Clinical assessment is at the heart of medicine. Health professionals working in busy clinical settings, such as general practitioners, nurse practitioners and hospital doctors on-call, often have to assess patients under considerable time constraints. This book teaches the reader how to gather clinical information effectively, accurately and safely even when time is at a premium. * Provides a systematic method of collecting and assessing relevant clinical information by suggesting step-by-step examination routines, including important patient-centred questions * Focuses on common symptoms and presentations * Treatment reflects the latest in evidence based practice (including latest NICE Guidelines) * Specifically covers the clinical skills assessment (CSA) part of the Membership of the Royal College of General Practitioners (RCGP) examination * Written by an experienced medical educator and practicing GP, in consultation with a multidisciplinary team of medical students, GPs, PG trainees, hospital doctors and nurses

Examining children presents unique challenges for trainees and new doctors in paediatrics. Paediatric patients vary greatly in age and development, often find it difficult to describe their symptoms, and can behave unpredictably in clinical settings. Clinical Examination Skills in Paediatrics helps MRCPCH candidates and other practitioners learn effective history taking and fundamental examination techniques. Clear and concise chapters-with contributions from a team of paediatric specialists-demonstrate the clinical examination and questioning techniques used in daily practice. Emphasis on the intellectual processes involved in decision making assists both trainees preparing for a formal examination as well as new clinicians faced with a difficult diagnostic problem. Topics include cardiovascular and respiratory examination, examining a child with a neuromuscular disorder, musculoskeletal examination, and taking history from a child with diabetes and a rheumatological condition. Includes access to a companion website containing high-quality videos that demonstrate techniques, procedures and approaches Features commentary by experienced practitioners which offer observations and deductions at each stage of the examination process Offers tips for communicating effectively with the patients using appropriate lay terms Helps translate the symptoms and signs experienced by patients into medical-speak Covers all the skills tested in the MRCPCH Clinical exam Clinical Examination Skills in Paediatrics is the perfect study and reference guide for paediatrics trainees, MRCPCH candidates, foundation doctors, allied healthcare professionals, and anyone looking to improve their clinical and communication skills in paediatrics.

Rapidly Progressive Glomerulonephritis is one of the most exciting areas in renal medicine. However, appropriate immunosuppressive therapy can dramatically improve the prognosis in many cases, such that renal failure is avoided. It is clear now that various immunopathological processes are involved, and that an accurate diagnosis is of value in guiding management. This volume aims to bring together current knowledge of both scientific and clinical aspects of RPN. Recent advances in the immunology, inflammatory mechanisms and pathology of RPGN are discussed. This is followed by consideration of the major causes of RPGN, which include Goodpasture's disease, primary systematic vasculitis and systematic lupus erythematosus. RPGN secondary to other renal and systemic diseases, and RPGN in children are also described. Finally, new approaches to treatment are reviewed. Although certain of these areas are covered in the larger textbooks of renal medicine, our aim is to provide a current overview of RPGN, in a concise volume. This should be of particular interest to nephrologists and general physicians, including those in training, but may also be of value to pathologists, immunologists, and other studying the mechanisms of renal disease. We hope that this volume will help them in the management of patients with RPNG, or in planning their research into this condition.

Medical Short Cases for Medical Students is intended to help medical s tudents with their preparations for medical short case examinations an d through this process to enhance the depth and breadth of their knowl edge of clinical medicine as well as their clinical skills. Though par ticularly useful to students during their final clinical exams, it wil l also be of interest to more junior students, particularly those who face medical short case clinical exams in their early clinical years. It aims to be useful whether the exam format is of the traditional sty le or more modern variations such as the Object, Structured, Clinical Examination (OSCE).

Drawing on the author's wealth of experience in health care communications and backed up by solid research, Communicating with Today's Patient is filled with proven techniques and time-tested strategies physicians and other clinicians can immediately put into action.
This activity has been reviewed and is acceptable for up to 6 Prescribed credit hours by the American Academy of Family Physicians. Term of approval is for one year from beginning distribution date of October 1, 2000 with option to request yearly renewal.

To read Ten Reasons You Need to Read This Book, an excerpt from this book, click here.

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.

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.

