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Books > Medicine > Clinical & internal medicine > Medical diagnosis > Examination of patients
Whereas most books about neurologic examinations are disease and anatomy oriented, The Neurologic Examination: Scientific Basis for Clinical Diagnosis focuses on a pathophysiological approach to the nervous system. The authors emphasize that the scientific interpretation of symptoms obtained from carefully taking the patient's history and noting signs found during physical examination are essential in the diagnosis of neurologic diseases, even if laboratory testing, such as electrophysiology and neuroimaging, are being more widely used. This book aims to provide a bridge from the basic sciences such as anatomy, physiology, pharmacology, and molecular biology to the neurologic symptoms. Neurologic examinations provide the foundation for the diagnosis, and only after a thorough and expertly executed examination can one begin to incorporate laboratory testing and treatment. The Neurologic Examination: Scientific Basis for Clinical Diagnosis, based on the widely successful Japanese book Diagnosis of Neurological Diseases (Igakushoin, Japan, second edition 2013) by Dr. Shibasaki, hopes to revitalize the use of neurologic examinations before jumping straight into laboratory testing. Doing so can help cut down on time, patient and physician anxiety, and unnecessary testing expenses. This book is a must-read for all practicing neurologists, residents, and medical students. Key Features Include * The chapters are arranged in order of the actual steps in a neurologic examination; * Highly illustrated with figures and tables indicative of the neurologic signs and symptoms that may appear during the given step; and * 99 discussion boxes are inserted throughout to provide a more in-depth look at particular topics without interrupting the reading flow of the text.
There is a significant deficiency among contemporary medicine practices reflected by experts making medical decisions for a large proportion of the population for which no or minimal data exists. Fortunately, our capacity to procure and apply such information is rapidly rising. As medicine becomes more individualized, the implementation of health IT and data interoperability become essential components to delivering quality healthcare. Quality Assurance in the Era of Individualized Medicine is a collection of innovative research on the methods and utilization of digital readouts to fashion an individualized therapy instead of a mass-population-directed strategy. While highlighting topics including assistive technologies, patient management, and clinical practices, this book is ideally designed for health professionals, doctors, nurses, hospital management, medical administrators, IT specialists, data scientists, researchers, academicians, and students.
Medical and information communication technology professionals are working to develop robust classification techniques, especially in healthcare data/image analysis, to ensure quick diagnoses and treatments to patients. Without fast and immediate access to healthcare databases and information, medical professionals' success rates and treatment options become limited and fall to disastrous levels. Advanced Classification Techniques for Healthcare Analysis provides emerging insight into classification techniques in delivering quality, accurate, and affordable healthcare, while also discussing the impact health data has on medical treatments. Featuring coverage on a broad range of topics such as early diagnosis, brain-computer interface, metaheuristic algorithms, clustering techniques, learning schemes, and mobile telemedicine, this book is ideal for medical professionals, healthcare administrators, engineers, researchers, academicians, and technology developers seeking current research on furthering information and communication technology that improves patient care.
This book has been written step wise by enumerating various aspects of the importance of clinical examination derived by laying one's hands on the affected part. By a thorough clinical examination, it can help an individual to arrive at a tentative differential diagnosis of the condition and hence help in investigating the same by numerous tests which are relevant to the given condition. The manner in which a given case is handled in this way is far more important than the diagnosis of the condition and this feature comes with practicing the same many times. It is a must for anyone embarking in life on Orthopedics as a career.
Dermoscopy is a non-invasive, widely used diagnostic tool that aids the diagnosis of skin lesions and is proven to increase the accuracy of melanoma diagnosis. This colour atlas is a comprehensive guide to the diagnosis of skin lesions and melanomas using a dermoscope. Beginning with an introduction to the use of the dermascope, the following chapters teach clinicians how to recognise dermoscopic criteria, colours and patterns, how to diagnose different types of lesions and calculate diagnostic algorithms. The finals sections cover related topics including entomodermatoscopy, inflammatoscopy, trichoscopy and capilaroscopy. This highly useful resource is enhanced by more than 1000 clinical images and illustrations. Key points Comprehensive guide to diagnosis of skin lesions and melanomas using a dermoscope Teaches clinicians how to recognise dermoscopic criteria Covers related dermatoscopic topics Includes more than 1000 images and illustrations
For courses in orthopedics, physical therapy, athletic training, and physical examination, in programs for healthcare providers including physicians, nurses, athletic trainers, physician's assistants, physical therapists, and occupational therapists. This is the field's most comprehensive evidence-based guide to clinical tests for orthopedic physical examination. It presents complete explanations and photography visualizing all commonly used physical exam tests for all body regions, including both neurological screening tools and conventional tests. The quality of research supporting each test is assessed using the QUADAS quality instrument, which analyzes the extent to which bias may have influenced diagnostic values. Diagnostic values are reported wherever they exist, and summary "Utility" scores are provided for each test based on the authors' interpretation of the research and their use of the tests in clinical practice. This edition adds 200 new tests, presents valuable clusters of tests, and contains two entirely new chapters: one on visceral assessment and medical screening, and another on temporomandibular examination.
