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.

An understanding of microbiology is essential for both medical students and newly qualified doctors, and is key knowledge for a working doctor. Learning Microbiology through Clinical Consultation introduces the subject with a wealth of life-like case scenarios, each linked with the relevant microbiology. Spanning 14 categories of infection, the cases within the book allow the reader to listen-in on clinical consultations with patients exhibiting an array of symptoms. Each case then describes the examination and the specimen taking techniques. The results of the samples taken in the story provide a clear link to the more technical information on microbiology which is then discussed. The structure of the book is laid out for easy navigation and has clear case-story headings to enable 'just in time learning' between patients, as well as 'just in case learning' when preparing for exams. Learning Microbiology through Clinical Consultation is a highly accessible text that describes the basic science of microbiology within the practice setting in an insightful and informative way. The material is presented in an integrated fashion and is therefore an ideal text for medical students on a systems-based or problem-based course, or for the newly qualified doctor looking to consolidate their knowledge.

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.

Acute Medical Algorithms is an original and compact text designed to aid the clinician in dealing with acute medical conditions. The book includes 70 algorithms - either problem-orientated or related to specific conditions - together with complementary notes and references. It will therefore be relevant to all grades of hospital doctor, and to medical students and general practitioners also.

Sexual problems are a major cause of personal distress and marital breakdown, affecting as many as one in ten of the general population. The author, who has had extensive clinical, research, and teaching experience in the field of sexual dysfunction, has written a very practical account of the nature, causes, assessment, and treatment of sexual problems. The various stages of treatment are described in sufficient detail for therapists who are about to start sex therapy. Experienced therapists will also find this book a source of useful advice. The treatment approach includes behavioural, psychotherapeutic, and educational techniques. In addition to the treatment of couples, the management of sexual problems of individuals without partners, and of the phsyically disabled, are also described. Practical guidance is backed up by research findings. This book is an up-to-date, straightforward, and practical account which should be of considerable interest to anyone involved in the management of sexual problems.

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.

Despite the advent of powerful technological advances, the cornerstone of patient care remains the history and physical examination. In this era of lab tests and, in a system dominated by "adult medicine," the special approach to the unique examination of infants and children is often lost. In the Handbook of Pediatric Physical Diagnosis, the highly respected pediatrician Lewis Barness, and noted pediatrician and pathologist, Enid Gilbert-Barness, present clear descriptions and guidelines for the examination of the pediatric patient in an objective, analytical, and humanistic manner. With concise, clearly written text covering both common and difficult diagnoses, and aided by a wealth of tables, charts, and illustrations, this new edition includes more information on differential diagnosis, and has a new fresh look.

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

Delivering Emergency Medicine involves constant challenges to the emergency clinician, seen in the frequency of severely unwell patients, the wide breadth of conditions encountered, and the urgency required in diagnosis and treatment. Concise, and, critically, accessible, Algorithms for Emergency Medicine supports the key decision-making requirements of clinicians working in the Emergency Department. Designed to support rapid problem solving, this resource covers everything from common non-life-threatening emergencies such as headaches to life-threatening acute events such as major traumas. Each topic is divided into two; the left page provides essential knowledge, and on the right, an algorithm which guides the clinician in a step by step process in managing these conditions. Evidence based and up-to-date, this book follows the College of Emergency Medicine Curriculum, making it an invaluable resource for Emergency Nurse Practitioners, new doctors starting their placement in the Emergency Department, and trainee doctors working towards specialising in Emergency Medicine.

Providing safe, effective anaesthesia for patients undergoing oral and maxillofacial surgery presents unique challenges involving a wide range of complex procedures, treatments, and interventions to manage an array of pathologies. This textbook is a practical, easy to read and engaging guide to the entire perioperative management process, encompassing everything that the practitioner needs to know. It utilises a clear, step-by-step approach to managing all aspects of anaesthesia for oral and maxillofacial surgery, from routine elective procedures to emergencies, difficult airways, cancer, and pain. A contemporary, evidence based approach and the most up-to-date techniques are described, with reference to current guidelines and standards. This comprehensive second edition will empower the novice, but also support more experienced practitioners and those who may occasionally be called upon to manage emergency cases. Written by international experts in the field with many years of experience both conducting and teaching oral and maxillofacial anaesthesia, this textbook is an essential resource for all members of the multidisciplinary team who wish to improve their understanding of and confidence with anaesthesia for this surgery.

