Signs and Symptoms in Family Medicine: A Literature-Based Approach

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Signs and Symptoms in Family Medicine, by Paul M. Paulman, MD et al, provides a unique evidence-based approach to diagnosis based on presenting signs. Focusing on the most common diagnoses observed in a medical practice, the book helps you "think horses, not zebras." A rating system for the sensitivity and specificity of the signs, symptoms, and diagnostic tests aids in the development of a focused and accurate differential diagnosis. This handy, take-along guide is ideal for quick reference at the bedside or a refresher while prepping for the boards.

  • Confidently diagnose and treat common illnesses and conditions using an evidence-based, systematic approach. A unique ratings system indicates how frequently various symptoms and signs are associated with a particular diagnosis.
  • Easily find what you need with consistently organized chapters and an at-a-glance bulleted format.
  • "Think horses, not zebras" with a focus on the most frequently encountered diagnoses.
  • Rule out the most serious possibilities quickly with differential diagnoses listed in descending order of severity.
  • Review symptoms, signs, suggested work-up, and patient disposition for each diagnosis.

Patients present with symptoms, not diagnoses

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is a compilation of 45 of the more common complaints clinicians encounter in family or primary care medicine.
Purpose: I found it odd that there was no preface or introduction leading into the text.
Audience: The audience is clearly anyone who is engaged in primary care and the book is appropriately written for physicians in residency training programs, but assumes a bit much for medical students. The editors are mainly from the University of Nebraska Medical Center and the contributors are from many institutions across the country.
Features: The format is a combination of prose and bulleted text, but it was difficult to discern how the use of each was determined. Some sections have extensive references and others have few.
Assessment: This is an interesting read, but the differences among the chapters make me wonder how useful the book would be, considering the inconsistencies.
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Product Details

  • ISBN-13: 9780323049818
  • Publisher: Elsevier Health Sciences
  • Publication date: 8/31/2011
  • Series: Signs and Symptoms Series
  • Pages: 656
  • Sales rank: 1,442,237
  • Product dimensions: 4.50 (w) x 7.30 (h) x 1.10 (d)

Table of Contents

1. Abdominal Pain

2. Abnormal Vaginal Bleeding

3. Amenorrhea

4. Anemia

5. Anxiety

6. Arthralgia

7. Back Pain

8. Behavioral Problems in Children

9. Bleeding and Bruising

10. Blood in Stool

11. Breast Masses and Nipple Discharges

12. Chest Pain

13. Child Abuse

14. Confusion

15. Congestion

16. Cough

17. Depression

18. Diarrhea

19. Dizziness

20. Earache

21. Family Discord

22. Fatigue

23. Fever

24. Headache

25. Health Maintenance

26. Heartburn

27. Hypertension

28. Jaundice

29. Lower Extremity Pain and Swelling

30. Lymphadenopathy

31. Menopause

32. Neck Pain

33. Pelvic or Genital Pain

34. Polyuria

35. Rashes

36. Seizures

37. Sexual Dysfunction

38. Shortness of Breath

39. Sleep Disorders

40. Sore Throat

41. Substance Abuse

42. Urinary Problems

43. Vaginal Discharge

44. Generalized Weakness 45. Weight Change

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