Get Ahead Medicine: OSCEs and Data Interpretation, the latest addition to the essential Get ahead revision series, provides practical and invaluable revision for all medical students preparing for these challenging examinations. A volume in the bestselling and highly praised Get ahead series Detailed scenarios covering the entire medical syllabus ensure thorough preparation for these examinations Each scenario contains a full mark scheme and accompanying detailed explanations allowing for a full understanding of revision needs Also includes abnormal findings, ensuring candidates are fully prepared beyond standard revision Written by a knowledgable author team with extensive experience in the examination, Get ahead Medicine: OSCEs and Data Interpretation, along with its companion volume on surgery and associated specialties, is the essential revision guide for not only passing but succeeding to exceptional standards within undergraduate clinical examinations.
Physical Examination Procedures for Advanced Practitioners and Non-Medical Prescribers provides readers with the necessary knowledge and skills to conduct successful physical examinations of adult patients. This evidence-based book, organized by anatomical system, features tables that list physical examination procedures along with potential pathologies. Quick reference summaries for performing each examination are also included. In addition, the book features a chapter on mental health with a checklist covering the main criteria for a thorough mental health examination. Readers can test their skills by answering case study questions at the end of each chapter. Reflective stories are also included to demonstrate the difficulties encountered in everyday practice and to remind readers of the important professional and ethical issues surrounding their work. This book is designed as an aide-memoire for use in practice or revision for exams but can also be a useful resource for medical students, teachers of physical examination skills and other qualified health professionals.
For every physician that interprets ECGs, there is great need to understand a vast amount of information regarding the technique. That the basics of the technique have changed little over the last 100 years means that there is a huge amount of subtle detail that must be learnt to enable its effective use as a diagnostic test. The ECG technique is critical for deciding upon further diagnostic procedures and therapeutic interventions (notably coronary angiography, PTCA, stenting, coronary artery bypass grafting, pacemaker insertion, ablation, electroconversion etc). Without attaining the skills to practice the ECG procedure and knowledge of its diagnostic value - skills often overlooked during medical training - physicians will be unlikely to use it to the benefit of their patients.
First published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.
This straightforward guide to taking patient history comprehensively covers all of the commonly seen OSCE scenarios within the current undergraduate medical curriculum. The Easy Guide to Focused History Taking for OSCEs includes introductory chapters with general OSCE guidance, mapping onto the Calgary-Cambridge model. These include tips from recently qualified doctors and highly respected physicians and surgeons who commonly examine OSCEs, as well as a sample OSCE marking scheme. The book then covers 56 histories based on presenting complaints - more than any other text on the market - thoroughly testing both knowledge and examination technique. Each history is based around the exam requirements, with mnemonics, 'red flag' symptom boxes and list-based breakdowns to aid prompt recall. Common and serious differentials are highlighted, as well as investigations to help rule out the serious conditions. Each section concludes by outlining key aspects for each differential diagnosis as well as a list of investigations and management options. With this book, every student will be well equipped to tackle any clinical problem, in the OSCE examination and also in their continued professional practice.
The aim of this book is to provide a comprehensive and practical guide for developing and implementing an Objective Structured Clinical Examination (OSCE) for the medical educators/health sciences educators/tutors/faculty/clinicians/OSCE planners, who are involved in clinical teaching and assessment of students, trainees and residents. The book starts with the essential theoretical foundation before progressing to the practical implementation steps. It contains a good balance of medical education research and practical tips to provide readers an easy to digest, yet comprehensive, guide for the implementation of OSCE as an appropriate assessment tool.
