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.

Central to providing excellent patient care is excellent communication, for which a well-written History and Physical is crucial. This book is a step-by-step guide to help medical students, nurse practitioners, physician assistants, etc. write a comprehensive, clear, and useful History and Physical. Writing an effective History and Physical is as much an art as science, and this handy guide provides a roadmap for organizing facts in a logical and well-constructed fashion. The text also presents an abridged version for quick reference and a valuable section on how to write daily progress notes. The author's tips pearls, and advice help the reader navigate the principles and goals of the History and Physical Contains more explanations, tips and advice than existing books for what to include and why Memorable good and bad examples reinforce themes in the text

Endoscopic access to the small bowel has advanced significantly since the introduction of video capsule endoscopy and deep enteroscopy in early 2000. Other major advances have occurred in imaging modalities involving computed tomography and magnetic resonance studies. Due to these advances, the recent 2015 ACG guideline changed the terminology from "obscure" to "small bowel" bleeding because the majority of cases now can be found to have a small bowel source. The improvements in technology have advanced our ability to visualized vascular findings, inflammatory lesions, and small bowel neoplasms. Articles in this issue are devoted to these improvements in technology.

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.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with ‘on the go’, at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment.  Topics reflect information needs stemming from today’s integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the ‘fear factor’ associated with day-to-day clinical training, and provides a detailed resource that students and junior doctors can carry in their pocket.   Key points New edition of the indispensable guide to performing a neurological examination, regarded the most complicated and difficult physical examination to master Brand-new photos clearly illustrate how to perform an examination in practice Fully-updated text, improved examination sequences and new references to neurosurgery Logical, sequential content: introductory chapters focus on general clinical skills, history-taking and examination. Then chapters which explain the examination of specific systems or regions. Finally, chapters on the examination of stroke and unconscious patients, neurological screening and how best to synthesise findings

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.

Classic manual muscle testing has been shown to be an invaluable clinical tool in evaluating muscle function and for the assessment of patient recovery from neuromuscular dysfunction. Advances in Professional Applied Kinesiology (PAK) have 'fine tuned' traditional understanding to bring muscle testing into another dimension. Many of the diagnostic bonds of the past have been broken, allowing for an unsurpassed range in functional diagnoses. An extremely sensitive tool, PAK muscle testing allows the clinician to evaluate a much wider array of complex systems (cranial nerve problems, joint receptor abnormalities, and acupuncture meridian imbalances) than can be made using the classic testing methods. The English language edition of this highly successful handbook has been specially prepared for the international reader. The most up-to-date PAK tests are described as well as myofascial stretch testing and post-isometric relaxation techniques. The handbook carefully explains testing procedures for almost 100 individual muscles; many more than are found in other texts on the subject. In a unique, quick reference approach, the book not only reviews muscle anatomy and physiology, but also offers many clinical pearls with regard to possible causes of muscle dysfunction. Accompanied by a wealth of illustrations, the book is clearly written in a user-friendly 'double page' design that maximizes understanding. Clearly describes modern muscle test procedures The individual aspects of each muscle are easily compared by the use of well-illustrated templated descriptions A double-page spread design allows the reader a rapid, at-a-glance access to essential information Muscle anatomy and function are succinctly recapped in order to facilitate a complete understanding of the relevance and applicability of the individual test Classic Applied Kinesiology muscle tests for detecting functional abnormalities are well described along with stretch testing and post-isometric relaxation procedures for hypertonic, shortened muscles The importance of postural analysis for the assessment of specific muscle dysfunction is discussed and plainly described Illustrates painful spondylogenic reflex points (areas) for each muscle The role of distal acupuncture points and tendinomuscular meridians in maintaining normal muscle and muscle chain function are noted in accompanying diagrams The most commonly found trigger points, their referred pain patterns and relationship to nearby acupuncture points are clearly illustrated for each muscle Perfect for use in orthopaedics, neurology, general medicine, physiotherapy, chiropractic and osteopathy

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.

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 is a guide for psychiatry residents, medical students, and trainees in clinical psychology, social work and nursing. Druss examines the challenges and rewards of establishing a work alliance with patients and demonstrates how therapy can provide a safe means for them to handle their experiences. Chapter topics include: creating a working alliance, initial sessions, conversation reactions, body image, the spiritual life of patients, the goals of patients and therapists, and patients who return to therapy.

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.

Here's a powerful quick reference and clinical tool - small enough to fit into your pocket, yet complete enough to cover any assessment test you need to perform! Detailing every test included in Illustrated Orthopedic Physical Assessment, 3rd Edition, this handy, thoroughly illustrated pocket guide includes only the essential information you need to know. Information for each test is presented in a consistent manner for quick reference, and includes: name of the test, alternate names for the test, suspected syndrome, concise description of the testing procedure, clinical pearl, and photo(s) of the procedure. Plus, just as in the parent text, each test also contains a corresponding orthopedic gamut which provides a summary of key points in a concise list, serving as a diagnostic rubric for use in patient exams. Fits in your lab coat pocket, giving you easy access to frequently used assessment and testing information. Every test from the parent textbook, Illustrated Orthopedic Physical Assessment, 3rd Edition, is included in this pocket guide. A consistent format for each test (the same format as the parent text) ensures that you'll find the information you need quickly and easily. Clinical pearls appear with almost every test, detailing author's own clinical experience and providing valuable insight to both students and practitioners. Nearly 400 orthopedic gamuts concisely cover anatomy, motion assessment, muscle function, and imaging elements - essential concepts for effective assessment and diagnostic decision-making. A complete index of tests appears on the inside cover in alphabetical order, as well as by body system, so you can see at a glance which tests are covered and where to find them. Nearly 500 illustrations (line drawings and photographs) show key moves of each test, and other necessary maneuvers, anatomy, and pathologies. A glossary of key abbreviations is included at the end of the book, familiarizing you with common clinical terms and notation. A comprehensive bibliography provides helpful references for further research and study. All-new photos clearly illustrate every assessment test. Updated content ensures you have the latest assessment information at your fingertips.

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.

Assessment is arguably the most important stage of nursing. It forms the basis for any planned nursing intervention and a baseline against which subsequent events in the hospital stay can be compared. Assessment is an ongoing activity where the patient is continually reviewed and care reappraised to ensure that the patient's needs are being met. The main aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). the study involved scrutinising the BPAF to describe its purpose, conceptual basis and how it was developed. The BAF was then refined using extensive literature review and expert opinion to improve its comprehensiveness and clarity for its intended purpose. This monograph should be useful to all those attempting to construct and validate clinical assessment and measuring tools. Ruth Harris has the expertise necessary to do this in a sophisticated yet realistic way for practice colleagues.

This volume is intended to help practicing therapists and counselors, as well as students of these professions, to explore more fully and systematically the processes of self-improvement in their work and lives. It captures the reader's interest by discussing some of the therapist's personal and professional challenges in a refreshingly honest way. The book deals with a number of standard areas of self-supervision, such as self-monitoring and working with mentors, and provides a framework and a process for examining one's own strengths and weaknesses, then taking steps to improve excellence across a host of domains.