Algorithmic Diagnosis of Symptoms and Signs: A Cost-Effective Approach / Edition 2

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Overview


Designed for quick reference, this pocket manual contains algorithms for the diagnosis of 227 symptoms and signs. The algorithms will aid the busy clinician in organizing the approach to diagnosis and performing a cost-effective workup.

Symptoms and signs are arranged alphabetically. For each symptom or sign, the list of diagnostic possibilities is organized into an algorithm that shows, at a glance, what historical or clinical data to look for. Dr. Collins then explains which tests to order and when to refer the patient to a specialist. This edition includes new diagnostic tests and algorithms for differential diagnosis of abnormal routine laboratory tests.

The book contains no figures.

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Editorial Reviews

Bruce E. Johnson
This pocket-sized book uses algorithms to describe and evaluate the diagnostic approach to more than 230 different clinical signs and symptoms. The author states that most textbooks of medicine "are not very useful for the busy practicing physician." He believes this deficiency can be corrected by applying algorithms to common clinical signs and symptoms. The book would be targeted for most generalist physicians from student to practitioner. There are no illustrations or references. The signs and symptoms are listed alphabetically. The book is a large, pocket-sized design that appears concise. Comprised largely of algorithms, the accompanying text suggests questions to be asked and exams to be performed. There also are suggestions as to when a patient should be referred to a specialist. It is difficult to know how to evaluate algorithms. For some, algorithms clarify and direct; for others, algorithms limit and confine. Some of the algorithms in this book are excellent, especially those dealing with neurological signs or symptoms. Other algorithms are factually or conceptually limited or even misleading. The accompanying text is spotty, being simplistic in places and too ready to refer to specialists. Although the title suggest a "cost-effective approach," there is no systematic mention of cost in the text.
Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is a list of algorithms splitting symptom characteristics into binomial possibilities. It is an update of the second edition published in 2010.
Purpose: The purpose is to provide memory joggers through numerous dichotomous choices to lead readers to a diagnosis. These types of associations are helpful for young physicians in training, but like any associative algorithms, they can be relied upon too much.
Audience: The audience needs to have some knowledge of medicine and medical terminology, but as clinicians mature, this book may prove too rudimentary for continued use.
Features: The book is divided according to key words or symptoms listed in alphabetical order. Most chapters either begin with a case history or questions to ask, followed by the algorithm. The appendixes list initial and expanded workup diagnostics tests and laboratory workups.
Assessment: This is a reasonable starting point for new clinicians. I am somewhat doubtful that it represents a cost-effective approach to the practice of medicine, which will come after young clinicians work through in their mind what tests serve best.
From The Critics
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is a list of algorithms splitting symptom characteristics into binomial possibilities. It is an update of the second edition published in 2010.
Purpose: The purpose is to provide memory joggers through numerous dichotomous choices to lead readers to a diagnosis. These types of associations are helpful for young physicians in training, but like any associative algorithms, they can be relied upon too much.
Audience: The audience needs to have some knowledge of medicine and medical terminology, but as clinicians mature, this book may prove too rudimentary for continued use.
Features: The book is divided according to key words or symptoms listed in alphabetical order. Most chapters either begin with a case history or questions to ask, followed by the algorithm. The appendixes list initial and expanded workup diagnostics tests and laboratory workups.
Assessment: This is a reasonable starting point for new clinicians. I am somewhat doubtful that it represents a cost-effective approach to the practice of medicine, which will come after young clinicians work through in their mind what tests serve best.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780781738057
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/1/2002
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 620

