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Books > Medicine > Clinical & internal medicine > Medical diagnosis > Examination of patients
In cases of sexual assault, it is important that investigators and care providers be able to respond quickly and appropriately in examining survivors, not only to ensure their health and safety but also to preserve any physical evidence left by the perpetrator. In such cases, a convenient visual reference can provide valuable support to investigators in making a timely and accurate assessment. Physical Examinations in Sexual Assault Pocket Atlas, Vol. 1: Assault Histories includes over 500 full-color examination photos demonstrating both common and unusual findings in cases of sexual assault across the life span. These photos include case studies written by attending medical practitioners, providing valuable insight into findings in each particular case. With a convenient visual reference at the ready, sexual assault response team members in medicine, law enforcement, and in any other field involved with the investigation of sexual assault will be well prepared to make fast and effective assessments in the field.
While examining suspected sexual assault survivors, it is important that investigators be able to accurately assess not only for those findings indicative of assault but also for normal or otherwise nonassaultive findings. The difference between normal and assaultive findings may be subtle, and assessing for normal findings in cases of suspected sexual violence may be challenging. That being the case, sexual assault investigators of every variety can benefit from a fast and accessible reference to support their evaluations. Physical Examinations in Sexual Assault Pocket Atlas, Volume 2: Nonassault Variants and Normal Findings provides a quick and convenient visual reference for normal and nonassault findings in suspected survivors. This light-weight and pocket-sized photographic atlas includes more than 500 full-color exam photographs and corresponding case studies written by expert investigators. Readers in medicine, law enforcement, and any organizations affiliated with sexual assault investigations will benefit from an extensive and accessible visual catalog of normal physical findings.
"Physical Examination in Cardiovascular Chinese Medicine" details the basics of how to take and record cardiac patient history and triage vitals, then apply the basic western and TCM methods for examining cardiovascular patients in the clinic. It outlines the basic procedure for creating intake questions and then examining the cardiovascular patient using both western and TCM techniques. This book is intended for US-based licensed TCM practitioners as
well as cardiology researchers.
The purpose of the SANE/SAFE Forensic Workbook Series: Advanced-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 Advanced- 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 Advanced-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 Advanced-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. All will be added to STM Learning's library in the near future as well.
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.
From reviews: "...[Essential Examination] can be considered as a very helpful "aide-memoire" as practitioners build up their confidence and clinical experience. Although developed with medics in mind, it could be very useful for advanced nurse practitioners and physician assistants; in fact, any health care professional would find it useful as a revision aid particularly when learning with peers. The book is clearly and succinctly written. It is not designed to teach students how to carry out examinations, but in a systematic way it links clinical examination (what you do) to pathophysiology and diagnosis (what you may find and what it means). It is produced in a landscape format in a ring binder which makes it easy to access when on a busy attachment or shift. It very helpfully lists the abbreviations at the beginning..." International Journal of Clinical Skills, www. ijocs. org Amazon review: This is a fantastic book and a must for all medical students. The unique strength of this book is the layout - all important examinations each on a single page. The small pointers are also invaluable and the questions on the reverse side of each examination are perfect for pre-finals revision. This book played a big role in helping me pass my medical school finals. A MUST HAVE!! Sam, final-year medical student Uniquely, Essential Examination lays out the full sequence for examination of one body system on one double-page spread - a format allowing rapid access to information and ideal for use in clinical environments for quick revision. And the spiral binding allows you to keep it open at the body system you need. Each system-based examination offers a clear, step-by-step guide to examining that particular patient, including useful things to say to the patient (or an examiner), detailed descriptions of special tests, etc. Alongside this guide is the other key information you will need: potential findings, differential diagnoses of clinical signs and practical tips. In addition, the following double-page spread provides further facts relating to that particular examination, selected because of the regularity with which they are asked about in bedside teaching and OSCEs. The book also provides essential background information for anyone preparing for the USMLE Step 2 CS. In many sections there are also tips on how to present your findings succinctly to help you keep on track. If you are examining patients on the wards, or preparing for exams, then you need Essential Examination!
