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From The CriticsReviewer: Kathleen M. Woodruff, RN, MS, CRNP (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.