The 10-minute Clinical Assessment / Edition 1

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In the space of 10 minutes, how do you confidently assess your patient's condition and make an accurate diagnosis?

This concise guide provides a systematic way of collecting the essential clinical information swiftly and effectively.

The individual disease sections are uniformly structured to provide:

Key features of the history, including questions relevant to patients and important for making a diagnosis

The 'value' of present or absent symptoms for diagnosis and prognosis

What should be examined and why

A summary of 'red flags' - issues that must be assessed

Important differential diagnoses and their clinical features

Useful tips, tricks and hints for effective patient assessment

Every health professional who has to assess patients under time constraints, as well as advanced medical students preparing for final exams, will find this new, easily accessible and comprehensive guide invaluable

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Editorial Reviews

From the Publisher
"I suspect it has less value as an immediate reference in the blood and thunder of a tricky consultation, but medical students and GP trainees will appreciate its cut-down simplicity." (Casebook, 1 May 2011)

"This excellent book will appeal not only to its intended target audience but also to experienced health professionals who have to assess patients swiftly." (Journal of Tropical Pediatrics, 2010)

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Product Details

  • ISBN-13: 9781405181952
  • Publisher: Wiley
  • Publication date: 1/26/2010
  • Edition number: 1
  • Pages: 792
  • Sales rank: 766,791
  • Product dimensions: 5.40 (w) x 8.40 (h) x 1.30 (d)

Meet the Author

Knut Schroeder MD MSc DCH DRCOG DGM MRCGP MRCP PhD CertMedEd is a GP Principal and Honorary Senior Clinical Lecturer in General Practice at the University of Bristol. He holds a Certificate in Medical Education and developed undergraduate and postgraduate courses on clinical diagnosis and evidence based medicine. While a full-time Consultant Senior Lecturer, he was responsible for developing and running the general practice part of the final examination for medical students at the University of Bristol for three years. Knut has written a book for GP registrars (Top Tips for GPs, Radcliffe Medical Press, 2000) and co-wrote a number of book chapters, including two chapters for the Oxford Textbook of Primary Medical Care (on haemoptysis and high blood pressure). He had papers published in international peer-reviewed journals including the BMJ, Family Practice, and Archives of Internal Medicine, as well as articles in the GP press. His main clinical and teaching interest is clinical assessment and diagnosis. He is about to qualify as a GP Trainer and continues to teach medical students in years one to four. Knut was Deputy Co-ordinating Editor for the Cochrane Heart Group for four years and has experience in writing and assessing systematic reviews of clinical literature. For a brief CV and list of relevant publications please see

A part-time GP in Bristol, Gill is an experienced medical writer and broadcaster, writing for medical newspapers such as GP, Doctor; journals including The British Journal of Cardiology, Cardiology International, Update and Practice Nurse; consumer media including Woman's Own, Your Family and non-medical magazines such as Flyer and Helicopter Life, and reporting for BBC Radio, BBC News24, Sky News etc. Her particular interests and medical experience lie in rheumatology, family planning, travel and aviation medicine and diabetes.

