Advanced Health Assessment & Clinical Diagnosis in Primary Care / Edition 4

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Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition, is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice.

  • Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process:
    • Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
    • Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis.
    • Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings.
    • Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis.
    • Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated.
  • Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses.
  • Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference.
  • Three new chapters:
    • Chapter 23: Palpitations
    • Chapter 36:Weight Loss/Gain (Unintentional)
    • Chapter 38: The Abdominal X-ray
  • Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.
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Editorial Reviews

Doody's Review Service
Reviewer: Kathleen M Woodruff, DNP (Johns Hopkins University School of Nursing)
Description: This update of a book designed to help nurses expand their knowledge base beyond the basics of a history and physical centers on an approach to the most common chief complaints in the primary care setting. The previous edition was published in 2007.
Purpose: The purpose is to provide a bridge between the information in physical examination textbooks and medical/disease management textbooks. The book's primary focus is to assist with the clinical evaluation and the process of clinical diagnosis.
Audience: It is written for beginning clinicians and nurse practitioner or physician assistant students. The authors have extensive experience and expertise in the areas of adult primary care and family primary care.
Features: The book's three sections present an introduction to clinical reasoning, common symptoms in primary care, and diagnostic imaging. The book is structured around commonly occurring chief complaints rather than focusing on specific disease entities. Chapters incorporate diagnostic reasoning and sections on differential diagnosis. In addition, they detail key questions that should be part of a focused history as well as the laboratory and diagnostic studies for each primary care complaint.
Assessment: This is an excellent resource for novice or student clinicians. This edition includes evidence-based sections/recommendations that are valuable for practicing clinicians. This book can be used as a catalyst to move clinicians beyond health assessment to formulating a differential diagnosis and ultimately toward medical management.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323074179
  • Publisher: Elsevier Health Sciences
  • Publication date: 6/7/2011
  • Edition description: New Edition
  • Edition number: 4
  • Pages: 528
  • Sales rank: 39,168
  • Product dimensions: 7.40 (w) x 9.20 (h) x 0.90 (d)

Table of Contents


1. Clinical Reasoning, Differential Diagnosis, and Evidence-Based Practice


2. Abdominal Pain

3. Affective Changes

4. Amenorrhea

5. Breast Lumps and Nipple Discharge

6. Breast Pain

7. Chest Pain

8. Confusion in Older Adults

9. Constipation

10. Cough

11. Diarrhea

12. Dizziness

13. Dyspnea

14. Earache

15. Fatigue

16. Fever

17. Genitourinary Problems in Males

18. Headache

19. Hoarseness

20. Limb Pain

21. Low Back Pain, Acute

22. Nasal Symptoms and Sinus Congestion

23. Palpitations (NEW!)

24. Penile Discharge

25. Rashes and Skin Lesions

26. Rectal Pain, Itching, and Bleeding

27. Red Eye

28. Sleep Problems

29. Sore Throat

30. Syncope

31. Urinary Incontinence

32. Urinary Problems in Females and Children

33. Vaginal Bleeding

34. Vaginal Discharge and Itching

35. Vision Loss

36. Weight Loss/Gain (Unintentional) (NEW!)


37. The Chest X-ray

38. The AbdominalX-ray (NEW!)

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Customer Reviews

Average Rating 2.5
( 7 )
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Sort by: Showing all of 7 Customer Reviews
  • Anonymous

    Posted January 24, 2014

    I highly recommend this book for those who have to update and perfect their assessment skills. This is evidenced based up to date information.

    This is a great resource for nurses and those who need to update their assessment skills with evidenced based data. This book also expands skills needed to derive at differential diagnosis and provides information on assessment tools designed to explain and add validity to findings.

    1 out of 1 people found this review helpful.

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