanded coverage of common infectiousdiseases and important safety advice on the use of medicines inchildren. It also features colour photographs of skin conditionsenabling the differentiation and diagnosis of common skincomplaints.
With advice from a pharmacist and GP author team, Symptoms inthe Pharmacy covers ailments which will be encountered in thepharmacy on a daily basis and should be kept close at hand forfrequent consultation.
This Thirteenth Edition has four sections:
History taking and general examination.
System examinationcovering symptoms and signs.
Examination in special situationsincluding babies & children and the critically ill.
How to pass an OSCE.
Included on the Student Consult site are the specially-recorded videos demonstrating many of the clinical examination routines described in the main text.The book starts with a general overview section on history taking and the general examination that provide the framework on which to hang the detail.
The systematic examination section documents clearly the relevant history, examination and special investigations as well as giving advice on their significance.
The third section covers examination in specific situations and emphasises an integrated and structured approach to these patients.
A final section spells out how to demonstrate the techniques learned in the book in an OSCE.
Macleod’s is closely linked to its sister publication, Davidson’s Principles & Practice of Medicine, which complements the information in this text.
Available with full online access on Student Consult and ancillary videos demonstrating key clinical examination routines following the format laid out in the book.There are two new chapters on examination in specific situations:
The frail elderly
The adult with fever
A new section explicitly spells out how to demonstrate the techniques learned in the book in an OSCE and other formative and summative examinations.
Over 50 new text boxes highlight the evidence-base for the examination techniques discussed.
An Advisory Board of students, junior doctors, and representatives from the nursing, ambulance, Primary Care and academic communities from six countries has made detailed comments and critically appraised the entire book.
The text has been substantially rewritten with more on medically unexplained symptoms in the History Taking chapter and extended coverage of diabetes mellitus in the Endocrine System chapter.
Integrated with the online text are clinical examination videos of trained professionals performing many of the examination routines described in the book with an accompanying commentary by the Editor, Professor Colin Robertson
Two new videos show how the Glasgow Coma Scale should be performed in clinical situations, demonstrating the correct techniques and also common pitfalls in using the GCS.
Uses the same consistent, step-by-step presentation in every chapter: History, Physical Examination, Diagnosis (including laboratory tests), Imaging, Diagnosis, and Treatment.
Covers new approaches to diagnostic imaging and genetic testing, new diagnostic guidelines, BRUE (brief resolved unexplained event), stroke in children, behavior disorders, syncope, recurrent fever syndromes, and much more.
Includes full-color illustrations, algorithms, tables, and "red flags" to aid differential diagnosis.
Serves as an ideal companion to Nelson Textbook of Pediatrics, 20th Edition.
Now in its seventh edition, Examination Medicine: a guide to physician training ebook has prepared generations of Fellow of the Royal Australasian College of Physicians (FRACP) candidates and medical students for their written and clinical examinations. Instructive, informative and aligned with current practice, this new ebook edition provides an overview of what to expect and what is expected of you. It shares valuable advice on how to prepare for the examinations, use your time to best effect and avoid common pitfalls. In addition, this ebook provides: • - 50 practice long cases including history, examination, investigations and treatment • - sample long cases from the examiner’s perspective including typical points likely to be raised in discussion and clinical traps candidates may fall into • - 30 practice short cases including examples of typical X-rays and scans, providing guidance for ‘spot’ diagnosis and outlining a system for examination • - hint boxes highlighting common pitfalls and useful tips. Examination Medicine: a guide to physician training 7e ebook continues to be a valued resource for medical students, outlining the key skills and qualities your examiner expects. It ensures you give your best possible performance in your examinations. The seventh edition print edition also includes video tutorials on conducting short and long cases via Student Consult. Please note that access to Student Consult is not available with purchase of the ebook book version.
Inspired by the Southern Illinois University School of Medicine's popular course, Resident Readiness: Internal Medicine prepares you for success during your medical internship. Inside is a full range of clinical scenarios you may experience during your internal medicine residency, supported by comprehension questions with detailed answer explanations and tips to remember. You will also learn the clinical problem-solving process so you can think quickly on your feet, especially when time is critical. With the book's step-by-step guidance, you will gain the confidence you need to perform at your best on Day One of your residency.
Beyond treating your patient, Resident Readiness prepares you toDeal successfully with emergencies on the floor Safely hand off patients Handle call Discharge and follow up with your patients Smooth your transition and be ready for residency Case-based approach brings your readiness to the next level Targets what you really need to know to care for patients on day one
Each topic includes a list of all potential causes of the condition, colour coded to indicate common, occasional or rare causes. Important geographical variations are also highlighted.
Two sections cover the differential diagnosis of biochemical and haematological disorders which provide a ready check when reviewing abnormal results
The text includes a targeted guide to the relevant general and specific follow-up investigations which should be carried out as appropriate.
At the end of each topic a box highlights important learning points, or indicates symptom and signs suggestive of significant pathology which require urgent action.Eighty colour photographs of key clinical presentations have been added to assist symptom recognition.
