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

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Designed for advanced practice nursing students and novice clinicians, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 3rd Edition is a practical resource that takes the readers to the "next step" of health assessment, beyond basic history and physical examination and into the diagnostic reasoning process. Accessible and concise, it focuses on the physical examination centering on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized in five major areas: Diagnostic Reasoning: Focused History; Key Questions; Diagnostic Reasoning: Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. The primary care provider who masters the differential diagnoses in this text will be able to accurately diagnose the majority of patients seen in practice today!

• Emphasizes a symptom- or problem-based approach to diagnosis.
• Focuses on the use of history and physical examination to engage the process of clinical diagnosis.
• Highlights Key Questions to ask the patient, followed by an explanation of what the patient's responses may signify, to guide the practitioner toward an accurate assessment and focus on a precise diagnosis.
• Includes Diagnostic Reasoning: Focused Physical Examination content in each section to instruct the practitioner in what physical examination components to perform, assisting in the diagnostic process.
• Features Laboratory and Diagnostic Studies content in each section to provide an outline of what laboratory or diagnostic tests would be appropriate for the chief complaint and/or suspected diagnosis.
• Differential Diagnosis tables at the end of each chapter provide a comprehensive overview of previously discussed differential diagnosis content, offering the practitioner an at-a-glance summary of possible diagnoses.
• Includes integrated content on children, providing the practitioner with important information on how symptoms and diagnoses can vary in this population group.

• Mood, Behavior Changes, and Psychosocial Concerns chapter considers commonly encountered psychological conditions and psychosocial concerns, and provides an approach to elicit more information, determine suicidal risk, and evaluate for a diagnosable psychological disorder.
• The Chest Film chapter offers a guided approach to reading and interpreting chest x-rays.

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

II. Common Problems of the Head, Eyes, Ears, Nose, and Throat

2. Earache

3. Sore Throat

4. Nasal Symptoms and Sinus Congestion

5. Hoarseness

6. Red Eye

7. Vision Loss

III. Common Problems of the Skin

8. Rashes and Skin Lesions

IV. Common Problems of the Cardiovascular System

9. Chest Pain

10. Syncope

V. Common Problems of the Respiratory System

11. Dyspnea

12. Cough

VI. Common Problems of the Abdomen and Gastrointestinal System

13. Abdominal Pain

14. Diarrhea

15. Constipation

16. Rectal Pain, Itching, and Bleeding

VII. Common Problems of the Genitourinary System

17. Urinary Incontinence

18. Urinary Problems in Females and Children

19. Genitourinary Problems in Males

20. Penile Discharge

VIII. Common Gynecological Problems

21. Vaginal Discharge and Itching

22. Vaginal Bleeding

23. Amenorrhea

IX. Common Problems of the Breasts

24. Breast Lumps and Nipple Discharge

25. Breast Pain

X. Common Problems of the Musculoskeletal System

26. Limb Pain

27. Acute Low Back Pain

XI. Common Problems of the Neurological System

28. Headache

29. Dizziness

XII. Common Problems in Mental Status

30. Confusion in Older Adults

31. Sleep Problems

32. Mood, Behavior Changes, and Psychosocial Concerns

XIII. Common Systemic Problems

33. Fever

34. Fatigue

XIV. Image Interpretation

35. The Chest Film


A. Conversion Tables

B. Temperature Equivalents

C. Body Mass Index (BMI) Chart

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