Advanced Health Assessment & Clinical Diagnosis in Primary Care / Edition 6

by Joyce E. Dains DrPH, JD, APRN, FNP-BC, FNAP, FAANP, FAAN, Linda Ciofu Baumann PhD, APRN, BC, FAAN, Pamela Scheibel MSN, RN, CPNP

Overview

Learn to accurately diagnose the majority of patients seen in today’s primary care settings! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition goes beyond basic history and physical examination skills to help you learn the diagnostic reasoning process. You will develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practitioners, this edition includes a new chapter on The Transgender Patient that gives you the knowledge you need to properly assess and care for this underserved patient population. It also features expanded coverage of geriatrics, highly infectious diseases, coordination with the interprofessional healthcare team, genetics/genomics in lab testing and family history, updates on psychiatric-mental health problems, and more!

• A clear, consistent diagnostic reasoning process takes you to the next step of health assessment— beyond basic history and physical examination to diagnostic reasoning.
• Diagnostic Reasoning: Focused History sections use "self-questions" to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
• Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings.
• Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify.
• Laboratory and Diagnostic Studies sections outline the types of tests that might be appropriate based on the focused history and focused physical examination.
• Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies.
• Differential Diagnosis tables provide you with a quick-reference summary of possible diagnoses for each patient problem.
• Evidence-Based Practice boxes— more than 30 NEW— summarize the scientific evidence related to the diagnosis of patient problems.
• Evidence-Based Preventive Health Screening chapter helps you to screen for common asymptomatic conditions and promote wellness.
• Information on screening for abuse and sexual assault helps you identify patients who might need additional support or intervention.
• List of Chapters by Body System provides a convenient Table of Contents organized by body system.

• NEW! Updated content throughout, includes a special focus on genetics/genomics, psychiatric-mental health issues, geriatrics, and more.
• NEW! Chapter on The Transgender Patient equips providers with the necessary knowledge to properly assess and care for thisunderserved patient population.
• NEW! Interprofessional team of reviewers ensures that content is appropriate for Nurse Practitioners, Physician Assistants, Respiratory Therapists, and other providers, as well as ensuring that referral information promotes effective interprofessional collaboration.
• NEW! A smaller, more convenient size makes it easy to have this this essential reference handy in a lab-coat pocket, and expanded color illustrations and full-color design enhance content, with colored thumb tabs making it easier for you to find the information you need.
• NEW! Updated information on psychiatric/mental health problems reflects the latest changes in practice as well as changes to the DSM.

Product Details

ISBN-13:	9780323554961
Publisher:	Elsevier Health Sciences
Publication date:	03/27/2019
Edition description:	New Edition
Pages:	642
Product dimensions:	5.90(w) x 8.90(h) x 1.20(d)

Table of Contents

PART I: AN INTRODUCTION TO CLINICAL REASONING

1. Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis 2. Evidence-Based Health Screening

PART II: COMMON SYMPTOMS IN PRIMARY CARE

3. Abdominal Pain 4. Affective Changes 5. Amenorrhea 6. Breast Lumps and Nipple Discharge 7. Breast Pain 8. Chest Pain 9. Confusion in Older Adults 10. Constipation 11. Cough 12. Diarrhea 13. Dizziness 14. Dyspnea 15. Earache 16. Fatigue 17. Fever 18. Genitourinary Problems in Males 19. Headache 20. Heartburn and Indigestion 21. Hoarseness 22. Lower Extremity Limb Pain 23. Upper Extremity Limb Pain 24. Low Back Pain (Acute) 25. Nasal Symptoms and Sinus Congestion 26. Palpitations 27. Penile Discharge 28. Rashes and Skin Lesions 29. Rectal Pain, Itching, and Bleeding 30. Red Eye 31. Sleep Problems 32. Sore Throat 33. Syncope 34. Urinary Incontinence 35. Urinary Problems in Females and Children 36. Vaginal Bleeding 37. Vaginal Discharge and Itching 38. Vision Loss 39. Weight Loss/Gain (Unintentional)

PART III: DIAGNOSTIC IMAGING

40. The Abdominal X-Ray 41. The Chest X-Ray

Part IV: SPECIAL CONSIDERATIONS

42. The Transgender Patient

Index

What People are Saying About This

From the Publisher

Move beyond physical examination and history-taking skills to diagnostic reasoning and clinical diagnosis in primary care settings

Editorial Reviews

Reviewer: Kathleen M. Woodruff, DNP, RN, ANP-BC(USC School of Social Work)
Description: This book helps students move from basic history and physical examinations to implementing the diagnostic reasoning process. It is designed to help students work through the diagnostic process from the initial chief complaint to a comprehensive differential diagnosis. The previous editions of this book were published in 2003 and 1998.
Purpose: The purpose is to help students bridge the gap between basic physical examination books and medical books that are aimed primarily at disease management. It is not intended to be a text on clinical management, but rather an introduction to the thought processes that are incorporated into diagnostic reasoning. This book does an excellent job of accomplishing the author's objectives.
Audience: It is intended for beginning clinicians and/or students who will be using history and physical examination skills in the clinical setting. The authors are experienced clinicians and experts in the field.
Features: The book is organized first into body systems and more specifically into chapters of common presenting symptoms. Each chapter covers a focused history, focused physical, laboratory and diagnostic studies, differential diagnosis, and a differential diagnosis table. The focused history is innovative because the section is designed around questions that experienced clinicians would be asking themselves as they are organizing and ordering the questions to ask the patient. Each key question is followed by an explanation of an interpretation or explanation about why the patient responses might be significant.
Assessment: This is an excellent resource for primary care clinicians and students. Management of healthcare problems is intentionally not included in this book. The goal is to expand the reader's use of diagnostic reasoning in the context of advancing and perfecting advanced health assessment skills. The third edition has added chapters on mood, behavior changes, and psychosocial concerns as well as chest films, in addition to updating the other chapters. The authors also have added a number of very useful evidence-based practice guidelines.

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