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.

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.

Objective structured clinical examinations/exercises (OSCEs) using standardized patients (SPs) are an efficient means of surveying a diverse range of ability at any point along the continuum of medical education. An OSCE station can address multiple competency assessments across undergraduate, graduate, and continuing medical education. Nevertheless, organizing and enacting OSCEs is a major undertaking and, as with most other educational projects, collaborating within and across specialties and disciplines only enriches the process. The production of an effective OSCE program requires strong leaders committed to the benefits of such assessments, as well as many individuals to plan, prepare, and implement the program. To address the need for general guidelines of best practice and consistent organizational stratagem, Objective Structured Clinicl Exams is a comprehensive how-to manual for OSCE implementation. It contains an overview of and criteria for best practice, a review of relevant literature, insight into the program's influence throughout the healthcare system, and techniques for fine-tuning existing programs. Accompanying charts, graphs and sample forms are included to make this book the single resource for any educator interested in creating or improving a standardized patient program.

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.

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.

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.

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 a full colour, highly clinical multi-media atlas focusing on the role diagnostic and therapeutic endoscopy plays in the management of patients with cancer. Conveniently split into sections for each part of the GI tract, each section will follow a consistent structure. With 400 high-quality images and in addition, 21 high-definition videos showing endoscopy from the experts, this book is the perfect consultation and learning tool for all gastroenterologists, endoscopists, GI surgeons and oncologists.

Based on Dr. Croibier's everyday clinical experience, this book provides critical tools for examining patients in order to determine what the course of treatment should be. Written for manual hands-on therapy students and practitioners that include osteopaths, physical therapists, and chiropractors, the book explores in depth the osteopathic diagnosis process that aims to identify an abnormality and to discover factors that may be causing the dysfunction. Drawing a comparison between diagnosis in classical medicine and osteopathy, Dr. Croibier explains that the osteopath focuses on restoring the conditions of good health rather than simply addressing the consequences of disease. Enhanced with more than 175 full-color instructional photos and illustrations, the book describes the manual hands-on assessments and general evaluations that lead to a diagnosis. Manual assessments include objective observation, diagnostic touch, palpation of the affected areas of the body, visualization, and "listening" (a hand placed on a specific part of the body to determine tissue functionality). Based on Dr. Croibier's recommendations, the manual therapist also performs a patient intake and interview; general evaluation that analyzes the patient's symptoms and general state; examination of posture and equilibrium; and observation of individual characteristics, such as constitution, temperament, and body type.

Patient-Centered Medicine: A Human Experience emphasizes the health professional's role in caring for patients as unique individuals by focusing on the patients' psychological and social realities as well as their biological needs. The book concerns itself with caring for the whole patient, and outlines the basic principles involved in developing a biopsychosocial approach to medical practice. This is a volume of guidelines that will help medical students and clinicians develop and master basic attitudes and skills essential to providing empathic and comprehensive medical care. As Norman Cousins writes in the foreword, 'The authors understand and repeatedly demonstrate in this book, that the patient-physician relationship is a powerful, sometimes mysterious, frequently healing interaction between human beings. It is the person of the doctor and the presence of the doctor-just as much and frequently more than-what the doctor does that creates an environment for healing. The physician represents restoration. The physician holds the lifeline.' Since the book's original publication by University Park Press in 1984, greater awareness and acceptance of the biopsychosocial model has occurred, and medical schools are now working to fully integrate psychosocial education into the clinical curriculum.

Of the injuries inflicted on physically abused children, head injuries are, in many cases, among the most damaging and potentially lethal. First responders and medical practitioners encountering children with head injuries may need to take quick and decisive measures to ensure a child's safety and, in the case of child death investigation, will need to recognize a variety of head injuries in order to identify or to rule out abusive trauma. This third volume of a new and ongoing series on child abuse provides professionals in medicine and law enforcement with more than 600 full-color photos and accompanying case studies representing a variety of both abusive and unintentional head injuries in children, as well as photographic studies of conditions mimicking abusive head trauma. Compact and comprehensive, this new title is certain to be an invaluable resource for any professionals investigating head injuries in children.

In the investigation of child abuse, consistent investigative protocol and clear, thorough documentation of facts and findings are essential to ensuring justice for victims, both for those who survive and for those who do not. In order to achieve the best possible results in such cases, multidisciplinary investigative teams of first responders, law enforcement, and medical practitioners should be well prepared for the process of investigation and documentation as they work in tandem toward a just end for every case of abuse. This new pocket atlas, part of an ongoing series on child abuse, offers nearly 500 full-color photos detailing proper approaches to crime scene investigation, physical and postmortem examinations, and photodocumentation, as well as a section on radiology and common fractures in cases of child maltreatment. Readers in medicine, law enforcement, and any other readers involved with child abuse and death investigations will enjoy the benefit of a compact and accessible guide to investigation and documentation.