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Table of Contents

Foreword xi

Preface xiii

About the author xv

Acknowledgements xvii

Selected useful resources xix

Undifferentiated and miscellaneous presentations 1

Suspected cancer 3

Weight loss 10

Tiredness 15

Dizziness 20

Chronic pain 26

Sudden collapse 30

Frequent attenders 35

Medication review and polypharmacy 39

Medically unexplained symptoms 43

Insomnia 48

Irritability and 'stress' 52

Domestic violence 56

Homelessness 60

Paediatrics and adolescent health 65

The sick and/or feverish child 67

Suspected meningococcal meningitis and septicaemia 74

Neonatal jaundice 78

Faltering growth 82

Headache and migraine in children 86

Head injury in children 90

Suspected cancer in children and adolescents 95

Abdominal pain in children 100

Hearing loss in children 106

Childhood cough 110

Childhood wheeze 114

Constipation in children 119

Childhood obesity 123

Suspected child abuse and neglect 129

Nocturnal enuresis 134

Knee problems in children 138

Hip problems in children 143

Adolescent health problems 147

Self-harm in teenagers 151

Eating disorders 155

Autism spectrum disorder 160

Cardiovascular 163

Chest pain 165

Palpitations 171

Cardiovascular risk assessment 175

Hypertension 179

Atrial fibrillation 184

Heart failure 188

Peripheral vascular disease 194

Respiratory 199

Shortness of breath 201

Haemoptysis 206

Suspected lung cancer 211

Asthma 215

Chronic obstructive pulmonary disease 220

Suspected pneumonia 226

Pleural effusion 230

Pulmonary embolism 235

Endocrine and metabolic 239

Diabetes review 241

Obesity 246

Hirsutism 251

Hypothyroidism 255

Hyperthyroidism 259

Hyponatremia 263

Hypernatraemia 267

Hypokalemia 270

Hyperkalaemia 274

Hypocalcaemia 277

Hypercalcaemia 281

Abdominal problems 285

Nausea and vomiting 287

Dysphagia 291

Dyspepsia and reflux 295

Upper gastrointestinal bleeding and melaena 299

Abdominal pain 303

Constipation 309

Diarrhoea 313

Rectal bleeding and suspected bowel cancer 318

Abnormal liver function tests 323

Irritable bowel syndrome 327

Inflammatory bowel diseas 331

Coeliac disease 335

Infectious diseases 339

Fever of unknown origin 341

Fever and illness in the returning traveller 346

HIV infection and AIDS 351

Tuberculosis 357

Rheumatic fever 362

Haematology 367

Iron deficiency anaemia 369

Pernicious anaemia and B12 deficiency 373

Bleeding disorders 378

Myeloma 382

Musculoskeletal 387

Soft tissue injury 389

Acute hot and swollen joint 394

Chronic musculoskeletal pain 398

Polyarthralgia 403

Neck pain 408

Back pain 413

Shoulder and arm problems 419

Elbow problems 425

Hand problems 429

Hip pain 434

Groin problems 439

Leg pain and/or swelling 443

Knee pain 449

Foot and ankle problems 456

Gout 462

Osteoporosis 466

Neurology 471

Headache 473

Transient ischaemic attack and stroke 479

Head injury in adults 485

Suspected or confirmed brain tumour 489

Tremor 494

Motor neurone disease 498

Peripheral neuropathy 503

Multiple sclerosis 508

Gynaecology 513

Combined oral contraception 515

Menorrhagia 519

Amenorrhoea 523

Breast lumps 527

Loss of libido 531

Polycystic ovary syndrome 535

Suspected ovarian cancer 539

Obstetrics 543

Routine antenatal care 545

Bleeding in early pregnancy 550

Abdominal pain in pregnancy 553

Pre-eclampsia 558

Urology and renal medicine 561

Suspected urinary tract infection in women 563

Lower urinary tract symptoms in men 567

Urinary incontinence 572

Urethral discharge in men 577

Scrotal and testicular problems 581

Erectile dysfunction 586

Kidney stones 591

Haematuria 595

Chronic kidney disease 599

Mental health 605

Depression 607

Self-harm and harm to others 612

Anxiety, phobias and panic disorder 617

Alcohol screening 621

Alcohol dependence 626

Illicit drug misuse 630

Obsessive compulsive disorder 635

Mania 638

Schizophrenia 642

Skin 647

Moles and malignant melanoma 649

Pressure ulcers 652

Ophthalmology 657

Eye injuries 659

The acute red eye 663

Gradual painless visual disturbance 668

Sudden painless visual disturbance 672

Eye problems in older people 677

Ear, nose and throat 681

Neck swelling 683

Sore throat 687

Ear pain 692

Hearing loss in adults 696

Tinnitus 700

Rhinosinusitis and facial pain 704

Problems in older people 709

General health assessment in older people 711

Cognitive problems and dementia 717

Falls in older people 722

Delirium and acute confusional state 728

Depression in older people 734

Palliative and end of life care 739

Parkinson's disease 743

Index 747

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