What should you say if your patient is struggling with her sexuality? How do you respond to your married patient when he discloses to you his same-sex sexual history? To which medical studies do you turn when you need to know more about club drugs? As physicians and health professionals, you want to provide the best possible care for your patients, but medical schools and other health care teaching institutions do not generally provide comprehensive information on how to approach caring for sexual-minority patients. Allan D. Peterkin and Cathy Risdon have written Caring for Lesbian and Gay People - the first medical guide to offer busy clinicians practical, accessible, and evidence-based information to help in the care of gay and lesbian patients. The authors begin with an overview of the history of medical relations with lesbian and gay patients, providing advice and guidelines for strengthening the doctor-patient relationship and raising the standard of care for all patients. The book then delves into a range of specific clinical issues, such as risk profiles for particular illnesses, screening for and managing sexually transmitted infections, and HIV in the primary care setting. Subsequent chapters cover such wide-ranging topics as mental health care and the effect of homophobia on relationships, same-sex parenting, the role that body image plays in health, and unique populations, such as lesbian and gay ethno-racial minorities, the transgendered, rural lesbian and gay people, and elders. Each chapter includes practical tips (advice on inclusive language, for example) and summaries, along with references, of written and online resources. Comprehensive and detailed, this work covers physical and mental health across the life cycle, with equal emphasis on women's and men's health. Based on more than twenty years of patient care and contributions to medical education and community development, this indispensable resource will greatly heighten the quality of care clinicians, health care practitioners, and educators can provide to their patients, and will in turn provide patients and consumers with the means to take an active role in their own health care.

Students starting on the wards are often bewildered at their role and unable to make the most of the learning opportunities presented to them. The hardest thing is to adapt to a new way of learning, where books and lectures take a back seat and the subjects for study are the patients whose beds line the wards. Rather than being asked to go to the library and write an essay on the physiology of the kidneys, you are told to go and clerk the patient in bed 3 with acute renal failure. The problem lies in knowing where on earth to begin.
Clinical Medicine: A Clerking Companion is written for inexperienced clinical students, and helps them to use their patients to learn medicine. It aims to transform students who know a bit about the medical sciences into young doctors who can draw knowledge and experience together to diagnose and treat real patients.
At heart, it is a workbook that provides students with a framework for approaching patients with a range of common conditions. It is a 'friend over the shoulder' - guiding students through interviewing and examining a patient, and then evaluating the patient's current condition and their future management. A list of questions then helps students explore the topic in more detail - sending them back to their textbooks to read about what they have seen and understand the science underlying it.
It is also a self-directed learning portfolio, helping students to assess their progress by seeing where they are lacking clinical exposure, and by recording key cases they have seen to function as a revision aid.
Clinical Medicine: A Clerking Companion falls into three main sections.
The introduction explains briefly how to use the book to make the most of time spent on the wards - how to interview and examine patients, how to use the book in recording findings, and then how to present patients to doctors. It emphasises the importance of anonymising patient information and ensuring patient consent before interviewing and examining them.
The section on presentations covers over 30 undiagnosed presenting complaints such as 'chest pain' or 'acute confusion', suitable for use in A+E or in outpatient. Proformas for each presentation take students through the dynamic process of diagnosis and initial management.
The largest section, conditions, covers around 100 common medical and surgical problems, grouped according to speciality. Each chapter (for instance 'cardiology') begins with an introductory section offering basic approaches to the symptoms, signs and investigations encountered in that specialty - for instance, how to recognise common murmurs or a simple guide to reading an ECG. The subsequent clerking proformas are similar to those for the clinical 'presentations', allowing students to interview and examine ward patients who already have an established diagnosis, reviewing their investigation results, and then evaluating the severity, aetiology and management of the condition.
The book aims to:
DT Transform patients into useful learning resources: helping students to use patients to develop skills and build knowledge.
DT Be a 'near patient resource': something to be carried onto the ward and used when seeing patients.
DT Enable students to be pro-active: Lots of time can be wasted as a medical student waiting for doctors to be free to teach you. This allows even very junior students to get on with clerking and evaluating patients.
DT Build student confidence: Presenting patients you have clerked to senior doctors can be daunting. With this book students can do so more confidently knowing that they have at least covered all the more important points.
DT Train students to think clinically: So much of medical education involves teaching a mindset - actively resuscitating a patient whilst also trying to diagnose them, or weighing the relative importance of various pieces of information. Other books present information - this book teaches students to use it.
A completely new concept, with a unique focus on the learning needs of inexperienced students, Clinical Medicine: A Clerking Companion is the one friend you won't want to be without as you begin your journey onto the wards.
Online Resource Centre
The Online Resource Centre to accompany Clinical Medicine: A Clerking Companion features:
DT Dynamic, annotated figures - enlarged, fully annotated copies of key images from the book, including ECGs and X-rays.
DT PDFs of the proformas in the book, avalible to download