In an era of ever-increasing dependence upon technology, physicians are losing the basic skills of patient examination and taking the medical history. This book describes the scenario in which the physician sits down with a patient to elicit a medical history. For example, how to greet a patient, how to discover the patient's chief concern, how to elicit symptoms, how to manage feelings as the patient and physician interact, and how to choose topics to explore, and use the appropriate word selection, phrasing, and tone of voice. A good history leads to trust and rapport, and also to the determination of the best management of the patient's condition. Dr. William DeMeyer, a well-known physician and author of the major text on the neurologic exam, describes how to take a medical history, and also explains the reasons why it is done in a particular way. The author reviews the actual questions that a health provider should ask and the responses to a patient's answers. More importantly, the author describes how to listen to the patient's real needs as a person, rather than just a repository of symptoms.
This book is a guide for the medical student or recently graduate MD preparing to take the third part (Step 3) of the United States Medical Licensing Exam. As anyone wishing to practice medicine in the United States must take and pass this examination, the potential market is a very large one, with 16,000 new medical school graduates eligible for the exam every year. There are a considerable number of books for the Step 1 Exam (basic sciences) and the Step 2 Exam (clinical medicine) but very few for the Step 3 Exam. It had been common to study for Step 3 using Step 2 materials since both cover clinical medicine, but in recent years the Step 3 exam has separated itself from Step 2, focusing on clinical management of specific medical conditions in a case-scenario fashion. As a result, the few available Step 3 books have become very successful, largely by default. Kevin Schwechten, who has recently taken the Step 3 exam himself and has evaluated the other competing books, has come up with an approach focusing heavily on those questions most commonly asked on the exam, and he follows an outline that is provided by the National Board of Medical Examiners, which is the group that writes the exam. As those taking the exam have just recently graduated from medical school and have been thrown into a very hectic schedule on the hospital wards, with long housr, little sleep, and little time for studying, an effective book for Step 3 must be concise and to the point. Therefore, this book is written not to cover all of clinical management, but to focus on those areas that most ofen appear on the exam. This will be the first book in our effort to produce more books for students preparing for their licensing exams.
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.
Central to providing excellent patient care is excellent communication, for which a well-written History and Physical is crucial. This book is a step-by-step guide to help medical students, nurse practitioners, physician assistants, etc. write a comprehensive, clear, and useful History and Physical. Writing an effective History and Physical is as much an art as science, and this handy guide provides a roadmap for organizing facts in a logical and well-constructed fashion. The text also presents an abridged version for quick reference and a valuable section on how to write daily progress notes. The author's tips pearls, and advice help the reader navigate the principles and goals of the History and Physical Contains more explanations, tips and advice than existing books for what to include and why Memorable good and bad examples reinforce themes in the text
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.
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.
Clinical Skills, Second Edition, is a practical and comprehensive guide to history taking, examination, and interpretation of results for medical students, junior doctors, and nurse practitioners. Written with wit and clarity, and packed with illustrations, this book will teach you how to join the dots between signs, symptoms, and diagnoses. This textbook sets out invaluable routines for the examination of each system, and includes chapters on interpreting chest x-rays and spot diagnosis. Over 500 line drawings and colour photographs give practical examples of core and advanced examination skills. Throughout the text, key points and tips dispense essential wisdom, while case studies help you to put theory into practice. This new edition of Clinical Skills is now more useful than ever in your preparation for finals. Each chapter ends with a short set of assesment questions and a section on how the system in question is tested in OSCEs. Even better, the chapter on finals has been expanded and updated to give more practical advice than ever before. Written in plain English and designed to demystify even the most daunting procedures, Clinical Skills, Second Edition is the ultimate all-round textbook to help you hone your skills and prepare for finals.
Classic manual muscle testing has been shown to be an invaluable clinical tool in evaluating muscle function and for the assessment of patient recovery from neuromuscular dysfunction. Advances in Professional Applied Kinesiology (PAK) have 'fine tuned' traditional understanding to bring muscle testing into another dimension. Many of the diagnostic bonds of the past have been broken, allowing for an unsurpassed range in functional diagnoses. An extremely sensitive tool, PAK muscle testing allows the clinician to evaluate a much wider array of complex systems (cranial nerve problems, joint receptor abnormalities, and acupuncture meridian imbalances) than can be made using the classic testing methods. The English language edition of this highly successful handbook has been specially prepared for the international reader. The most up-to-date PAK tests are described as well as myofascial stretch testing and post-isometric relaxation techniques. The handbook carefully explains testing procedures for almost 100 individual muscles; many more than are found in other texts on the subject. In a unique, quick reference approach, the book not only reviews muscle anatomy and physiology, but also offers many clinical pearls with regard to possible causes of muscle dysfunction. Accompanied by a wealth of illustrations, the book is clearly written in a user-friendly 'double page' design that maximizes understanding. Clearly describes modern muscle test procedures The individual aspects of each muscle are easily compared by the use of well-illustrated templated descriptions A double-page spread design allows the reader a rapid, at-a-glance access to essential information Muscle anatomy and function are succinctly recapped in order to facilitate a complete understanding of the relevance and applicability of the individual test Classic Applied Kinesiology muscle tests for detecting functional abnormalities are well described along with stretch testing and post-isometric relaxation procedures for hypertonic, shortened muscles The importance of postural analysis for the assessment of specific muscle dysfunction is discussed and plainly described Illustrates painful spondylogenic reflex points (areas) for each muscle The role of distal acupuncture points and tendinomuscular meridians in maintaining normal muscle and muscle chain function are noted in accompanying diagrams The most commonly found trigger points, their referred pain patterns and relationship to nearby acupuncture points are clearly illustrated for each muscle Perfect for use in orthopaedics, neurology, general medicine, physiotherapy, chiropractic and osteopathy
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.