Following the success of the first volume of the EHRA Book of Pacemaker, ICD and CRT Troubleshooting a second volume with new cases has now been developed. A timely addition to the European Society of Cardiology, as device therapy has seen many new developments since the first volume, with the advent of leadless pacing, conduction system pacing, and subcutaneous ICDs, amongst other novelties. These new technologies are covered in the book, as are general device troubleshooting issues which were not presented in the first volume. Maintaining an identical format for the cases in this volume, which are arranged in separate sections on pacing (27 cases), ICDs (23 cases), and CRT (20 cases), each section is arranged in a logical manner to guide the reader and help build on knowledge gained from reading the previous cases. As with the first volume, the content will help those planning on sitting the EHRA Cardiac Pacing exam. There is significant detail regarding specific algorithms of different device manufacturers that will also appeal to general cardiologists, nurses, and allied professionals performing device follow-up. As with the first volume, this book will serve not only to further your technical knowledge, but also to sharpen your skills of observation and reasoning.

The purpose of the SANE/SAFE Forensic Workbook Series: Entry-Level Adolescent and Adult Sexual Assault Assessment is to provide an opportunity for health care providers to learn, improve, and demonstrate competency in sexual assault evaluations of adolescents and adults. This workbook answers a pressing need for educational tools devoted to enabling those who work with sexual assault patients to recognise and understand anatomy and injury in sexual assault cases. The Entry-Level Adolescent and Adult Sexual Assault Assessment can be used to document the competency of various health care providers, which include physicians and nurses from military, nursing, and medical schools. This is the ultimate self-study resource on sexual assault and is accredited through Saint Louis University's School of Medicine and School of Nursing to provide CME/CNE credit(s). Ten case studies help the student identify areas of weakness and strength, providing a roadmap for learning. Management will want to use Entry-Level Adolescent and Adult Sexual Assault Assessment as a tool to evaluate competency in adolescent and adult sexual assault care for performance standards and evaluations. The workbook contains critical thinking activities and photographic references. The Entry-Level Adolescent and Adult Sexual Assault Assessment will enhance learning for the novice and will also support the experienced examiner's skill set. Future workbooks will cover topics such as intimate partner violence, paediatric anatomy and sexual abuse, elder sexual assault, and more. Intermediate-Level Adolescent and Adult Sexual Assault Assessment and Advanced-Level Adolescent and Adult Sexual Assault Assessment will be added to STM Learning's library in the near future as well.

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.

Atrial Fibrillation is becoming a twenty-first century epidemic. It remains the most common form of sustained arrhythmia with significant mortality, morbidity and cost to the health care system. It is the most common cause of hospital admissions among all arrhythmias. Its prevalence increases with the aging population and is often associated with many other cardiac and noncardiac conditions, most notably congestive heart failure, hypertension, diabetes, and coronary artery disease. Although significant progress in understanding the epidemiology, natural history and mechanism has been made, the antiarrhythmic therapy in patients with Atrial Fibrillation is less satisfactory. Management of Atrial Fibrillation: A Practical Approach is the perfect pocket guide for those who care for patients afflicted by Atrial Fibrillation. From the history of the condition and the subsets of patients, to therapeutic and preventive procedures, Management of Atrial Fibrillation comprehensively covers all aspects in managing this increasingly prevalent disorder. Written by leading authorities in the field with vast experience in practical medicine, the book creates a clinically orientated, evidence based "fast fact" type resource for cardiologists, trainees and related healthcare professionals.

This irreplaceable reference compiles the most up-to-date and relevant material on obstetrics and gynaecology into one volume. Strongly evidence-based, it includes the latest knowledge and guidelines from a wide range of sources and contains the key recommendations that a practising obstetrician or gynaecologist needs to know; presenting them in a uniform and accessible way, allowing for quick diagnosis and optimal care. In line with the Royal College of Obstetrics and Gynaecology curriculum for specialty training, this book covers not just the clinical knowledge required but also information on the communication, technical and professional skills needed to practise in the specialty. With each chapter written by internationally renowned specialists and edited by five of the leading figures in obstetrics and gynaecology, this book will be a vital resource for all practising clinicians.

This new reissue of Hands On, first published in 1994, will be welcomed by all complementary and alternative medical students and practitioners. This book presents a concise approach to clinical examination in a practical and straightforward manner, and includes step-by-step illustrations of a variety of examination techniques together with checklists designed to help students and practitioners elicit clinical information from their patients quickly and efficiently.

