Published by Sinauer Associates, an imprint of Oxford University Press. The NeuroExam Video demonstrates how to perform a complete neurologic examination. It is intended for medical students, residents, and other students in the health care professions. We recommend that this video be used in the classroom setting, where it can be shown in its entirety or using selected excerpts. Students can then review the exam by visiting neuroexam.com, and can learn about the neuroanatomical interpretation of the exam by reading the textbook Neuroanatomy through Clinical Cases. The NeuroExam Video introduces the neurologic exam, and then presents a detailed demonstration of the exam consisting of the following six subdivisions: * Mental status * Cranial nerves * Motor exam * Reflexes * Coordination and gait * Sensory exam In the era of modern neuroimaging methods, the neurologic exam remains an essential diagnostic tool. It is a critical way station in the clinical decision making process, dictating whether imaging studies or other tests are required. In addition, the neurologic exam enables the clinician to decide what regions should be imaged, and when emergency therapeutic interventions are needed prior to any diagnostic tests. By understanding how to perform and interpret the neurologic exam, health care professionals in all specialties can help preserve the functioning of the nervous system, vastly improving patient quality of life.

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

Formal training in clinical neuropsychology introduces trainees to diverse patient populations with a variety of conditions and disorders. Learning to competently apply a structured, fact-finding approach to case conceptualization, differential diagnosis, and treatment planning is an essential goal at all levels of training. This approach provides a valuable exercise and method of examining practitioner competence. The structured approach to case analysis promotes good clinical decision making, and exercises based on such an approach can help prepare clinicians for the oral exams that are a part of board certification. The Neuropsychology Fact-Finding Casebook is a resource for both supervisors and trainees in clinical neuropsychology, as well as for clinicians preparing for board certification. The volume provides 24 compelling and diverse fact-finding cases, one for each month of a two-year residency. Each case is presented in a stepwise fashion: presenting problem and referral question, background information and patient report, behavioral observations, and test findings. At the end of each case, a summary, diagnostic impression, recommendations, and questions are provided to assess, reinforce, and teach core competencies; an outcome section describes what occurred after the full case evaluation is completed; and critical teaching points are discussed. This Casebook is a standardized approach to fact-finding that training programs at various levels can use to help trainees develop such evaluation skills.

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.

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.

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.

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.

From an interdisciplinary author team now including orthopedic surgeons, PM&R specialists, and primary care and sports medicine experts, the second edition of Musculoskeletal Physical Examination: An Evidence-Based Approach educates physicians on how to give the most thorough physical examinations by understanding the "why" behind each type of exam. In-depth coverage of today's newest tests and techniques keeps you current in practice, and a new section titled "Author's Preferred Approach" guides you through difficult areas of examination. Provides complete coverage of every musculoskeletal physical examination. Easy-to-use tables summarize and compare the evidence for specificity and sensitivity of each test for each condition. Utilizes over 200 illustrations to clearly depict each test. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. You'll also have access to over 100 in-depth videos - many new to this edition - highlighting the latest exam techniques, such as the Thessaly test, Milking test, and Bear hug test. Distinguished author team now includes orthopedic surgeons, PM&R specialists, and primary care sports medicine experts. New section titled "Author's Preferred Approach" guides readers through difficult areas of examination. Thorough updates and revisions made throughout each chapter keep you current in the field. Full-color figures enhance visual clarity.

Der technologische Wandel fordert von hierarchisch organisierten Unternehmen mehr Anpassungsfahigkeit und Innovationskraft. Eine neu ausbalancierte Art der Fuhrung und Selbstorganisation soll dies ermoeglichen ungewohntes Terrain fur viele Fuhrungskrafte und Teams. Die paradoxe Aufgabe fur die Fuhrungskraft: Meist muss sie den Wandel initiieren, Orientierung geben und sukzessive Verantwortung abgeben. Wie kann sie mit dem Team Fahrt aufnehmen? Welche Fahigkeiten mussen die Akteure scharfen, um zu einem souveranen Zusammenspiel zu finden? Diese Fragestellungen beleuchtet Antoinette Beckert vor dem Hintergrund einer systemisch orientierten Sichtweise anhand von Praxissituationen. Diese Fragestellungen beleuchtet Antoinette Beckert vor dem Hintergrund einer systemisch orientierten Sichtweise anhand von Praxissituationen. Sie gibt Fuhrungskraften im mittleren Management und Teams einen Kompass an die Hand, der sie Schritt fur Schritt zu einer neuen Zusammenarbeit fuhrt.

For courses covering health assessment. All the health assessment skills students need to think like a nurse Health & Physical Assessment in Nursing helps nursing students master the art, science, and skills of health and physical assessment for the RN. Taking a holistic approach, the text focuses on assessing the whole person and on recognizing the diversity of patients and care settings. It imparts evidence-based knowledge and step-by-step skills alongside discussions of health, wellness, communication, and culture. The 4th edition adds three new chapters that cover the assessment of pediatric and older patients and that prepare students to document both subjective and objective findings. Also available with MyLab Nursing By combining trusted author content with digital tools and a flexible platform, MyLab personalizes the learning experience and improves results for each student. MyLab Nursing helps students master key concepts, prepare for success on the NCLEX-RN (R) exam, and develop clinical reasoning skills. Note: You are purchasing a standalone product; MyLab Nursing does not come packaged with this content. Students, if interested in purchasing this title with MyLab Nursing, ask your instructor to confirm the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information. If you would like to purchase both the physical text and MyLab Nursing, search for: 0134875443 / 9780134875446 Health & Physical Assessment In Nursing Plus MyLab Nursing with Pearson eText -- Access Card Package, 4e Package consists of: 013486817X / 9780134868172 Health & Physical Assessment In Nursing, 4e 0134874358 / 9780134874357 MyLab Nursing with Pearson eText -- Access Card -- for Health and Physical Assessment in Nursing, 4e

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.

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.