Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice With STUDENT CONSULT Online Access / Edition 22

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Hutchison’s Clinical Methods, first published over a century ago, is the classic textbook on clinical examination. It provides an outstanding source of learning and reference for undergraduate medical students and postgraduate doctors. It seeks to teach an integrated approach to clinical practice, so that new methods and investigations are grafted onto established patterns of clinical practice, rather than added on as something extra. The text is organised so that both system-related and problem-oriented chapters are included. Particular emphasis is placed on the importance of the doctor-patient relationship, the essential skills needed for clinical examination, and for planning the appropriate choice of investigations in diagnosis and management.

• Provides a comprehensive account of the traditional methods of patient history-taking and examination but updated with a full account of the role of modern investigative techniques.
• A book for students of all ages and all degrees of experience.
• The most comprehensive account of clinical methods on the market.

• Contents re-ordered into five sections: *The approach to the patient
• General assessment
• Basic systems
• Clinical specialties
• Ethics
• New editor joins the textbook - Dr Michael Glynn
• Completely new text presentation and page design
• All line drawings redrawn for improved clarity
• New chapters on:
• Nutritional assessment
• Diabetes and other metabolic disorders
• Intensive care unit
• Pain
• The face, mouth, jaws and neck

The book contains both black-and-white and color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Roberto J Colon, MD (Wright-Patterson AFB Hospital)
Description: This is an excellent guide to the key aspects of history and physical examination essential in the practice of medicine. The illustrations augment the text and reinforce key elements in each chapter.
Purpose: The intent is to teach proper history and physical examination techniques in order to arrive at a proper diagnosis. Given today's access to technology and its cost, we have seen a decline in students' and residents' basic skills. It is of paramount importance to routinely emphasize these key aspects of medical practice, emphasizing how often a correct diagnosis can be derived from a complete and accurate history and physical. Without a doubt, this book achieves the authors' goals of fostering a sound approach to history and physical examinations.
Audience: It is equally practical for every level of practice — student, resident, and provider. As a residency program director, even I found helpful suggestions that will be incorporated into my practice and resident education. While the authors recommend this as a useful adjunct for any specialty, it appears most useful for family practice, internal medicine and general surgery. For students, however, it would be an excellent resource to use in almost every clinical rotation from pediatrics to obstetrics and gynecology.
Features: The book covers virtually all aspects of obtaining a medical history from preparation to a thorough systems review. A complete head-to-toe examination is discussed throughout the book, covering appropriate aspects of every organ system. The illustrations and diagrams appropriately augment and demonstrate tests and maneuvers explained in the text. Of particular interest are the chapters addressing special populations such as adolescents, the elderly, and patients with cancer. These sections actually do an outstanding job of highlighting problems and emphasizing important considerations specific to these patient groups. The use of color tables throughout each chapter is useful in providing concise summaries of key points and differential diagnosis for various conditions and also serves as educational aid in sections such as history taking and ethics.
Assessment: This is a reference for anyone wishing to learn or refine history and examination skills. It is equally appropriate for students beginning their clinical rotations, as well as residents and practitioners to use as a source for the proper methods of history and clinical examinations. I have personally found it as useful as other staples of physical examination education such as Bates' Guide to Physical Examination and History Taking, 9th edition, by Bickley and Szilagyi (Lippincott Williams & Wilkins, 2007).
From the Publisher
"This book covers all the examinations needed for a clinical medical student. The text is clear and the illustrations are good."
Medical Student - UK

"The quality of illustration is excellent – from the line drawings to the radiographs and colour plates...In summary, this is a book that must be indispensable to medical students who are starting their clinical work but wouldn’t be out of place as a refresher for GPs in the surgery."
Dr Jeremy Sager, Univadis, Oct 2008

Bruce E. Johnson
The 20th edition of this textbook focuses on the approach to diagnosis by emphasizing the steps involved. From questioning, to physical examination, to laboratory testing, the text emphasizes the clinical methods used in the typical evaluation. The author has organized each chapter to demonstrate how each type of examination (interview, physical, and laboratory) is important for the physician to progress from symptom to diagnosis. This is a unique and worthy objective. According to the authorr (and he is correct), the book is written for all medical personnel, student to practitioner. The greatest interest, though, will be from medical students. The text is well illustrated with photographs, drawings, and tables. Important points are highlighted and set apart in colored boxes. There are no references. The table of contents and index are adequate. The author states that new chapters have been added on the elderly, endocrinology, and ethics. This is a remarkable book in that it is more than a simple textbook of physical diagnosis. The approach of each chapter is to reproduce the clinical method by proceeding from symptom to diagnosis. The clinical method uses the interview (which is extensively covered), physical findings, and the laboratory exam. Such a comprehensive approach avoids compartmentalization and, indeed, more accurately details the clinical method. Some parts of the book are pedantic and overwritten. But the book as a whole is an excellent resource for physicians at all stages of training or practice.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780702027994
  • Publisher: Elsevier Health Sciences
  • Publication date: 4/20/2007
  • Edition description: REV
  • Edition number: 22
  • Pages: 560
  • Product dimensions: 7.70 (w) x 10.40 (h) x 1.20 (d)

Table of Contents

Section 1
The approach to the patient
1. Doctor and patient: general principles of history taking
2. Physical examination: General principles
3. Differential diagnosis: the beginning of a management plan

Section 2
General assessment
4. Psychiatric assessment
5. Nutritional assessment

Section 3
Basic systems
6. Respiratory system
7. Cardiovascular system
8. Gastrointestinal system
9. Locomotor system
10. Nervous system

Section 4
Clinical specialities
11. Skin, nails and hair
12. Endocrine disorders
13. Diabetes and other metabolic disorders
14. Kidneys and urinary tract
15. Gynaecology and obstetrics
16. Children and adolescents
17. Older people
18. Eyes
19. Ear, nose and throat
20. Face, mouth, jaws and neck
21. Unconscious patients
22. Major acute trauma injury
23. Intensive care
24. Pain
25. People with cancer
26. Blood disorders
27. Sexually transmitted infections

Section 5
28. Ethical issues in medicine

Appendix 1: A guide to reference ranges used in pathology
Appendix 2: Collecting specimens for laboratory analysis
Appendix 3: Blood and intestinal parasites

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