Clinical Skills for Adult Primary Care / Edition 1

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Overview

Here is a practical, reliable guide to the most crucial task confronting the primary care physician: acquiring maximum clinical information through the bedside skills of history-taking and physical examination. Written by a group of experienced clinicians, this book is filled with "pearls" of information that will improve the diagnostic skills of every practitioner. In keeping with today's managed-care constraints on laboratory testing, this text emphasizes diagnosis based on clinical findings and judicious use of laboratory tests.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Thomas J. Podsadecki, MD (University of Chicago Pritzker School of Medicine)
Description: This is a systematic and practical review of medical history taking and physical examination for the practicing physician. The book includes a discussion on the appropriate use of laboratory testing based on the clinical setting.
Purpose: The purpose is to review the techniques of obtaining a complete history and physical examination. The editors recognize an increasing reliance on these "low technology" methods of data collection in the current environment of cost containment and practice guidelines. Emphasis is placed on interpreting the significance of physical findings and using this information to guide further evaluation. The goals of systematically reviewing the techniques of interviewing and examination are achieved.
Audience: The book is specifically geared toward practicing physicians, although the material is presented at a level appropriate for medical students, nurses, and other allied health professionals. Contributors to the book include experienced clinicians representing a broad range of subspecialties, both medical and surgical.
Features: The book includes numerous pertinent drawings, charts, tables, and photographs. Models are used to illustrate appropriate examination techniques. Each chapter includes timely references and, frequently, a list of suggested readings. The table of contents and index are especially thorough and very helpful.
Assessment: This is an extremely useful reference. Although geared toward practitioners, enough detail is included to make it appropriate for students at all levels. Rather than simply presenting the techniques of history taking and examination, the authors emphasize the importance of these tools to focus efforts in patient care. The book is an excellent addition to an individual or medical library collection.
Thomas J. Podsadecki
This is a systematic and practical review of medical history taking and physical examination for the practicing physician. The book includes a discussion on the appropriate use of laboratory testing based on the clinical setting. The purpose is to review the techniques of obtaining a complete history and physical examination. The editors recognize an increasing reliance on these low technology methods of data collection in the current environment of cost containment and practice guidelines. Emphasis is placed on interpreting the significance of physical findings and using this information to guide further evaluation. The goals of systematically reviewing the techniques of interviewing and examination are achieved. The book is specifically geared toward practicing physicians, although the material is presented at a level appropriate for medical students, nurses, and other allied health professionals. Contributors to the book include experienced clinicians representing a broad range of subspecialties, both medical and surgical. The book includes numerous pertinent drawings, charts, tables, and photographs. Models are used to illustrate appropriate examination techniques. Each chapter includes timely references and, frequently, a list of suggested readings. The table of contents and index are especially thorough and very helpful. This is an extremely useful reference. Although geared toward practitioners, enough detail is included to make it appropriate for students at all levels. Rather than simply presenting the techniques of history taking and examination, the authors emphasize the importance of these tools to focus efforts in patient care. The book is an excellent addition to anindividual or medical library collection.
Booknews
A practical guide to clinical history-taking and physical examination, emphasizing diagnosis based on clinical findings. After a section on patient interviewing, the bulk of the book explains how to perform a general inspection and organ-specific examination, with chapters on areas of the body including the skin, the thyroid gland, and the neurologic system, and notes on interpreting the clinical significance of exam findings. A third section covers indications for initial routine lab testing. Written in an accessible style for primary care physicians and medical students. Includes b&w photos. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780781703277
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 1/28/1996
  • Edition number: 1
  • Pages: 319

Table of Contents

Contributing Authors
Preface
Acknowledgments
1 The Role of the Primary Care Physician 1
2 The General History 9
3 The Recognition of Mental Illness 19
4 A Five-Step Approach to an Efficient Physical Examination 27
5 General Inspection of the Patient 31
6 Examination of the Skin 47
7 Examination of the Eye 63
8 Examination of the Mouth 85
9 Examination of the Ear, Nose, and Paranasal Sinuses 97
10 Examination of the Thyroid Gland 109
11 Examination of the Chest 113
12 Examination of the Heart 129
13 Examination of the Peripheral Arteries and Veins 161
14 Examination of the Abdomen and Rectum 173
15 Examination of the Musculoskeletal System 191
16 Examination of the Breasts 211
17 Examination of the Female Pelvis 223
18 Examination of the Male Genitalia, the Prostate, and for Hernia 235
19 Examination of the Neurologic System 245
20 Introduction to Initial Routine Laboratory Testing 261
21 The Biochemical Profile 265
22 Lipoprotein Screening 269
23 Routine Complete Blood Count 271
24 Urinalysis 275
25 Chest X-Ray Film 279
26 Electrocardiography 283
27 Exercise Electrocardiography 287
28 Sigmoidoscopy 291
29 Fetal Occult Blood Testing 293
30 Mammography 295
31 Prostate-Specific Antigen 299
32 Pulmonary Function Testing by Office Spirometry 301
Subject Index 305
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