Evidence-based Physical Diagnosis


Book Description

Clinical reference that takes an evidence-based approach to the physical examination. Updated to reflect the latest advances in the science of physical examination, and expanded to include many new topics.




Clinical Examination


Book Description

Since 1988 this textbook has provided a clear and easily grasped explanation of the origins of physical signs when examining a patient, (both historically and physiologically). Much has been rewritten to reflect new thinking and new techniques.




Improving Diagnosis in Health Care


Book Description

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.




DeGowin's Diagnostic Examination, 11th Edition


Book Description

The classic guide to the undifferentiated patient–enhanced by new cases A Doody's Core Title for 2024 & 2024! Technological advances have taken testing and imaging to remarkable new places—yet establishing patient history and performing physical examinations are more important now than ever. This classic guide has been showing students and clinicians how to approach the diagnostic process thoughtfully and systematically for decades—and this revised edition brings you completely up to date. Part physical examination primer, part differential diagnosis tool, DeGowin's Diagnostic Examination provides the information and insights you need to make accurate, evidence-based diagnostic hypotheses. Covering all physical exam techniques and procedures, this updated edition shows how to collect clinical findings gleaned from the physical examination and synthesize them into a differential diagnosis. • Covers the latest developments in evidence-based physical examinations • Explains how to obtain a complete patient history and perform a thorough physical exam • Organized by signs, symptoms, and syndromes to make finding what you need quick and easy • Connects symptoms and signs with disease pathophysiology • Facilitates efficient, cost-effective diagnostic testing using focused differential diagnoses This classic guide continues to effectively combine current diagnostic practices with the unchanging aspects of clinical medicine.




Definition of Serious and Complex Medical Conditions


Book Description

In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.




Atlas of Adult Physical Diagnosis


Book Description

Written by noted physicians and educators at Thomas Jefferson University, this thoroughly illustrated text/atlas is the most comprehensive guide to physical examination techniques and physical diagnosis. Coverage of each anatomic site includes a review of anatomy, a general screening examination, and specific problem-oriented examinations, plus Teaching Points for physicians who precept medical students. A variety of techniques for each site and problem are shown, so that readers can adapt the examination to the patient. More than 700 illustrations—139 in full color—depict anatomic details, examination techniques, and significant findings. Tables present the evidence basis for various techniques. Annotated bibliographies are also included.




Sapira's Art and Science of Bedside Diagnosis


Book Description

The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination. Chapters are filled with clinical pearls, vignettes, step-by-step methods, and explanations of the physiologic significance of findings. New features include "Points to Remember", over 300 questions with answers and discussion, over 120 additional references, and expanded discussions of the usage and pitfalls of evidence-based medicine. Other highlights include expanded and updated discussions of sleep apnea, "minor" head trauma, cervical spine involvement in rheumatoid arthritis, transplantation-related problems, adverse effects of AIDS therapy, and more. A companion Website includes fully searchable text and a 300-question test bank.




Hutchison's Clinical Methods,An Integrated Approach to Clinical Practice With STUDENT CONSULT Online Access,23


Book Description

A textbook on clinical skills. It provides a source of learning and reference for undergraduate medical students and postgraduate doctors. It seeks to teach an integrated approach to clinical practice, so that new methods and investigations are grafted onto established patterns of clinical practice, rather than added on as something extra.




The Patient History: Evidence-Based Approach


Book Description

The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter—an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians




Evidence-Based Physical Examination


Book Description

The first book to teach physical assessment techniques based on evidence and clinical relevance. Grounded in an empirical approach to history-taking and physical assessment techniques, this text for healthcare clinicians and students focuses on patient well-being and health promotion. It is based on an analysis of current evidence, up-to-date guidelines, and best-practice recommendations. It underscores the evidence, acceptability, and clinical relevance behind physical assessment techniques. Evidence-Based Physical Examination offers the unique perspective of teaching both a holistic and a scientific approach to assessment. Chapters are consistently structured for ease of use and include anatomy and physiology, key history questions and considerations, physical examination, laboratory considerations, imaging considerations, evidence-based practice recommendations, and differential diagnoses related to normal and abnormal findings. Case studies, clinical pearls, and key takeaways aid retention, while abundant illustrations, photographic images, and videos demonstrate history-taking and assessment techniques. Instructor resources include PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank. This is the physical assessment text of the future. Key Features: Delivers the evidence, acceptability, and clinical relevance behind history-taking and assessment techniques Eschews “traditional” techniques that do not demonstrate evidence-based reliability Focuses on the most current clinical guidelines and recommendations from resources such as the U.S. Preventive Services Task Force Focuses on the use of modern technology for assessment Aids retention through case studies, clinical pearls, and key takeaways Demonstrates techniques with abundant illustrations, photographic images, and videos Includes robust instructor resources: PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank Purchase includes digital access for use on most mobile devices or computers