DeGowin's Diagnostic Examination, Tenth Edition

by Richard F. LeBlond, Donald D. Brown, Richard L. DeGowin

Overview

For more than forty years, the single-best guide for learning how to become a master clinical diagnostician

Much more than a text describing how to perform a history and physical examination, DeGowin's Diagnostic Examination is unmatched in its ability to help you logically assess symptoms and physical signs to facilitate development of reasonable, testable diagnostic hypotheses.

Part physical examination primer, part differential diagnosis guide, DeGowin's:

• Describes how to obtain a complete history and perform a thorough physical examination
• Links symptoms and signs with the pathophysiology of disease
• Presents a symptom, sign, anatomy, and physiology-based approach to differential diagnosis
• Facilitates efficient cost-effective diagnostic testing using focused differential diagnoses

Organized as a practical bedside guide to assist diagnosis, DeGowin's is valuable as a quick reference at the point-of-care or as a text to study the principles and practice of history taking and physical examination.

Product Details

ISBN-13:	9780071814485
Publisher:	McGraw Hill LLC
Publication date:	06/22/2014
Sold by:	Barnes & Noble
Format:	eBook
Pages:	896
File size:	22 MB
Note:	This product may take a few minutes to download.

About the Author

Richard LeBlond, MD (Iowa City, Iowa) runs the Primary Care Clinic at the University of Iowa and is Professor of Medicine. He is nationally known for his expert diagnostic skills.
Donald Brown, MD (Iowa City, Iowa) is Professor of Medicine at the University of Iowa.
Manish Suneja, MD (Iowa City, Iowa) is Associate Professor of Internal Medicine at the University of Iowa Carver College of Medicine.
Joseph F. Szot, MD (Iowa City, Iowa) is Associate Professor of Internal Medicine at the University of Iowa Carver College of Medicine.

Table of Contents

1. Diagnosis 2. History Taking and the Medical Record 3. The Screening Physical Exam 4. Vital Signs, Anthropometric Data, and Pain 5. Non-Regional Systems and Diseases 6. The Skin and Nails 7. The Head and Neck 8. The Chest 9. The Abdomen, Perineum, Anus, Rectosigmoid 10. Urinary System 11. Female System 12. Male System 13. Spine, Pelvis, Extremities 14. Neurologic Exam 15. Mental Status, Social Evaluations 16. Preoperative Evaluation 17. Diagnostic Screening 18. Lab Tests

Editorial Reviews

Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is an update of a book last published in 2009 on performing an appropriate physical examination.
Purpose: The purpose is to describe how to approach a patient, obtain a relevant set of historical facts concerning their symptoms and past medical history, and perform either a general physical examination or a focused examination, depending upon the situation.
Audience: This book is clearly intended for novice clinicians and students in training. In reality, many experienced clinicians could use this as a refresher after years in practice when some of the finer points of diagnosis could be forgotten.
Features: This edition has a number of enhancements that make it worthwhile. In particular, a new feature, "Clinical Occurrence," which makes suggestions regarding the differential diagnosis of a particular symptom or sign, appears throughout. This is a nice addition as clinicians tend to associate a sign with one diagnosis and this suggests other possible diagnoses. There are also more references to the evidence supporting or disavowing a sign to be helpful in the differential diagnoses. Many physical signs have been taken as pathognomonic of a diagnosis and this feature helps differentiate the truth or usefulness of those beliefs. There is also a new section introducing the use of ultrasound as a bedside diagnostic technique. The previous edition offered a full-text download to a mobile device. While this appears to continue to be available, the ability to download the 10th edition to a portable device is not discussed. There is a website listed in the preface offering a full-text ebook, but I could not find the ebook, just an advertisement for the print version.
Assessment: There are significant enhancements in this edition of this well-established physical diagnosis book that make it worth buying. However, the downloadable version would be very important to younger clinicians who wish to quickly review the diagnostic techniques prior to seeing a particular patient.

Doody's Review Service