The vital signs are, by definition, the measurements of the body's most basic functions. So far, the essential number of signs that must be measured is not clear as some references consider that the body temperature, blood pressure, pulse rate and breathing rate are sufficient but other sources consider that the measurement of other variables, such as the respiratory effort and oxygen saturation, are also crucial to determine the health of the person. This book is not intended to define the critical vital signs but presents the correlation of these measurements with other variables as well as the proposition of new methods to determine these variables. It also proposes some innovative applications that relay on these signs in a way to monitor and help the human being. Thus, this book presents six chapters that deal first with the correlation between the physical training and the blood pressure level among adults as well as the stress effects for nurses on their vital signs. Added to that, the influence of the vital signs to predict and detect epileptical seizure and the analysis of neural mechanisms of major depressive disorders will be also presented. As for the other chapters, they go into some engineering applications related to vital signs as the development of a smart syringe pump that monitors the patient's crucial parameters and the introduction of a novel system that monitors the driver's health and notifies health care providers in case the driver has any health failure in order to prevent cars accidents.

Every medical student must be able to take an accurate history and perform a physical examination. This third edition of History and Clinical Examination at a Glance provides a concise, highly illustrated companion to help you develop these vital skills as you practice on the wards. Building on an overview of the patient/doctor relationship and basic enquiry, the text supports learning either by system or presentation of common conditions, with step by step and evidence based information to support clinical examination to help you formulate a sound differential diagnosis. History and Clinical Examination at a Glance features: * Succinct text and full colour illustrations, including many brand new clinical photographs * A new section on the development of communication skills, which explains how to communicate in different circumstances, and with different groups of people * A self-assessment framework which can be used individually, by tutors, or in group practice to prepare for OSCEs History and Clinical Examination at a Glance is the perfect guide for medical and health science students, and junior doctors, as an ideal resource for clinical attachments, last minute revision, or whenever you need a refresher.

The physical examination of the elbow, wrist, and hand can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the elbow, wrist, and hand? Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple by Dr. Randall Culp answers these questions. Written by experts, this easy-to-carry book provides a thorough review of the most common pathologic elbow, wrist, and hand conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple contains clear photographic demonstrations, tables, sidebars, and charts throughout its pages, allowing a thorough and concise examination of the elbow, wrist, and hand. A glance at what is covered inside: * Physical Examination * Basics and specific tests of the elbow, wrist, and hand * General Imaging * Basics of general imaging of the elbow, wrist, and hand * Common Conditions * Tendinopathy, arthritis, wounds, soft tissue injuries, and more Musculoskeletal Examination of the Elbow, Wrist and Hand: Making the Complex Simple contains essential information to successfully take a complex subject, and bring it to a level that will be welcomed by all orthopedic residents, attendings, physical therapists, athletic trainers, medical students in training, and other health care providers.

The physical examination of the foot and ankle can be a complex topic for professionals with all levels of clinical experience. How can advance concepts be taught in a user-friendly, clear format, while still providing necessary information for effective diagnosis and treatment of the foot and ankle? Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple by Drs. Shepard Hurwitz and Selene Parekh answers these questions. Written by experts, this easy-to-carry book provides a quick and thorough review of the most common pathologic foot and ankle conditions, techniques for diagnosis, as well as the appropriate treatment for each condition. Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple contains clear photographic demonstrations, tables, sidebars, and charts throughout its pages, allowing a thorough and concise examination of the foot and ankle. A glance at some of what is covered inside: * Physical Examination * Basics and specific tests of the foot and ankle * General Imaging * Basic interpretation of common imaging modalities of the foot and ankle * Common Conditions * Bunions, toe deformities, Achilles pathology and posterior calcaneal pain, fractures, plantar fasciitis and plantar heel pain, and more Musculoskeletal Examination of the Foot and Ankle: Making the Complex Simple contains essential information to successfully take a complex subject, and bring it to a level that will be welcomed by orthopedic residents, faculty, physical therapists, athletic trainers, medical students interested in musculoskeletal health careers, and other health care providers.

