Differential Diagnosis in Primary Care / Edition 3

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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. Dr. Collins organizes symptoms and signs 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. He then describes the procedures and laboratory tests that need to be included in the workup.

Numerous tables organize and structure the differential diagnosis and more than 200 two-color drawings help readers visualize relevant anatomy. An appendix describes the laboratory workup of various diseases.

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Product Details

  • ISBN-13: 9780781738040
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/1/2002
  • Edition description: Third Edition
  • Edition number: 3
  • Pages: 589

Table of Contents

Preface xiii
Preface to the First Edition xv
Introduction xvii
Abdominal Mass 1
Generalized 1
Right Upper Quadrant Mass 4
Left Upper Quadrant Mass 7
Right Lower Quadrant Mass 9
Left Lower Quadrant Mass 12
Epigastric Mass 14
Hypogastric Mass 17
Abdominal Pain 20
Generalized 20
Right Upper Quadrant Pain 23
Left Upper Quadrant Pain 27
Right Lower Quadrant Pain 30
Left Lower Quadrant Pain 34
Epigastric Pain 38
Hypogastric Pain 39
Absent or Diminished Pulse 44
Acidosis 46
Acid Phosphatase Elevation 48
Alkaline Phosphatase Elevation 48
Alkalosis 50
Amnesia 52
Anal Mass 53
Anemia 53
Ankle Clonus and Hyperactive and Pathologic Reflexes 56
Anorexia 60
Anosmia or Unusual Odor 62
Anuria and Oliguria 64
Arm Pain 68
Aspartate Aminotransferase, Alanine Aminotransferase, and Lactic Dehydrogenase Elevation 71
Aural Discharge 73
Auscultatory Signs of Pulmonary Disease 74
Axillary Mass 77
Back Mass 79
Baldness 81
Bleeding Under the Skin 81
Blurred Vision, Blindness, and Scotomata 83
Bradycardia 88
Breast Discharge 90
Breast Mass or Swelling 92
Breast Pain 93
Cardiac Arrhythmia 95
Cardiomegaly 98
Chest Pain 104
Chest Wall Mass 109
Chills 111
Chorea 113
Clubbing and Pulmonary Osteoarthropathy 113
Coma and Somnolence 116
Constipation 123
Constricted Pupils 125
Convulsions 128
Cough 134
Cyanosis 138
Dandruff 141
Decreased Respirations, Apnea, and Cheyne-Stokes Breathing 141
Delayed Puberty 143
Delirium 145
Delusions 146
Depression, Anxiety, and Other Abnormal Psychic States 148
Diarrhea 150
Difficulty Swallowing 155
Dilated Pupils 156
Dizziness 159
Double Vision 161
Drop Attacks 164
Dwarfism 165
Dysarthria and Speech Disorders 167
Dysmenorrhea 170
Dyspareunia 171
Dyspnea, Tachypnea, and Orthopnea 172
Dystocia 176
Dysuria 177
Earache 179
Edema of the Extremities 180
Elbow Pain 184
Enuresis 186
Epistaxis 188
Excessive Sweating 191
Exophthalmos 193
Extremity, Hand, and Foot Deformities 195
Extremity Mass 197
Eye Pain 199
Facial Pain 201
Facial Paralysis 203
Failure to Thrive 204
Fasciculations 206
Fever 207
Flank Mass 213
Flank Pain 214
Flashes of Light 218
Flatulence and Borboygmi 218
Flushed Face 221
Foot, Hell, and Toe Pain 223
Frequency and Urgency of Urination 227
Frigidity 229
Gait Disturbances 230
Gigantism 232
Glycosuria 234
Groin Mass 236
Groin Pain 238
Gynecomastia 240
Halitosis and Other Breath Odors 242
Hallucinations 242
Hand and Finger Pain 245
Headache 249
Head Deformities 255
Head Mass 257
Heartburn 259
Hematemesis and Melena 261
Hematuria 264
Hemoptysis 269
Hepatomegaly 272
Hiccoughs 277
Hip Pain 279
Hirsutism 281
Hoarseness 283
Hypercalcemia 286
Hypercholesterolemia 289
Hyperglycemia 291
Hyperkalemia 293
Hypermenorrhea 295
Hypernatremia 296
Hypertension 298
Hypertriglyceridemia 301
Hypoactive Reflexes 303
Hypoalbuminemia 304
Hypocalcemia 306
Hypoglycemia 308
Hypokalemia 310
Hypomenorrhea and Amenorrhea 312
Hyponatremia 315
Hypotension and Shock 317
Hypothermia 319
Hypoxemia 321
Impotence 323
Incontinence, Urinary 325
Indigestion 327
Infertility 331
Insomnia 333
Jaundice 336
Jaw Swelling 338
Joint Pain 341
Joint Swelling 343
Leg Pain 347
Leukocytosis 351
Leukopenia 353
Low Back Pain 355
Lymphadenopathy 360
Memory Loss and Dementia 362
Miscellaneous Sites of Bleeding 364
Murmurs 365
Muscular Atrophy 367
Muscular Cramps 369
Musculoskeletal Pain, Generalized 372
Myoclonus 374
Nail Changes 375
Nasal Discharge 377
Nasal Mass or Swelling 379
Nausea and Vomiting 379
Neck Mass 385
Neck Pain 389
Nocturia 392
Nuchal Rigidity 395
Nystagmus 395
Obesity 397
Oral or Lingual Mass 399
Orbital Discharge 399
Orbital Mass 401
Pallor of the Face, Nails, or Conjunctiva 402
Palpitation 404
Papilledema 406
Paresthesias, Dysesthesias, and Numbness 408
Pelvic Mass 413
Pelvic Pain 417
Penile Pain 419
Periorbital and Facial Edema 421
Photophobia 421
Polycythemia 423
Polydipsia 425
Polyphagia 427
Polyuria 429
Popliteal Swelling 431
Priapism 433
Prostatic Mass or Enlargement 435
Proteinuria 437
Pruritus 439
Ptosis 441
Pyuria 444
Rash, General 446
Rash, Local 453
Rectal Bleeding 456
Rectal Discharge 458
Rectal Mass 459
Rectal Pain 460
Red Eye 462
Shoulder Pain 463
Skin Discharge 468
Skin Mass 469
Skin Pigmentation and Other Pigmentary Changes 471
Skin Ulcers 473
Sleep Apnea 475
Sleepwalking 475
Smooth Tongue and Other Changes 477
Sneezing 478
Sore Throat 478
Spine Deformities 480
Splenomegaly 482
Sputum 486
Stool Color Changes 490
Stridor and Snoring 493
Swollen Gums and Gum Mass 493
Swollen Tongue 494
Syncope 497
Tachycardia 502
Testicular Atrophy 506
Testicular Mass 508
Testicular Pain 511
Thrombocytopenia 513
Tinnitus and Deafness 515
Tongue Pain 518
Toothache 518
Torticollis 519
Tremor and Other Involuntary Movements 521
Uremia 523
Urethral Discharge 526
Urine Color Changes 528
Vaginal Bleeding 530
Vaginal Discharge 534
Vomitus 535
Walking Difficulties 537
Weakness and Fatigue, Generalized 541
Weakness or Paralysis of One or More Extremities 545
Weight Loss 550
Appendix The Laboratory Workup of Diseases 555
Subject Index 571
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