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.
Dermoscopy is a non-invasive, widely used diagnostic tool that aids the diagnosis of skin lesions and is proven to increase the accuracy of melanoma diagnosis. This colour atlas is a comprehensive guide to the diagnosis of skin lesions and melanomas using a dermoscope. Beginning with an introduction to the use of the dermascope, the following chapters teach clinicians how to recognise dermoscopic criteria, colours and patterns, how to diagnose different types of lesions and calculate diagnostic algorithms. The finals sections cover related topics including entomodermatoscopy, inflammatoscopy, trichoscopy and capilaroscopy. This highly useful resource is enhanced by more than 1000 clinical images and illustrations. Key points Comprehensive guide to diagnosis of skin lesions and melanomas using a dermoscope Teaches clinicians how to recognise dermoscopic criteria Covers related dermatoscopic topics Includes more than 1000 images and illustrations
The Art and Science of Cardiac Physical Examination is the latest edition of this essential guide to identifying the signs and symptoms of heart diseases. The book is divided into 14 chapters, initially covering different types of pulse and the measurement of blood pressure. A chapter on heart sounds is followed by a three-part discussion on heart murmurs, including the use of recordings of heart sounds and video recordings of jugular pulsations. The signs and symptoms of cardiac disease are covered in detail, and the manifestations of cardiovascular disease are described. The book concludes with two chapters on electrocardiography (ECG). Finally, the book provides a self-assessment chapter, with clinical scenarios which use history and clinical findings from actual patients. Enhanced by nearly 100 full colour images and illustrations and edited by a team of cardiology experts based in Toronto and Chicago, The Art and Science of Cardiac Physical Examination is ideal for cardiologists and general physicians wishing to keep their knowledge of examination for heart disease up to date. Key Points Latest edition of guide to signs and symptoms of heart diseases Previous edition published 2006 (9780673997661) Edited by a team of US and Canada based cardiology experts 97 full colour images and illustrations Includes interactive CD ROM
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.
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.
This is a guide for psychiatry residents, medical students, and trainees in clinical psychology, social work and nursing. Druss examines the challenges and rewards of establishing a work alliance with patients and demonstrates how therapy can provide a safe means for them to handle their experiences. Chapter topics include: creating a working alliance, initial sessions, conversation reactions, body image, the spiritual life of patients, the goals of patients and therapists, and patients who return to therapy.
This book draws on fields as diverse as biochemistry, physiology, pharmacology, psychology, psychiatry, and ethology, to form a fascinating synthesis of information on the nature of fear and of panic and anxiety disorders. Dr. Marks offers both a detailed discussion of the clinical aspects of fear-related syndromes and a broad exploration of the sources and mechanisms of fear and defensive behavior. Dealing first with normal fear, he establishes a firm, scientific basis for understanding it. He then presents a thorough analysis of the development, symptoms and treatment of fear-related syndromes. Phobic and obsessive-compulsive disorders are examined in detail. The book is illustrated with examples of fear and defensive behavior in other living organisms. By drawing provocative analogies between animal and human behavior, it sheds new light on the origins of fears, phobias, and obsessive-compulsive problems, as well as on their treatment by drugs and psychological means. Clinical psychologists, ethologists, and anyone interested in the mechanisms of behavior will be fascinated by this authoritative study. The text is intriguing and informative, and the bibliography of over 2,100 entries makes it an invaluable reference.
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. |
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