Increasing demands on acute hospital resources, together with a reduction in the number of available beds, has placed a greater emphasis on the need for rapid and effective assessment of patients in order to determine their need for hospital adsmission. This has led to the widespread emergence of the specialist Medical Assessment Unit (MAU). This timely book provides an up- to-date guide to the assessment and immediate management of patients with acute medical conditions. It presents a structured approach based on common presenting features and focuses on the first twenty four hours of the patient's stay in hospital. In writing this book, the editors have been able to draw on their own clinical experiences as a charge nurse in Accident and Emergency nursing and a sister in acute cardiology and respectively.

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

A complex web of factors has created the phenomenon of overdiagnosis: the popular media promotes fear of disease and perpetuates the myth that early, aggressive treatment is always best; in an attempt to avoid lawsuits, doctors have begun to leave no test undone, no abnormality overlooked; and profits are being made from screenings, medical procedures, and pharmaceuticals. Revealing the social, medical, and economic ramifications of a health-care system that overdiagnoses and overtreats patients, Dr. H. Gilbert Welch makes a reasoned call for change that would save us pain, worry, and money.

Doctors wishing to practice as ophthalmology consultants are required to pass the FRCOphth Part 1 examination administered by the Royal College of Ophthalmologists (RCOphth). This comprehensive revision guide is a key resource for meeting the challenges of this exam. Carefully mapped to the curriculum, and reviewed by twelve leading experts in the field, making it an authoritative guide to the exam. Written according to the latest RCOphth guidance, MCQs for FRCOphth Part 1 reflects recent changes in the subject weighting and examination format. It features 450 MCQs spread evenly across five sections, with detailed solutions and explanations, helpful figures, as well as three mock exams, and further reading to aid self-assessment. Including high quality clinical images, this book also aids the learning of complicated concepts through acronyms, mnemonics, and accessible clarifications. Written by an academic registrar in ophthalmology, this is a must have resource for anyone preparing for the FRCOphth Part 1 examination.

The definitive evidence-based guide to effective patient-centered interviewing Smith's Patient-Centered Interviewing, Fourth Edition is a practical introductory textbook covering the essentials of patient interviewing. The most evidence based-guide available on the topic, and endorsed by the Academy of Communication in Healthcare, this acclaimed resource applies the proven 5-Step approach which integrates patient and clinical centered skills to improve effectiveness without adding extra time to the interview duration. Smith's Patient-Centered Interviewing covers important topics such as:*Patient Education*Motivating for behavior change*Breaking bad news*Managing different personality types*Increasing personal awareness in mindful practice*Nonverbal communication*Using computers in the exam room*Reporting and presenting evaluations The book's user-friendly design features icons, boxed case vignettes, and the use of color to highlight key points. Learning aids include practice exercises in each chapter, a pocket card, lists of essential questions, and graphics that facilitate understanding and retention. If you are in need of an evidence-based text that provides a proven systematic framework for taking an effective history, your search ends here.

This pocket-sized guide to clinical examination is ideal for medical students and junior doctors seeking a convenient handbook for use in busy clinical settings. It starts by discussing how to take a patient history. Each subsequent chapter focuses on a specific system or part of the body. The book covers the cardiovascular, respiratory, and abdominal systems. It discusses examination of the cranial nerves and the neurological system of the limbs. Specific chapters focus on the breast, skin, hand, shoulder, hip, and knee. The authors also discuss how to present findings and how to write a report.

Musculoskeletal Examination is a user-friendly textbook on the techniques of physical examination. Written by a physiatrist, orthopedic surgeon, and physical therapist, it has a uniquely multidisciplinary approach. Musculoskeletal Examination covers the complete basic examination and basic principles of normal and abnormal musculoskeletal function are fully explained, leading you to the correct differential diagnosis. The new fourth edition is now in full colour throughout and includes over 750 detailed illustrations, X-rays and MRIs, and more than 100 photographs showing examination techniques. It also includes a companion website at www.wiley.com/go/musculoskeletalexam featuring 107 MCQs and links to videos demonstrating key examination methods. Musculoskeletal Examination is perfect as a quick reference guide, while the detailed descriptions and clinically relevant examples of frequently encountered conditions will help even the most novice practitioner gain the understanding necessary to make a correct diagnosis and determine a successful treatment plan. It is ideal for physical therapists, physiatrists, orthopedists, medical students, practitioners, and all those involved in sports medicine and clinical massage.