This new pocket atlas, part 5 of an ongoing series on child abuse, is designed specifically for professionals involved in the investigation of child death, both intentional and unintentional. Readers in law enforcement, medicine, and other readers professionally involved in child death investigation will find this convenient resource essential to their work in the field. Over 600 full-color crime scene photos, reenactments, and photos taken in postmortem examinations and corresponding case studies written by expert investigators illustrate a variety of abusive and accidental causes of death, including neglect, burning, drowning, natural causes, and shaken baby syndrome. This text is a vital tool for any and all members of the child fatality review team, who will benefit both from its comprehensive content and from its convenient and accessible design.

Skin injuries are among the most common, and, certainly, the most visible, symptoms of physical abuse in children. In some cases, these injuries may leave lasting marks on the bodies of the abused3/4enduring tokens of the pain inflicted upon them. Because professionals working with children will, at times, encounter such injuries, it is vital they be able to recognize abusive burns, bruises, and other skin injuries in order to differentiate them from accidental injuries and to respond appropriately when encountered. This new pocket atlas, the first of an ongoing series on child maltreatment, includes 600 full-color photographs of skin injuries in children, with diagnostic case studies written by attending medical professionals. It is expertly designed by and for first responders, medical practitioners, and social service professionals who routinely work with children. Any readers who encounter, or may encounter, cases of child abuse in the course of their work will enjoy the benefit of a pocket-sized photographic reference to better inform and support the identification of abusive skin injuries in children.

Pediatric Abusive Head Trauma Pocket Atlas, Volume 1: Traumatic Injuries offers complete guidelines for identifying and responding to pediatric abusive head trauma, all in a portable format. Written in mostly non-technical language and conveniently sized, this guide can easily be referenced at any point during the identification or response process. This complete overview of abusive head trauma includes comprehensive information on common presentation and possible outcomes of abusive head trauma. It also details the many different kinds of injuries that may result from abusive head trauma, including extracranial injuries and scalp trauma, intracranial injuries with and without associated bleeding, and fractures. This pocket guide is supplemented with more than 150 radiologic images, offering a perfect point of reference for identifying the various kinds of injuries one may face in investigating abusive head trauma. This atlas also provides readers with concrete analyses of a variety of traumatic head injuries in children. The comprehensive nature of Pediatric Head Trauma Pocket Atlas: Traumatic Injuries makes it an ideal resource for medical, social work, and law enforcement professionals in need of a quick, comprehensive field reference on abusive head trauma.

Pediatric Abusive Head Trauma, Volume 2: Medical Mimics provides in-depth guidelines for the diagnosis of childhood head injuries resembling abusive trauma. This concise pocket guide covers differential diagnoses that may be confused with abusive head trauma, including birth trauma, metabolic disorders, autoimmune conditions, oncologic mimics, and infectious diseases. The guide serves as a crucial reference for medical and legal investigations of possible cases of abusive head trauma to ensure that no possibility is ignored and that children receive appropriate care for their specific circumstance. In cases of abuse, this volume will serve as a guideline for ruling out alternative possibilities and commencing the trial and treatment of child abuse cases. This guide is supplemented by full-color, high-quality radiologic images and photos taken in physical examinations. These photos serve as an illustrative point of reference for investigators.

Sexual abuse of children is an especially delicate matter, and each reported case should be treated with exacting care. Accurate identification and appropriate response to symptoms of sexual maltreatment in children is essential to resilient, long-term recovery for survivors. Therefore, it is incumbent upon those professionals who care for and represent the interests of survivors to recognize cases of childhood sexual abuse and to respond expediently, in the best interest of the survivors. This new pocket atlas, the second addition to an ongoing series on child abuse, will support medical practitioners and other affiliated sexual assault response providers in identifying and interpreting the physical signs and symptoms of sexual abuse in children. With nearly 400 full-color exam photos and corresponding case studies, as well as detailed refreshers on anogenital anatomy, exam equipment, and typical findings, readers in medicine, law enforcement, and social service will all benefit from this compact photographic reference and guide.

People of every age, ethnicity, and gender survive sexual assault, and their continued well-being depends upon an informed and responsive network of medical, legal, and social service practitioners. Best practices, accurate diagnoses, and up-to-date treatments administered by these dedicated professionals protect sexual assault patients and hold perpetrators accountable for their crimes. For the safety of survivors and in support of their professional caretakers, Sexual Assault Quick Reference offers comprehensive, accessible guidelines for responding to sexual assault, wherever it occurs. The revised second edition of Sexual Assault Quick Reference provides updated information on a variety of subjects, all in the same convenient format, including chapters on the physical and forensic evaluation of patients across the life span, identifying and treating STIs (based on the CDC's 2015 Treatment Guidelines), mental health care for survivors and vicariously traumatized practitioners, and the investigation and prosecution of sexual violence. To address contemporary issues in a rapidly evolving field of practice, the second edition also offers 4 all-new chapters covering: Disclosure processes, medical and mental health care, and legal proceedings for sexual assault in the military The nature of human trafficking, common characteristics and identification of trafficked persons, and physical and mental health issues for survivors Assessment, documentation, and treatment of injuries sustained via strangulation Understanding and responding to online sexual exploitation, including self-exploitation and sexting, online sexual solicitation, and exposure to sexually explicit materials