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The 10–minute Clinical Assessment
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Main description:

Knut Schroeder MD, MRCP, PhD, Fellow of the Royal College ofGeneral Practitioners and Honorary Senior Clinical Lecturer inGeneral Practice, University of Bristol, UK

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


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


The individual disease sections are uniformly structured toprovide:



  • Key features of the history, including questions relevant topatients and important for making a diagnosis

  • The ′value′ of present or absent symptoms for diagnosis andprognosis

  • What should be examined and why

  • A summary of ′red flags′ issues that must beassessed

  • Important differential diagnoses and their clinicalfeatures

  • Useful tips, tricks and hints for effective patientassessment


Every health professional, who has to assess patients under timeconstraints, as well as advanced medical students preparing forfinal exams, will find this new, easily accessible andcomprehensive guide invaluable


"Being responsible for dealing with most of the health problemsof most of the population most of the time is quite achallenge Both students and doctors, and not just those atthe start of their careers, will benefit from reading thisbeautifully structured book which will help them get the very bestout of clearly focused consultations. Combined with the vitalattributes of listening and caring, using the knowledge and supportthis book provides will help us all become more effectivedoctors."
Professor David Haslam, CBE, FRCP, FFPH, FRCGP, PastPresident of the Royal College of General Practitioners, London,UK


Back cover:

Knut Schroeder MD, MRCP, PhD, Fellow of the Royal College ofGeneral Practitioners and Honorary Senior Clinical Lecturer inGeneral Practice, University of Bristol, UK

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


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


The individual disease sections are uniformly structured toprovide:



  • Key features of the history, including questions relevant topatients and important for making a diagnosis

  • The ′value′ of present or absent symptoms for diagnosis andprognosis

  • What should be examined and why

  • A summary of ′red flags′ issues that must beassessed

  • Important differential diagnoses and their clinicalfeatures

  • Useful tips, tricks and hints for effective patientassessment


Every health professional, who has to assess patients under timeconstraints, as well as advanced medical students preparing forfinal exams, will find this new, easily accessible andcomprehensive guide invaluable


"Being responsible for dealing with most of the health problemsof most of the population most of the time is quite achallenge Both students and doctors, and not just those atthe start of their careers, will benefit from reading thisbeautifully structured book which will help them get the very bestout of clearly focused consultations. Combined with the vitalattributes of listening and caring, using the knowledge and supportthis book provides will help us all become more effectivedoctors."
Professor David Haslam, CBE, FRCP, FFPH, FRCGP, PastPresident of the Royal College of General Practitioners, London,UK


Contents:

Foreword.

Preface.


About the author.


Acknowledgements.


Selected useful resources.


Undifferentiated and miscellaneous presentations.


Suspected cancer.


Weight loss.


Tiredness.


Dizziness.


Chronic pain.


Sudden collapse.


Frequent attenders.


Medication review and polypharmacy.


Medically unexplained symptoms.


Insomnia.


Irritability and ′stress′.


Domestic violence.


Homelessness.


Paediatrics and adolescent health.


The sick and/or feverish child.


Suspected meningococcal meningitis and septicaemia.


Neonatal jaundice.


Faltering growth.


Headache and migraine in children.


Head injury in children.


Suspected cancer in children and adolescents.


Abdominal pain in children.


Hearing loss in children.


Childhood cough.


Childhood wheeze.


Constipation in children.


Childhood obesity.


Suspected child abuse and neglect.


Nocturnal enuresis.


Knee problems in children.


Hip problems in children.


Adolescent health problems.


Self–harm in teenagers.


Eating disorders.


Autism spectrum disorder.


Cardiovascular.


Chest pain.


Palpitations.


Cardiovascular risk assessment.


Hypertension.


Atrial fibrillation.


Heart failure.


Peripheral vascular disease.


Respiratory.


Shortness of breath.


Haemoptysis.


Suspected lung cancer.


Asthma.


Chronic obstructive pulmonary disease.


Suspected pneumonia.


Pleural effusion.


Pulmonary embolism.


Endocrine and metabolic.


Diabetes review.


Obesity.


Hirsutism.


Hypothyroidism.


Hyperthyroidism.


Hyponatraemia.


Hypernatraemia.


Hypokalaemia.


Hyperkalaemia.


Hypocalcaemia.


Hypercalcaemia.


Abdominal problems.


Nausea and vomiting.


Dysphagia.


Dyspepsia and reflux.


Upper gastrointestinal bleeding and melaena.


Abdominal pain.


Constipation.


Diarrhoea.


Rectal bleeding and suspected bowel cancer.


Abnormal liver function tests.