Titles in the Pocket Tutor series give practical guidance at a highly-affordable price on subjects that medical students, foundation doctors and a range of other practitioners need help with 'on the go'. The highly-structured, bite-size content helps novices combat the fear factor associated with day-to-day clinical training, and provides a handy reference that students and junior doctors can carry with them at all times. Pocket Tutor Paediatric Clinical Examination is an indispensable guide to the examination of children, a challenging part of clinical practice for medical students and junior doctors as it involves dealing with newborn babies through to teenagers (often also the child's parents or guardians) and requires different communication skills and knowledge. Key features: Concise, accessible writing style and numerous colour photographs combine to produce a highly practical guide to the subject Logical, sequential content: introductory chapters on the principles of paediatric history taking and examination, then chapters devoted to each body system and a closing chapter on clinical procedures. Changes to second edition: Extensively revised and updated throughout New chapter dedicated to abnormal behaviour 80 new clinical images, including 50 brand new examination photos

Hearing the patient's story, asking the right questions, and doing a careful, thorough and informed physical examination are intrinsic to good medicine. It is easy to rely and become dependent on technology to diagnose and to treat our patients. Yet, no machine will ever be a match for a listening ear and the laying on of hands. These skills are core to the art of medicine and require practice. It is only by becoming familiar with the norm that we can appreciate the norm. This book is a clinical skills textbook with a third dimension -- the human factor. We read about real people, real symptoms and real diagnostic problems. It doesn't waste time on rare physical signs that will never be encountered but instead, focuses on common, important clinical skills and symptom patterns.

This practical and highly accessible workbook allows students and practitioners-in-training to gain the skills and knowledge needed in order to conduct a comprehensive psychiatric mental status examination. This rich selection of pedagogical content, which includes case studies, activities, chapter glossaries, and study questions, reinforces the terms and concepts that are related to key assessment areas. Each chapter functions as a distinct unit and allows readers to pick and choose relevant material, and lays the groundwork to help clinicians effectively assess patients for potential psychopathology, suicidal or homicidal ideation, and psychosis. Written at an introductory level, the Fundamentals of the Psychiatric Mental Status Examination is an essential tool for students in health, nursing, occupational therapy, and social work programs, as well as any specialist employed in the areas of mental health and addiction.

First Do No Harm is an interdisciplinary study examining how various members of academic physicians organisations have constructed certain images of patients on paper over time. The study pays special attention to the classical concept of pathos, or its modern equivalent, empathy. It analyses the usage of language in describing the patients in five editions of the New England Journal of Medicine (NEJM), spaced 30 years apart - March 25, 1828; March 25, 1858; March 29 1888; March 28, 1918; and March 25, 1948. This book provides a unique study on this topic.