Table of Contents

Introduction
Abdominal Pain, Acute 1
Abdominal Pain, Chronic Recurrent 4
Abdominal Rigidity 6
Abdominal Swelling, Focal 8
Abdominal Swelling, Generalized 11
Absent or Diminished Pulse 13
Acid Phosphatase Elevation 15
Acidosis (Decreased pH) 16
Alkaline Phosphatase Elevation 17
Alkalosis (Increased pH) 19
Alopecia 20
Amenorrhea 21
Amnesia 23
Anemia 25
Ankle Clonus 27
Anorexia 29
Anosmia or Unusual Odors 31
Anuria or Oliguria 33
Anxiety 35
Aphasia, Apraxia, and Agnosia 37
Ascites 39
Aspartate Aminotransferase Elevation 41
Ataxia 43
Athetosis 45
Axillary Mass 46
Babinski's Sign 48
Back Pain 51
Bleeding Gums 53
Blindness 54
Blurred Vision 56
Bone Mass or Swelling 58
Borborygmi 60
Bradycardia 61
Breast Discharge 63
Breast Mass 64
Breast Pain 65
Cardiac Arrhythmia 66
Cardiac Murmurs 68
Cardiomegaly 70
Chest Deformity 72
Chest Pain 73
Chest Tenderness 76
Chills 78
Choreiform Movements 80
Clubbing of the Fingers 82
Coma 84
Constipation 86
Convulsions 88
Cough 90
Cramps, Menstrual 92
Cramps, Muscular 93
Crepitus 95
Cyanosis 96
Deafness 98
Delayed Puberty 100
Delirium 102
Delusions 104
Dementia 105
Depression 107
Diaphoresis 109
Diarrhea, Acute 111
Diarrhea, Chronic 113
Difficulty Urinating 115
Diplopia 117
Dizziness 119
Drop Attacks 122
Dwarfism 123
Dysarthria 125
Dysmenorrhea 127
Dyspareunia 128
Dysphagia 129
Dyspnea 131
Dysuria 133
Ear Discharge 135
Earache 136
Edema, Generalized 138
Edema, Localized 140
Enophthalmos 141
Enuresis 142
Epiphora 144
Epistaxis 145
Euphoria 146
Exophthalmos 148
Extremity Pain, Lower Extremity 149
Extremity Pain, Upper Extremity 151
Eye Pain 153
Face Pain 154
Facial Flushing 156
Facial Mass 157
Facial Paralysis 158
Facial Swelling 160
Facies, Abnormal 162
Failure to Thrive 163
Fatigue 165
Femoral Mass or Swelling 167
Fever, Acute 168
Fever, Chronic 171
Flank Mass 173
Flank Pain 175
Flatulence 176
Foot and Toe Pain 178
Foot Deformities 179
Foot Ulceration 180
Forehead Enlargement 182
Frequency of Urination 183
Frigidity 185
Gait Disturbances 186
Gangrene 188
Gigantism 190
Girdle Pain 191
Glycosuria 192
Gynecomastia 193
Halitosis 195
Hallucinations 197
Head Mass or Swelling 199
Headache 200
Heartburn 203
Heel Pain 204
Hematemesis 206
Hematuria 208
Hemianopsia 210
Hemiparesis/Hemiplegia 212
Hemoptysis 214
Hemorrhoids 216
Hepatomegaly 217
Hiccups 219
Hip Pain 221
Hirsutism 223
Hoarseness 225
Horner's Syndrome 227
Hyperactive Reflexes 229
Hypercalcemia 231
Hypercholesterolemia 232
Hyperglycemia 233
Hyperkalemia 234
Hyperkinesis 235
Hypernatremia 236
Hyperpigmentation 237
Hypersomnia 238
Hypertension 240
Hypertriglyceridemia 242
Hypoactive Reflexes 245
Hypoalbuminemia 247
Hypocalcemia 248
Hypochondriasis 249
Hypoglycemia 250
Hypokalemia 252
Hyponatremia 253
Hypotension, Chronic 254
Hypothermia 256
Hypoxemia 258
Impotence 260
Incontinence of Feces 262
Incontinence of Urine 264
Indigestion 266
Infertility, Female 268
Infertility, Male 270
Inguinal Swelling 271
Insomnia 272
Intracranial or Cervical Bruit 274
Jaundice 275
Jaw Pain 277
Jaw Swelling 278
Joint Pain 279
Joint Swelling 281
Knee Pain 283
Knee Swelling 285
Kyphosis 287
Lactic Dehydrogenase Elevation 288
Leg Ulceration 290
Leucocytosis 292
Leucopenia 293
Lip Pain 295
Lip Swelling 296
Lordosis 297
Lymphadenopathy 298
Melena 300
Memory Loss 302
Menorrhagia 304
Mental Retardation 306
Meteorism 308
Metrorrhagia 309
Monoplegia 311
Mouth Pigmentation 313
Muscular Atrophy 314
Musculoskeletal Pain, Generalized 316
Nail Abnormalities 318
Nasal Discharge 320
Nasal Obstruction 322
Nausea and Vomiting 324
Neck Pain 326
Neck Stiffness 328
Neck Swelling 330
Nightmares 332
Nocturia 333
Nose, Regurgitation of Food Through 334
Nystagmus 336
Obesity, Pathologic 338
Odor 340
Opisthotonus 341
Orthopnea 343
Pain in the Penis 344
Palpitations 346
Papilledema 348
Paresthesias of the Lower Extremity 350
Paresthesias of the Upper Extremity 352
Pathologic Reflexes 354
Pelvic Mass 356
Pelvic Pain 358
Penile Sores 360
Perineum Pain 361
Periorbital Edema 362
Peristalsis, Visible 364
Photophobia 365
Pneumaturia 367
Polycythemia 368
Polydipsia 369
Polyphagia 371
Polyuria 372
Popliteal Swelling 374
Precocious Puberty 376
Precordial Thrill 378
Premenstrual Tension 379
Priapism 380
Proteinuria 381
Pruritus Ani 383
Pruritus, Generalized 384
Pruritus, Vulvae 386
Ptosis 387
Ptyalism 389
Pulsatile Swelling 391
Pulse Irregularity 392
Pulses, Unequal 394
Pupil Abnormalities 396
Purpura and Abnormal Bleeding 398
Pyuria 400
Rales 401
Rash - Distribution 403
Rash - Morphology 405
Raynaud's Phenomena 407
Rectal Bleeding 409
Rectal Discharge 411
Rectal Mass 412
Rectal Pain 414
Regurgitation, Esophageal 416
Respiration Abnormalities 417
Restless Leg Syndrome 418
Risus Sardonicus 419
Scalp Tenderness 420
Scoliosis 421
Scotoma 423
Scrotal Swelling 424
Sensory Loss 426
Shoulder Pain 430
Skin Thickening 432
Sleep Apnea 433
Sleepwalking 434
Sneezing 435
Snoring 436
Sore Throat 437
Spasticity 439
Speech Abnormalities 440
Splenomegaly, Acute or Subacute 441
Splenomegaly, Chronic 443
Squint 445
Steatorrhea 446
Strangury 448
Stress Incontinence 449
Stretch Marks (Striae) 450
Stridor 451
Stupor 453
Succussion Sounds 456
Syncope 456
Tachycardia 458
Taste Abnormalities 460
Testicular Atrophy 462
Testicular Pain 464
Testicular Swelling 465
Thirst 467
Thrombocytopenia 468
Thyroid Enlargement 469
Tinnitus 471
Tongue Mass or Swelling 473
Tongue Pain 474
Tongue Ulcers 475
Tooth and Gum Abnormalities 476
Tremor 477
Trismus 479
Uremia 480
Urethral Discharge 481
Urine Color Changes 482
Vaginal Discharge 483
Varicose Veins 485
Vulval or Vaginal Mass 486
Vulval or Vaginal Ulcerations 487
Weight Loss 488
Wheezing 490
Index 491
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