Serge Tixa presents in this highly popular book a method of palpatory anatomy called Manual Exploration of Surface Anatomy (MESA). MESA locates anatomical structures important to clinical examination allowing careful selection of the most appropriate manual therapy technique or manoeuvre. The new edition presents precisely and visually the various anatomical structures with the help of more than 130 colour illustrations and close to 900 black and white photographs. For every photograph showing an anatomical structure accessible to palpation, a model whose physique shows the structure clearly has been chosen. Each chapter has up to four subsections, treating the various aspects of each body region. These cover osteology, myology (musculotendinous structures), arthrology (joints and ligaments) and lastly nerves and blood vessels. Each photograph is carefully presented and accompanied by a section of text describing the method of approach to finding the structure concerned. Whenever necessary, reminders, essential for the proper use of the methods of approach (attachments, actions and innervations) are included. Clinical notes highlight the link between palpation and clinical diagnoses. Atlas of Surface Palpation: Anatomy of the Neck, Trunk, Upper and Lower Limbs is aimed at students and practitioners who need a method of applied anatomy in their practice. All new artwork programme enhances accessibility and learning Useful template approach aids ready understanding and allows the reader to go at his or her own speed Presents almost 600 photographs and line artworks to render the learning experience as easy as possible Contains over 160 pull out boxes to act as useful aide memoires Clinical Hints and Tips boxes indicate points of relevance for the clinic Methods of approach illustrated with many new photographs Anatomical drawings have been completely redesigned to improve clarity Clinical Notes boxes Glossary Inclusion of Dermatomes

Use of real-time continuous glucose monitors among people with type 1 and type 2 diabetes is growing rapidly and should continue to grow until an artificial pancreas is brought to market. Likewise, use of professional systems in healthcare practices is expanding. But, other than manufacturer instructional manuals and some book chapters on CGMs, there are no standalone publications available with concise, non-commercial instructions on CGM prescription and use. Additionally, continuous glucose monitors are too often not used to their full and proper potential. This leaves users with suboptimal glucose control and can result in system abandonment. To address this, diabetes educator and author Gary Scheiner has created Practical CGM: Improving Patient Outcomes through Continuous Glucose Monitoring to give healthcare providers the skill to make more effective use of the data generated by continuous glucose monitors, in both real-time and on a retrospective analytic basis. Using a plain-language approach and distilling content to concise, practical tips and techniques, Scheiner has created a guide that will help practitioners optimize patient use of CGM systems and, ultimately, improve glucose control and patient health outcomes.

This book will prove an invaluable resource for all those working in the field of primary healthcare and family medicine. Through case histories the reader will be introduced to adolescents who are depressed, to those who have been failed by the system, to those who cannot communicate their needs, and to those for whom issues of confidentiality have become critical.

Modern Colposcopy, 3rd Edition, has been updated to include the 2012 American Cancer Society/ASCCP/American Society for Clinical Pathology (ACS/ASCCP/ASCP) primary cervical screening guidelines and the new 2012/2013 ASCCP updated guidelines for the management of abnormal cervical cytology and cervical precancer. The first two editions of this book were published by the American Society for Colposcopy and Cervical Pathology (ASCCP). This product is considered the standard of colposcopy and has the reputation of being the bestselling educational teaching module for the physician, resident, or advanced practice clinician who wishes to bridge the gap between the obvious need for increased early detection of cervical, vaginal, and vulvar disease and the intensive education required for colposcopy. Modern Colposcopy, 3rd Edition, provides an education about the lower genital tract through the use of colposcopy. This includes the disciplines of pathology, cytology, cytogenetics, preventive medicine, basic research, gynecologic oncology, and endocrinology which are relevant to the understanding of the pathophysiology of the disease processes of the lower genital tract. Features Include: Updated Consensus Guidelines on the Management of Women with Abnormal Cervical Cancer Screening Tests and Cancer Precursors are now available in this edition 1,815 color images Complete coverage of HPV related diseases, colposcopy and related topics Chapters added on adolescents and the expanding field of anal screening, diagnosis of anal HPV related precancer and cancer through high resolution anoscopy and treatment of anal and perianal neoplastic disease Companion website that includes fully searchable text, including the new ACS/ASCCP/ASCP updated guidelines