Pocket Guide to Clinical Examination is a handy, well illustrated guide to all aspects of patient examination. Carry this practical text with you so you can review the questions you should include as part of your history taking, the examination techniques you should use for different body systems and the presenting signs of common disorders. The new fourth edition includes over 130 colour illustrations as well as text boxes to aid revision and help in daily clinical duties. The history-taking and examination coverage will be invaluable to students faced with real-life patients for the first time by highlighting the most things to remember The signs & symptoms sections describe the most important diseases associated with each body system The various icon boxes highlight and summarise information on a range of issues relevant to history and examination: the elderly, emergency situations, Questions to Ask, etc Colour photographs depict the clinical manifestations as they present in real-life and 'real-life' examination techniques Colour diagrams clarify examination technique . Fully updated in line with the accompanying textbook Clinical Examination . Increased emphasis on patient communication, especially in the general practice setting . Two new authors join the team bringing additional expertise to the Pocket Guide Fully updated in line with the accompanying textbook Clinical Examination Increased emphasis on patient communication, especially in the general practice setting Two new authors join the team bringing additional expertise to the Pocket Guide

This book is for all those entering general surgical training. It explains the reasoning involved in recognizing and dealing with general surgical conditions and pays special attention to managing surgical emergencies and trauma patients. It is also intended to serve as a practical guide to safe and effective day-to-day surgical practice. The content is laid out logically so that a patient can be followed from a working diagnosis, through investigation and assessment, preparation for surgery, care in the operating theatre and afterwards, including the prevention and treatment of complications. Throughout, factors are identified which affect surgical outcome and which are important in surgical audit and quality control. It is not meant as a textbook of diagnosis, or an atlas of operative surgery; however, it does cover the principles of both, as well as details of the common operations trainees are likely to have to perform. Each chapter concludes with a few key references to classic papers, books and review articles. Philip Deakin, a medical artist and GP, has illustrated tha book throughout. Clive Quick and Paul Thomas are recent past members of the Court of Examiners for the Royal College of Surgeons of England and have planned the book to meet the requirements of the new syllabus for the higher general surgical qualification. Their team of contributing authors is made ip of senior trainees and recently appointed consultants who provide a clear and focused perspective, reflecting their recent experience or the training process.

Diagnostic radiology plays a vital role in patient management and all clinicians need to be able to recognize the radiological appearances of many medical conditions. Not only are traditional imaging techniques important, but newer techniques such as interventional radiology, computed tomography (CT), magnetic resonance imaging (MRI), nuclear medicine and ultrasound are increasingly important in clinical practice and also, the interpretation of radiological images is an integral part of professional examinations for MRCP (part II): there are five compulsory questions based on printed photographic material, with additional radiographs or other diagnostic images being shown occasionally throughout. This book covers all modalities in radiology, providing a guide to the principles of plain radiographic film interpretation and an understanding of the roles and limitations of more complex imaging across general medicine. The material is presented through the discussion of a hundred fully-illustrated cases in question and answer format.

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.

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.

Many inherited diseases and non-herediatry disorders have in common the development of renal cyctic disease. The most common, autosonal dominant polycystic kidney disease, is responsible for 5-10% of end-stage renal failure treated by dialysis or transplantation.
Since the publication six years ago of the last book on polycystic kidney disease, a number of genes causing the disease have been identified, mapped, or sequenced; new experimental models and the application of molecular biology techniques have provided new insights into the pathogenesis of polycystic kidney disease; novel clinical studies have provided valuable information for the prevention, evaluation, and treatment of the complications of this disease. This book provides an updated, state-of-the-art review of the genetics, pathophysiology, evaluation, and management of these diseases and will be of interest to both basic researchers and clinicians in nephrology.

Dialysis amyloidosis is a syndrome observed in dialysis patients characterized initially by joint pain, followed later by joint destruction. It is at present one of the few compliations in these patients. The factors involved in the genesis of this syndrome are not yet known with certainty and there is as yet no proven efficacious treatment otehr then renal transplantation. As a result, the interest in this topic among nephrologists remains very high. Dialysis amyloid gives general information on the pathophysiology, and the clinical aspects of all types of amyloidosis. It then goes on to discuss recently discovered B2, type of dialysis amyloidosis, from clinical and pathological features to physiological and pathophysiological aspects of this serious complication which effects patients suffering from chronic renal failure. This book will give nephrologists and rheumatologists a clear understanding of the dialysis amyloidosis syndrome as well as making a valuable contribution to identifying strategies for treatment and prevention. This book is intended for consultant nephrologists, trainee nephrologists.