The aim of this book is to provide a comprehensive and practical guide for developing and implementing an Objective Structured Clinical Examination (OSCE) for the medical educators/health sciences educators/tutors/faculty/clinicians/OSCE planners, who are involved in clinical teaching and assessment of students, trainees and residents. The book starts with the essential theoretical foundation before progressing to the practical implementation steps. It contains a good balance of medical education research and practical tips to provide readers an easy to digest, yet comprehensive, guide for the implementation of OSCE as an appropriate assessment tool.
History taking and examination skills are vitally important in everyday practice. They are examined at all levels of the undergraduate curriculum and are constantly monitored at a postgraduate level. To become proficient in history taking, key questions should be asked to quickly understand the exact nature of the illness. This invaluable guide specifies the questions required for a focused history and details the key components of the ideal examination, resulting in the development of clinical skills that are timely, comprehensive, relevant and succinct. Clearly laid out and easy-to-read, The Practical Pocket Guide to History Taking and Clinical Examination is highly recommended for medical students and junior doctors wanting a practical, quick reference to aid confidence and develop excellent clinical consultation skills. It is also ideal as an aide-memoire for exam preparation.
There is growing acknowledgement of the importance of interpersonal and communication skills in the training of future physicians. Effective diagnostic and clinical management skills require competency in observing, listening, communicating, problem-solving and negotiating. In addition, the physician needs human relationship skills. It is apparent that a systematic curriculum is needed to teach these clinical skills to medical students and trainees and this handbook provides a practical guide. Each chapter in this book discusses one of the clinical skills in depth. A unique feature of this book is the use of concepts developed in several other disciplines. For example, ideas to learn listening skills are borrowed from industrial management literature. The other unique feature is the inclusion of practical exercises to learn and teach each of these skills. The Appendix outlines ideas on how to organize a course on clinical competency skills and includes a few exercises to start discussion groups. This practical manual is a resource for training of future physicians for competency in the art and practice of medicine. Ideas expressed in this book have been developed, tested and improved over a period of 25 to 30 years with input from trainees and medical practitioners.
The ability to record an accurate and complete patient history, and to examine the patient appropriately in response to the history described, are fundamental skills that all student doctors need to acquire at an early stage in training. 'Making Sense of Clinical Examination of the Adult Patient' provides invaluable 'hands-on' guidance for medical students and junior doctors when presented with a new patient. Written from a very practical standpoint, Dr Douglas Model shares his extensive experience of teaching this subject. Real life scenarios are interspersed throughout the text. On reading 'Making Sense of Clinical Examination of the Adult Patient', the reader is given: practical advice on recording all aspects of a patient's history, including the present complaint, past medical history, and family history; and detailed guidance on performing an examination of each body system.
Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
This straightforward guide to taking patient history comprehensively covers all of the commonly seen OSCE scenarios within the current undergraduate medical curriculum. The Easy Guide to Focused History Taking for OSCEs includes introductory chapters with general OSCE guidance, mapping onto the Calgary-Cambridge model. These include tips from recently qualified doctors and highly respected physicians and surgeons who commonly examine OSCEs, as well as a sample OSCE marking scheme. The book then covers 56 histories based on presenting complaints - more than any other text on the market - thoroughly testing both knowledge and examination technique. Each history is based around the exam requirements, with mnemonics, 'red flag' symptom boxes and list-based breakdowns to aid prompt recall. Common and serious differentials are highlighted, as well as investigations to help rule out the serious conditions. Each section concludes by outlining key aspects for each differential diagnosis as well as a list of investigations and management options. With this book, every student will be well equipped to tackle any clinical problem, in the OSCE examination and also in their continued professional practice.
Recent advances in medicine for resuscitation and care have led to an increased number of patients that survive severe brain damage but who are poorly responsive and non-communicative at the bedside. This has led to a striking need to better characterize, understand, and manage this population who present a real challenge for the assessment of pain and for planning treatment. This edited collection provides clinicians with a guide to recent developments in research on pain perception and assessment, and the detection of consciousness and communication in patients with disorders of consciousness (DOC). With contributions from leading global researchers, the book gives an overview of issues concerning the assessment of pain. It also covers the development of suitable tools both to improve pain management and to detect consciousness and communication in these patients, to influence their prognosis and treatment, and their quality of life. Methodological and ethical issues concerning the implication for future research are also considered. The book will be an invaluable guide for clinicians, medics and therapists working in rehabilitation and acute care, particularly in the demanding field of pain perception, pain assessment and detection of consciousness and communication in patients with DOC. It will also be useful for students and researchers in neuropsychology and medical sciences. |
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