The single-best guide to learning how to perform the diagnostic neurologic examination - enhanced by more than 80 online videos Presented in full color, DeMyer's provides neurologists and psychiatrists in training with a proven, didactic way to learn the complicated technique of using the physical examination to diagnose neurologic illness. This trusted classic also reviews the anatomy and physiology necessary to interpret the examination, and it details the laboratory tests and neuroimaging best suited for a particular clinical problem. You will also find complete, up-to-date coverage of the latest imaging modalities for assessing disease. Utilizing a learn at your own pace teaching approach, DeMyer's The Neurologic Examination features valuable learning aids such as: * Full-color illustrations that clearly explain neuroanatomy and physiology * Detailed tables and mnemonics to help you remember important steps and signs to look for during the examination * Learning Objectives to help you organize and retain important takeaways from each chapter * Questions and answers within the text to reinforce key points * Clear algorithms that reveal the differential diagnoses of common neurologic symptoms * NEW! More than 80 online clinical vignette videos If you are looking for authoritative, step-by-step guidance from experienced teachers/clinicians on how to perform an accomplished neurologic examination, your search ends with DeMyer's. Authors Jose Biller, MD is Chair of the Department of Neurology at Loyola University's Stritch School of Medicine, Maywood, Illinois Gregory Gruener, MD, MBA is Professor in the Department of Neurology and Director, Ralph P. Leischner, Jr. MD Institute for Medical Education at Loyola University's Stritch School of Medicine, Maywood, Illinois Paul W. Brazis, MD is Professor of Neurology in the Department of Neurology and Ophthalmology at the Mayo Medical School, and Consultant in Neurology and Neuro-Ophthalmology at the Mayo Clinic-Jacksonville, Florida.

Examination is an area of medical practice which requires much factual, diagnostic and procedural knowledge to be committed to memory: this in itself can be a challenging feat. Medical Examination Made Memorable puts research on learning and memorising techniques into action, presenting medical examination in a unique, enjoyable and easy-to-learn format. Health conditions are linked to well-known people, and specially drawn images - often deliberately bizarre or exaggerated to make them more memorable - are included throughout. Information is broken down into easily recallable chunks, and mnemonics (which may not suit all learning styles) are only included where especially clear or useful. Discussing information with others stimulates the aural component of memory, and practicing physical skills leads to kinaesthetic memorisation (muscle memory): the book also takes these vital learning techniques into account. Medical Examination Made Memorable is a vital reference and aide-memoire for students and practitioners at all levels and in all specialisms.

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.

A detailed guide to the latest endoscopic techniques in interventional pulmonology In Medical Thoracoscopy/Pleuroscopy: Manual and Atlas, international experts explain the current methodology and demonstrate different technical approaches to medical thoracoscopy/pleuroscopy (MT/P) in the diagnosis and treatment of pleuropulmonary diseases. A combination of instructive manual and atlas, this book presents clinical cases with indications, techniques, and outcomes for each procedure. In the 'Atlas', endoscopic photographs demonstrate the application of this minimally invasive technique in various pathologies, from pleural effusion to various manifestations of lung cancer. Features: Diagnostic and therapeutic indications reflect new technology such as the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and video-assisted thoracoscopic surgery (VATS) Over 150 full-color endoscopic photographs and 120 figures enhance the text An accompanying DVD contains video clips of 8 typical clinical cases, plus practical information on the use of talc poudrage, the induction of a pneumothorax, and more This comprehensive visual guide is an indispensable primer for residents and fellows in pulmonology or pneumology, and for respiratory physicians, internists, or thoracic surgeons. System Requirements for the DVD: Language: English; region code: 0; picture format: 4:3 NTSC; duration: 33 minutes (approximately); disk format: DVD-5.

This second edition of the Oxford Handbook of Medical Dermatology provides practical and accessible advice on how to reach a diagnosis or create a management plan when faced with patients with a range of skin conditions. Giving concise and clear guidance on investigation and treatment, this Handbook helps doctors adopt a step-by-step approach at the bedside to make sense of skin problems by analysing clinical signs. Illustrated and in full colour, it covers skin physiology, an overview of common skin conditions, and skin problems commonly seen in a broad range of specialities, from rheumatology to psychiatry, as well as children and the elderly. Now comprehensively updated with new clinical pictures, references, and extensively reworked chapters on skin in infancy and childhood, cutaneous reactions to drugs, skin tumours, and rheumatology. This second edition now includes a brand new chapter on skin and genetics, detailing this fast-growing and important area of dermatology, promoting good communication with a patient-centred and practical common-sense approach for trainees in dermatology, junior doctors, GPs, and medical students.