The Common Symptom Guide: A Guide to the Evaluation of Common Adult and Pediatric Symptoms / Edition 4

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Overview

The only book dedicated specifically to symptom evaluation, this best seller is a quick-reference guide to over 100 commonly seen symptoms in adults and children. The revised Fifth Edition features new geriatric considerations, new pearls and pitfalls to avoid, and new information on medications.
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Editorial Reviews

Doody's Review Service
Reviewer: Isaac Kleinman, MD (Baylor College of Medicine)
Description: This is the fourth edition of a handbook designed to provide a listing of the main items in the history, physical findings, and differential diagnoses of common adult and pediatric symptoms.
Purpose: The book includes some health maintenance outlines, an elementary glossary of medical terms, and a table of frequently used drugs. But it mainly serves as an outline for proper description of symptoms and the historical and physical examinations data to be sought for each of the listed symptoms.
Audience: It is aimed at health care providers, in training-physicians, nurses, physician's assistants, and nurse practitioners.
Features: The book consists of outlines and tables with very few illustrations. All the symptom listings are organized in the same way: descriptors (i.e., acute vs. chronic, duration, type of onset, etc.), associated symptoms, family history, environmental history (exposure to toxins, infectious agents), physical examination (limited to those areas pertinent to the symptom under discussion), and diagnostic considerations. Therapy is not mentioned except for the list of drugs and their uses.
Assessment: This book would be useful for a broader audience if it were written on a less elementary level and a bit more rigorously. Even a brief perusal reveals a number of errors of omission, usually in the associated symptoms section, e.g., ischemic bowel disease is omitted from the list of common causes of recurrent abdominal pain, lead level is not mentioned in the the well-baby check-up section, and cocaine abuse is not mentioned in the section on chest pain and dysrhythmia.
Isaac Kleinman
This is the fourth edition of a handbook designed to provide a listing of the main items in the history, physical findings, and differential diagnoses of common adult and pediatric symptoms. The book includes some health maintenance outlines, an elementary glossary of medical terms, and a table of frequently used drugs. But it mainly serves as an outline for proper description of symptoms and the historical and physical examinations data to be sought for each of the listed symptoms. It is aimed at health care providers, in training-physicians, nurses, physician's assistants, and nurse practitioners. The book consists of outlines and tables with very few illustrations. All the symptom listings are organized in the same way: descriptors (i.e., acute vs. chronic, duration, type of onset, etc.), associated symptoms, family history, environmental history (exposure to toxins, infectious agents), physical examination (limited to those areas pertinent to the symptom under discussion), and diagnostic considerations. Therapy is not mentioned except for the list of drugs and their uses. This book would be useful for a broader audience if it were written on a less elementary level and a bit more rigorously. Even a brief perusal reveals a number of errors of omission, usually in the associated symptoms section, e.g., ischemic bowel disease is omitted from the list of common causes of recurrent abdominal pain, lead level is not mentioned in the the well-baby check-up section, and cocaine abuse is not mentioned in the section on chest pain and dysrhythmia.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780070684690
  • Publisher: McGraw-Hill Professional Publishing
  • Publication date: 8/28/1996
  • Edition description: Older Edition
  • Edition number: 4
  • Pages: 400
  • Product dimensions: 5.48 (w) x 8.32 (h) x 1.02 (d)

Read an Excerpt

Acquired Immunodeficiency Syndrome

HISTORY

DESCRIPTORS:
General Descriptors: refer to inside cover; carefully determine why AIDS is considered the problem.

ASSOCIATED SYMPTOMS:
Fever; aches; sore throat; swollen lymph nodes; weight loss; skin rash; vaginal, rectal, or penile sores/discharge.

MEDICAL HISTORY:
Past HIV test; sexually transmitted disease, such as gonorrhea, syphilis, or herpes.

MEDICATIONS:
Any.

ENVIRONMENTAL HISTORY:
Sexual practices past and current. HIV status of partner(s). Use of condoms. Notification of sexual partners of concern about HIV.

FALSE/POSITIVE CONSIDERATIONS:
Patients who use intravenous medications or are homosexual or patients with sexually transmitted diseases are often concerned that they may have AIDS.

PHYSICAL EXAMINATION

MEASURE: temperature and weight.

THROAT: sores or white patches (leukoplakia).

CHEST: rales/crackles.

SKIN: sores or rashes.

GENITAL: female: pelvic exam with culture of cervix;
male: examine for urethral discharge.

GENERAL CONSIDERATIONS

From a practical perspective, patients with concerns about HIV usually fear that their risk behavior may have resulted in infection. Blood testing for HIV is usually indicated for patients with these risk factors: homosexuality, IV drug use, multiple sexual partners, and history of sexually transmitted diseases. All pregnant women should be tested.

Newer blood tests for HIV can become positive within weeks after infection. Immune function noticeably deteriorates for the majority of untreated patients within 7 years.

Most patients initially infected with HIV have no symptoms or signs. However, approximately 6 weeks after infection some experience a viral illness (fever, aches, and rashes), which persists for 2 to 3 weeks.

Persistent AIDS-related findings include fatigue, fever, lymphadenopathy, weight loss, infection or precancer in the mouth, and skin rashes or cancers. Opportunistic infections in the lungs, nervous system, and gastrointestinal tract are expected in the later stages of the disease.
----Copyright 2002 by The McGraw-Hill Companies, Inc. All rights reserved. Used with permission.

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Table of Contents

The General IndexThe Medications Section The Directed Database Section Physical Examination Diagnostic Issues Health Assessment The Glossary Howsyourhealth.org Monitoring Clinical Experiences
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