Differential Diagnosis in Primary Care / Edition 5

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This text offers students, residents, and practitioners a systematic approach to differential diagnosis of symptoms and signs seen by primary care physicians. The text is organized by symptoms and signs and into categories—pain, mass, bloody discharge, non-bloody discharge, functional changes, and abnormal laboratory results—and shows readers how to use their basic science knowledge to identify the possible causes of each symptom. The text provides information on the procedures and laboratory tests that need to be included in the workup.

Features Include:

  • Case presentations in quiz format
  • New Appendix C which includes Tips for a more Comprehensive History and Physical Examination and Special Examination Techniques for Common Symptoms
  • New section "Diseases within a Disease" (Stroke, Pneumonia, CHF, COPD, Cirrhosis, Peptic Ulcer, Pulmonary Fibrosis, Pericarditis,  Myocardopathy, UTI, Renal Calculus, Gall Stones, Hemorrhoids, Thrombophlebitis, Malabsorption Syndrome, Fractures, Diabetes)
  • Newer diagnostic tests such as Troponin for MI's and D-Dimer for Pulmonary Emboli
  • Solution site containing fully searchable text
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Editorial Reviews

From The Critics
Reviewer: Heather Huang, MD (University of Wisconsin School of Medicine and Public Health)
Description: This new edition of a book designed to offer "a systematic approach to the differential diagnosis of symptoms and signs commonly seen by primary care physicians," updates information pertaining to diagnosis and testing. The previous edition was published in 2007.
Purpose: Generating a comprehensive differential diagnosis is the foundation of every physician's clinical decision-making skills. This book not only aids the clinician in generating a differential, it also relates it back to fundamental concepts such as anatomy and physiology.
Audience: Medical students, residents, and any clinicians who are involved in the diagnostic element of patient care are the intended audience.
Features: The book is organized into three sections covering history, physical examination, and special examination techniques; differential diagnosis of symptoms and signs; and diseases that are symptoms of other diseases. Each section is organized alphabetically for quick reference. The differential diagnosis is reviewed in a systematic way that follows basic principles, such as anatomy and physiology. In doing so, the book helps readers understand how the differential is generated. Detailed anatomic drawings accompany each differential list and provide valuable visual aids. Concise tables and figures summarize key points and provide an additional source of information. The book also comes with online access to a website that contains the fully searchable text and additional information.
Assessment: This is a wonderful book that provides a systematic approach and comprehensive listing of differential diagnoses for a number of symptoms and signs commonly seen by primary care physicians. It draws upon fundamental principles of anatomy and physiology to generate differentials. It is easy to search as it is organized alphabetically by symptoms, disease, etc. Suggestions for initial work-up are listed in an appendix at the end of the book. Anatomic drawings of pathology and concise tables accompany the text and offer a valuable supplement to the reading.
From The Critics
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: The author of this book takes a unique approach to the differential diagnosis, basing it upon the patient's presenting symptom. The book was first published 25 years ago and has been added to and updated since.
Purpose: It is aimed at primary care practitioners, at any level, to help expand the possible differential considerations. The many clinical case histories challenge primary care physicians to refresh their memories and keep their diagnostic skills honed.
Audience: Primary care practitioners of every level can clearly benefit from using this book, either as they are considering specific patients or as a general review. The author has significant tenure treating patients and this experience is evident in his approach. As an attending physician for many years, I found the book to be a refreshing memory jogger and well worth the time spent reading it. I can see young medical students looking to this as a Rosetta stone of medicine and coming to rely on it for years.
Features: The author uses three mnemonics; VINDICATE, VANISH, and MINT and, by constructing a table for individual symptoms against the mnemonic, he creates an easily understandable reference to expand the possibilities causing a particular symptom. This is creative and practical. In addition, the many illustrations are highly intuitive. There is an extremely useful appendix with pertinent ancillary tests which may be indicated to either confirm a diagnosis or to look for a potential complication. The lack of references is not a significant issue because this is not meant to be a comprehensive text of medicine.
Assessment: This is a unique approach to treating patients, concise, practical, and intuitive. It is a worthy addition to a primary care practitioner's desk collection. It was an absolute joy to read.
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Product Details

  • ISBN-13: 9781451118254
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 10/3/2011
  • Edition description: Fifth
  • Edition number: 5
  • Pages: 608
  • Sales rank: 262,226
  • Product dimensions: 8.30 (w) x 10.80 (h) x 0.50 (d)

Table of Contents

A Abdominal Mass Abdominal Mass, Generalized Right Upper Quadrant Mass
B Back Mass Skin Subcutaneous tissue and fascia
C Cardiac Arrhythmias Cardiomegaly Cervical Bruit
D Dandruff Decreased Respirations, Apnea, and Cheyne-Stokes Breathing Delayed Puberty
E Earache Edema of the Extremities Elbow Pain
F Face Mass Facial Pain Facial Paralysis
G Gait Disturbances Gangrene Gigantism
H Halitosis and Other Breath Odors Hallucinations Hand and Finger Pain
I Impotence Incontinence, Urinary Incontinence, Fecal
J Jaundice Jaw Pain Jaw Swelling
K Knee Pain Knee Swelling Kyphosis
L Leg Pain Leukocytosis Leukopenia
M Memory Loss and Dementia Menstrual Cramps Meteorism
N Nail Changes Nasal Discharge Nasal Mass or Swelling
O Obesity Oral or Lingual Mass Orbital Discharge
P Pallor of the Face, Nails, or Conjunctiva Palpitations Papilledema
R Rash, General Rectal Bleeding Rectal Discharge
S Scalp Tenderness Scoliosis Sensory Loss
T Tachycardia Taste Abnormalities Testicular Atrophy
U Unequal Pulses Uremia Urethral Discharge
V Vaginal Bleeding Vaginal Discharge Visible Peristalsis
W Walking Difficulties Weakness and Fatigue, Generalized Weight Loss
  1. Appendix A
  2. The Laboratory Workup of Disease
  3. Appendix B
  4. Answers to Questions from Case Presentations
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