Two new chapters on Hypotension and Photophobia.
* Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.
Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more.NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.
Over 20 new tests prepare you for the types of tests you will encounter during your clinical experience.
Patient Teachingicons make crucial nursing content easy to find.
New Student Resources on Evolve feature a variety of supplemental learning tools.
Skills materials, including skills checklists, PDFs of skills, and brief skills video clips, help you master specimen collection and basic diagnostic procedures.
Patient handouts provide practical, useable materials to make your clinical experience easier. Audio pronunciations simplify the process of learning difficult terminology.
Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.
How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
"The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it–on some level–restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer."
A healthy young man suddenly loses his memory–making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment–only to have their symptoms mysteriously return. A young woman lies dying in the ICU–bleeding, jaundiced, incoherent–and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis.
Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness–the diagnosis–revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.
Noninvasive Instrumentation and Measurement in Medical Diagnosis is the first book dedicated to NIMD tools and techniques. Featuring emerging technologies along with traditional instruments, it describes how these non-invasive tools and techniques work and explores developments that will make NIMD simpler, more reliable, less expensive, and risk-free. Much of the material is descriptive, but the author includes rigorous mathematical analysis where appropriate. The treatment is readily accessible to readers with a background in basic algebra and ordinary differential equations, basic circuit theory, and concepts such as frequency response and transient response of linear systems.
The rapid evolution of biomedical instrumentation has meant that books just five years old are already outdated. Whether used for an upper-level, biomedical engineering class or as a reference for medical students, healthcare professional, physicists, or physiologists, Noninvasive Instrumentation and Measurement in Medical Diagnosis stands alone in presenting the state of NIMD art and science.
Information Technology in Medical Diagnosticspresents selected and extended conference papers from Polish, Ukrainian and Kazakh scientists. They address problems of the application of new methods of image processing for analysis of medical images, new methods of classification of medical data as well as new medical imaging methods. Some of the presented technologies are inspired by the functioning of living organisms.
Information Technology in Medical Diagnosticsis of interest not only to academics and engineers, but also to professionals involved in biomedical engineering, and seeking for solutions for issues that cannot be solved with the help of “traditional” technologies.
The manuscript first ponders on anemia, angioma, antisocial behavior, anxiety, ascites, ataxia, abnormal blood pressure, bradycardia, foulness of breath, and pain in breast. The book then discusses confabulation, cramps, cyanosis, cystinuria, delusions, dementia, diarrhea, diplopia, depression, erythema, and inflammation of eye.
The publication takes a look at indigestion, impotence, insomnia, jaundice, keloid, marasmus, muscular atrophy, nasal obstruction, nausea, nasal discharge, swelling of neck, obesity, palpitations, and pelvic swelling. The manuscript also reviews loss of weight, vertigo, vomiting, defects of vision, vaginal discharge, vaginal swelling, sore throat, pain in tongue, trismus, grinding of teeth during sleep, and snoring.
The book is a vital reference for researchers wanting to study differential diagnosis.
Expert guidanceon CLIPPERS, second-impact syndrome in trauma, perfusion MR for tumor characterization, susceptibility-weighted imaging in stroke and brain bleeds, and molecular markers in brain tumor classification and grading.
Updated coverageof brain trauma addresses newly recognized entities, techniques and imaging for rapid stroke triage, and functional imaging and dementia diagnosis.
See also Morrison's Diagnosis Made Easier, Second Edition, which offers principles and decision trees for integrating diagnostic information from multiple sources, and The First Interview, Fourth Edition, which presents a framework for conducting thorough, empathic initial evaluations.
The book contains 17 new and updated chapters covering the fundamentals and latest advances in the area, and includes four appendices, 450 figures (60 available in color on the companion website), and almost 1,500 references. In addition to the continual influx of readers entering the field of ultrasound worldwide who need the broad grounding in the core technologies of ultrasound, this book provides those already working in these areas with clear and comprehensive expositions of these key new topics as well as introductions to state-of-the-art innovations in this field.Enables practicing engineers, students and clinical professionals to understand the essential physics and signal processing techniques behind modern imaging systems as well as introducing the latest developments that will shape medical ultrasound in the futureSuitable for both newcomers and experienced readers, the practical, progressively organized applied approach is supported by hands-on MATLAB® code and worked examples that enable readers to understand the principles underlying diagnostic and therapeutic ultrasoundCovers the new important developments in the use of medical ultrasound: elastography and high-intensity therapeutic ultrasound. Many new developments are comprehensively reviewed and explained, including aberration correction, acoustic measurements, acoustic radiation force imaging, alternate imaging architectures, bioeffects: diagnostic to therapeutic, Fourier transform imaging, multimode imaging, plane wave compounding, research platforms, synthetic aperture, vector Doppler, transient shear wave elastography, ultrafast imaging and Doppler, functional ultrasound and viscoelastic models