Irritable bowel syndrome.


Inflammatory bowel disease.


Coeliac disease.


Infectious diseases.


Fever of unknown origin.


Fever and illness in the returning traveller.


HIV infection and AIDS.


Tuberculosis.


Rheumatic fever.


Haematology.


Iron deficiency anaemia.


Pernicious anaemia and B12 deficiency.


Bleeding disorders.


Myeloma.


Musculoskeletal.


Soft tissue injury.


Acute hot and swollen joint.


Chronic musculoskeletal pain.


Polyarthralgia.


Neck pain.


Back pain.


Shoulder and arm problems.


Elbow problems.


Hand problems.


Hip pain.


Groin problems.


Leg pain and/or swelling.


Knee pain.


Foot and ankle problems.


Gout.


Osteoporosis.


Neurology.


Headache.


Transient ischaemic attack and stroke.


Head injury in adults.


Suspected or confirmed brain tumour.


Tremor.


Motor neurone disease.


Peripheral neuropathy.


Multiple sclerosis.


Gynaecology.


Combined oral contraception.


Menorrhagia.


Amenorrhoea.


Breast lumps.


Loss of libido.


Polycystic ovary syndrome.


Suspected ovarian cancer.


Obstetrics.


Routine antenatal care.


Bleeding in early pregnancy.


Abdominal pain in pregnancy.


Pre–eclampsia.


Urology and renal medicine.


Suspected urinary tract infection in women.


Lower urinary tract symptoms in men.


Urinary incontinence.


Urethral discharge in men.


Scrotal and testicular problems.


Erectile dysfunction.


Kidney stones.


Haematuria.


Chronic kidney disease.


Mental health.


Depression.


Self–harm and harm to others.


Anxiety, phobias and panic disorder.


Alcohol screening.


Alcohol dependence.


Illicit drug misuse.


Obsessive compulsive disorder.


Mania.


Schizophrenia.


Skin.


Moles and malignant melanoma.


Pressure ulcers.


Ophthalmology.


Eye injuries.


The acute red eye.


Gradual painless visual disturbance.


Sudden painless visual disturbance.


Eye problems in older people.


Ear, nose and throat.


Neck swelling.


Sore throat.


Ear pain.


Hearing loss in adults.


Tinnitus.


Rhinosinusitis and facial pain.


Problems in older people.


General health assessment in older people.


Cognitive problems and dementia.


Falls in older people.


Delirium and acute confusional state.


Depression in older people.


Palliative and end of life care.


Parkinson′s disease.


Index.


PRODUCT DETAILS

ISBN-13: 9781405181952
Publisher: John Wiley & Sons Ltd (Wiley–Blackwell)
Publication date: January, 2010
Pages: 792
Dimensions: 142.00 x 203.00 x 42.20
Weight: 774g
Availability: Not available (reason unspecified)
Subcategories: Diseases and Disorders, General Practice, Medical Diagnosis

MEET THE AUTHOR

Knut Schroeder MD MSc DCH DRCOG DGM MRCGP MRCP PhD CertMedEdis a GP Principal and Honorary Senior Clinical Lecturer in GeneralPractice at the University of Bristol. He holds a Certificate inMedical Education and developed undergraduate and postgraduatecourses on clinical diagnosis and evidence based medicine. While afull–time Consultant Senior Lecturer, he was responsible fordeveloping and running the general practice part of the finalexamination for medical students at the University of Bristol forthree years. Knut has written a book for GP registrars (
Top Tipsfor GPs, Radcliffe Medical Press, 2000) and co–wrote a numberof book chapters, including two chapters for the
Oxford Textbookof Primary Medical Care (on haemoptysis and high bloodpressure). He had papers published in international peer–reviewedjournals including the
BMJ,
Family Practice, and
Archives of Internal Medicine, as well as articles in the GPpress. His main clinical and teaching interest is clinicalassessment and diagnosis. He is about to qualify as a GP Trainerand continues to teach medical students in years one to four. Knutwas Deputy Co–ordinating Editor for the Cochrane Heart Group forfour years and has experience in writing and assessing systematicreviews of clinical literature. For a brief CV and list of relevantpublications please seehttp://www.bristol.ac.uk/primaryhealthcare/staff/knuts.htm

Gill Jenkins BM DRCOG DFFP BA
A part–time GP in Bristol, Gill is an experienced medical writerand 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 andnon–medical magazines such as Flyer and Helicopter Life, andreporting for BBC Radio, BBC News24, Sky News etc. Her particularinterests and medical experience lie in rheumatology, familyplanning, travel and aviation medicine and diabetes.

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