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Oxford Handbook of Clinical Diagnosis

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Overview

Now in its second edition, the Oxford Handbook of Clinical Diagnosis has become the leading guide to making confident diagnoses. Each symptom, sign and initial test result is accompanied by a differential diagnosis and advice on preliminary tests. The information is laid out in a way that aids pattern recognition on a double page spread, so that you can scan them quickly to see what diagnosis would apply best, what further evidence is required and what treatments to begin. The book also provides a detailed description of the basis of logical evidence-based differential diagnosis. This new edition includes more symptoms, signs and differentials, initial management for each diagnosis, preliminary tests, and a new chapter on dermatology.
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Editorial Reviews

Doody's Review Service
Reviewer: Sally Ling, M.D.;FACP(University of Missouri-Kansas City School of Medicine)
Description: This book aims to teach students the skill of medical diagnosis that is logical and adaptable to each clinical situation.
Purpose: The authors articulate the process of using clues or leads which in combination with other findings will steer the clinician to the likely diagnosis. The breakdown of a dynamic process to transparent steps is interesting, and offers another approach to the diagnostic method.
Audience: The book is written primarily for students and physicians in training.
Features: It opens with a chapter on how the book should be used. It is essential to read this section in order to use the remainder of the book. One clinical scenario is presented. The reader is then walked through each element of the history and physical examination, evaluation of laboratory studies, and finally the diagnostic process. The book cannot be easily used as a standalone resource for quick reference.
Assessment: This is a new book that offers an interesting, "transparent" description of the diagnostic process. It is not necessarily suitable for a beginning student, but it will be useful to one wanting to look further into the nuances of history taking and the use of findings to arrive at a working diagnosis.
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Product Details

  • ISBN-13: 9780192632494
  • Publisher: Oxford University Press, USA
  • Publication date: 3/6/2006
  • Series: Oxford Handbooks Series
  • Pages: 728
  • Product dimensions: 7.10 (w) x 4.00 (h) x 1.00 (d)

Meet the Author

Huw Llewelyn, Formerly Consultant Physician; Honorary Departmental Fellow, Kings College Hospital, London; Aberystwyth University, Ceredigion, UK,Hock Aun Ang, Honorary Senior Lecturer in Medicine; Consultant Physician and Endocrinologist, Penang Medical College; Seberang Jaya Hospital, Penang, Malaysia,Keir Lewis, Senior Lecturer in Medicine; Honorary Consultant Physician, Swansea University; Prince Philip Hospital, Llanelli, Carmarthenshire, UK,Anees Al-Abdullah, General Practitioner, Meddygfa Minafon, Kidweli, Carmarthenshire, UK

Huw Llewelyn qualified in Medicine at the University of Wales in 1970. In 1975 he became senior registrar and lecturer in medicine and endocrinology at St Bartholomew's Hospital London. In 1979 he was appointed Consultant Physician at King's College Hospital London. His MD was sponsored by the Nobel Laureate Sir James Black FRS and describes new theorems in probability theory that allow tests to be designed and assessed in a systematic way for differential diagnosis and identify patients who probably respond (or do not respond) to specific treatments. His clinical and teaching experience is based on work in university teaching hospitals in inner cities, rural district general hospitals and general practice. He is currently adapting the Oxford Handbook of Clinical Diagnosis so that it can be used by trainee doctors at Kettering General Hospital to write sophisticated electronic discharge and handover summaries that explain medical reasoning to patients and students.

Hock Aun Ang is a medical graduate from University College Cork, Ireland. After jobs in various medical specialties in the UK, he pursued Diploma in Tropical Medicine and Hygiene (Liverpool) and MSc in Infectious Diseases (University of London). Currently, as a Consultant Physician and Endocrinologist at Seberang Jaya Hospital in Penang, Malaysia, he is actively involved in the supervision of clinical specialists, medical officers and house officers, and the teaching of medical students from Penang Medical College.

Keir Lewis qualified from Guy's and St Thomas' Hospitals and after various jobs in North and East London, he completed his specialist training in Respiratory and General Internal Medicine in Wales. He has a First Class Intercalated BSc in Psychology and his current research interests include Sleep-Disordered Breathing (in which he did his MD Thesis) and Smoking Cessation.

Annes Al-Abdulla graduated from Baghdad University Medical School in 1977. He came to the UK in 1983 and started training in Chemical Pathology in 1985 first at Kings College London then at the Middlesex and University College, London Medical Schools. His last post was a lecturer and senior registrar in chemical pathology. During this period he obtained two master degrees from London University in General and Clinical Biochemistry and finished the examinations for the membership of the Royal College of Pathology, which was awarded in 1990. After this he decided to move into general practice and after a couple of years he was able to get a job as a full time general practitioner in Carmarthenshire. In 2000 he was awarded the fellowship of the Royal College of Pathology. Currently in addition to his job as a GP, he regularly covers for the absence of the local Chemical Pathologist and participates in two hospital diabetic clinics as a diabetes specialist.

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Table of Contents

Symbols and abbreviations

1 The diagnostic process 1

2 Interpreting the history and examination 25

3 General and endocrine symptoms and physical signs 67

4 Skin symptoms and physical signs 161

5 Cardiovascular symptoms and physical signs 215

6 Respiratory symptoms and physical signs 285

7 Gastrointestinal symptoms and physical signs 347

8 Urological and gynaecological symptoms and physical signs 497

9 Joint, limb and back symptoms and physical signs 529

10 Psychiatric and neurological symptoms and physical signs 563

11 Laboratory tests 685

12 Radiology 723

Appendix Making the diagnostic process evidence-based 749

Index 773

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