Advanced Health Assessment & Clinical Diagnosis in Primary Care / Edition 3

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With this practical resource, you'll take the "next step" in health assessment. It takes you beyond a basic history and physical examination-and helps you master the process of diagnostic reasoning. Rather than beginning a physical exam with a diagnosis of a disease entity, this book offers an approach that centers on common chief concerns encountered in primary care settings. Master the differential diagnoses in this book, and you'll be able to more accurately assess the patients you see in practice.

Inside you'll find features that will help you identify your patient's diagnosis more effectively: A new Mood, Behavior Changes, and Psychosocial Concerns chapter on commonly encountered psychological conditions and psychosocial concerns, helping you to elicit more information, determine suicidal risk, and evaluate for a diagnosable psychological disorder. A new Chest Film chapter on reading and interpreting chest x-rays. Integrated material on symptoms and diagnoses specific to children. Evidence-based practice summaries and recommendations.

Each chapter is organized to include: Diagnostic Reasoning: Focused History on using patient history and the physical examination as part of a problem-based approach to diagnosis. Key Questions to ask the patient and a discussion of common responses. Diagnostic Reasoning: Focused Physical Examination for guidelines in determining which exam components to perform. Laboratory and Diagnostic Studies outlining appropriate laboratory or diagnostic tests for a patient's chief concern or suspected diagnosis. Differential Diagnosis discussions of the findings from the history, physical examination and laboratory and diagnostic studies. DifferentialDiagnosis tables offering an at a glance summary of possible 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: 9780323044288
  • Publisher: Elsevier Health Sciences
  • Publication date: 2/22/2007
  • Edition description: REV
  • Edition number: 3
  • Pages: 576
  • Product dimensions: 6.50 (w) x 9.20 (h) x 0.90 (d)

Table of Contents

I Introduction 1
1 Clinical Reasoning and Differential Diagnosis 2
II Common Problems, of the Head, Eyes, Ears, Nose, and Throat 7
2 Earache 8
3 Sore throat 19
4 Nasal Symptoms and Sinus Congestion 30
5 Hoarseness 40
6 Red Eye 49
7 Vision Loss 62
III Common Problems of the Skin 77
8 Rashes and Skin Lesions 78
IV Common Problems of the Cardiovascular System 99
9 Chest Pain 100
10 Evidenced-Based Practice: Diagnosing Syncope 120
V Common Problems of the Respiratory System 129
11 Dyspnea 130
12 Cough 148
VI Common Problems of the Abdomen and Gastrointestinal System 165
13 Abdominal Pain 166
14 Diarrhea 192
15 Constipation 210
16 Rectal Pain, Itching, and Bleeding 219
VII Common Problems of the Genitourinary System 233
17 Urinary Incontinence 234
18 Urinary Problems in Females and Children 246
19 Genitourinary Problems in Males 257
20 Penile Discharge 270
VIII Common Gynecological Problems 279
21 Vaginal Discharge and Itching 280
22 Vaginal Bleeding 293
23 Amenorrhea 309
IX Common Problems of the Breasts 325
24 Breast Lumps and Nipple Discharge 326
25 Breast Pain 341
X Common Problems of the Musculoskeletal System 349
26 Limb Pain 350
27 Acute Low Back Pain 377
XI Common Problems of the Neurological System 391
28 Headache 392
29 Dizziness 408
XII Common Problems in Mental Status 421
30 Confusion in Older Adults 422
31 Sleep Problems 436
XIII Common Systemic Problems 449
32 Fever 450
33 Fatigue 465
App. A Conversion Tables 477
App. B Temperature Equivalents 478
App. C Body Mass Index (BMI) Chart 479
Bibliography 480
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