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Books > Medicine > Clinical & internal medicine > Medical diagnosis
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.
How Doctors Think defines the nature and importance of clinical judgment. Although physicians make use of science, this book argues that medicine is not itself a science but rather an interpretive practice that relies on clinical reasoning. A physician looks at the patient's history along with the presenting physical signs and symptoms and juxtaposes these with clinical experience and empirical studies to construct a tentative account of the illness. How Doctors Think is divided into four parts. Part one introduces the concept of medicine as a practice rather than a science; part two discusses the idea of causation; part three delves into the process of forming clinical judgment; and part four considers clinical judgment within the uncertain nature of medicine itself. In How Doctors Think, Montgomery contends that assuming medicine is strictly a science can have adverse side effects, and suggests reducing these by recognizing the vital role of clinical judgment. "This is a book that will be read with pleasure by anyone interested in how medicine is done and it is a book that should be required reading for all students starting their clinical training."-Journal of the Royal Society of Medicine "Montgomery has certainly written a piece that will stimulate people to think more deeply about medical and wider health professional practice. It is a text I will recommend to students and colleagues."-PsycCRITIQUES
Formal training in clinical neuropsychology introduces trainees to diverse patient populations with a variety of conditions and disorders. Learning to competently apply a structured, fact-finding approach to case conceptualization, differential diagnosis, and treatment planning is an essential goal at all levels of training. This approach provides a valuable exercise and method of examining practitioner competence. The structured approach to case analysis promotes good clinical decision making, and exercises based on such an approach can help prepare clinicians for the oral exams that are a part of board certification. The Neuropsychology Fact-Finding Casebook is a resource for both supervisors and trainees in clinical neuropsychology, as well as for clinicians preparing for board certification. The volume provides 24 compelling and diverse fact-finding cases, one for each month of a two-year residency. Each case is presented in a stepwise fashion: presenting problem and referral question, background information and patient report, behavioral observations, and test findings. At the end of each case, a summary, diagnostic impression, recommendations, and questions are provided to assess, reinforce, and teach core competencies; an outcome section describes what occurred after the full case evaluation is completed; and critical teaching points are discussed. This Casebook is a standardized approach to fact-finding that training programs at various levels can use to help trainees develop such evaluation skills.
Rapid advancement of telecommunications and information technology has created the potential for high-quality expert healthcare to be delivered when and where it is needed. This text charts the development of the telemedicine industry, defines its current scope and reveals the potential of new methodologies.
In order to accurately describe and diagnose psychiatric illness, practitioners require in-depth knowledge of the signs and symptoms of behavioral disorders. Descriptive Psychopathology provides a broad review of the psychopathology of psychiatric illness, beyond the limitations of the DSM and ICD criteria. Beginning with a discussion of the background to psychiatric classification, the authors explore the problems and limitations of current diagnostic systems. The following chapters then present the principles of psychiatric examination and diagnosis, described with accompanying patient vignettes and summary tables, and related to different diagnostic concerns. A thought-provoking conclusion proposes a restructuring of psychiatric classification based on the psychopathology literature and its validating data. Written for psychiatry and neurology residents, clinical psychologists, behavioral neurologists, clinical psychology students and psychiatric nurse practitioners, it is invaluable to anyone who accepts the responsibility for the care of patients with behavioral syndromes.
The Intelligent Clinician's Guide to the DSM-5 (R) is the second edition of the widely-read book first published in 2013. This second edition is thoroughly revised, and has several new chapters describing the response to the publication of the new manual, as well as suggestions on its use in clinical practice. The Intelligent Clinician's Guide to the DSM-5 (R), Second Edition reviews the history of diagnosis in psychiatry, emphasizing the limitations for classification of our current lack of knowledge of the causes of most mental disorders. It emphasizes that, in the absence of biomarkers, current categories can only be considered provisional. It takes a critical look at schema for spectra and dimensionaliztion of diagnosis, examines the borders between normality and psychopathology, and discusses the problem of clinical utility. The book has chapters on all the major diagnoses in psychiatry, in which the main problems of diagnosis are addressed, and in which all changes in DSM-5 are described.
This book is a practical guide to the diagnosis, pathophysiology and management of cardiac disorders. Beginning with an overview of symptoms and signs of cardiopulmonary diseases, the following chapters cover treatment options for different disorders. New strategies for the treatment of Type 2 diabetes are discussed in depth. The final section explains a new method for obtaining better quality recordings from ECGs. Authored by an Ontario-based specialist in cardiology, this comprehensive manual is illustrated with clinical images and figures. Key points Practical guide to diagnosis, pathophysiology and management of cardiopulmonary disorders Provides overview of signs and symptoms Presents new strategies for treatment of Type 2 diabetes Authored by Ontario-based specialist in cardiology
Chinese Medicine constantly refers back to its sources in order to initiate the new. Its source code is in the Han Dynasty medical classics, and in this handbook esteemed practitioner and educator Professor Z'ev Rosenberg shares the knowledge from his study of these classic texts and his experiences treating difficult cases. In the tradition of the scholar-physician commentaries, Z'ev Rosenberg comments on the Simple Questions that introduce the core principles of the Inner Canon; explaining how these inform his methodology of diagnosis and advising on how biomedical diseases can be retranslated into sophisticated Chinese medical diagnoses including patterns of differentiation, sequential diagnosis, synchronicity, season, climate and environment. He discusses how Chinese medicine can use unique diagnostic parameters to rebalance the landscape and chronobiology of the body and address the greatest clinical challenges of our time, including the contemporary epidemic of autoimmune disorders.
This book constitutes the refereed proceedings of the 17th
International Conference on Information Processing in Medical
Imaging, IPMI 2001, held in Davis, CA, USA, in June 2001.
As the title suggests this book has been written to assist manual therapists to understand and hone the palpatory skills which are essential to their effectiveness as practitioners. Skilful palpation is the foundation stone of all effective manual therapy assessments and treatments. The ability to use subtle and sensitive touch to examine and assess patients is essential for an accurate interpretation of the underlying problems of fascial and muscle function. The accurate interpretation of palpatory findings is difficult and comes with experience. This book aims to increase awareness of how to palpate and understanding of what is being felt. In this fourth edition of his now well-established and much loved book Leon Chaitow has introduced references to the latest research findings relating to fascia and its role in health and disease, so that practitioners can apply this knowledge in interpreting what they palpate. In addition to the author, six notable contributors from Europe and North America enhance the work's range and authority. All manual therapists, whatever their professional background, will benefit from the wealth of experience- and research-based information presented in this book.
Soft tissue tumors (STTs) are frequently misdiagnosed in inexperienced hands. Having diagnosed and treated hundreds of patients with these difficult tumors in the last few years, Institut Curie physicians have collected core data contributing to breakthrough research into the morphological, biological, and molecular aspects of soft tissue tumors, resulting in valuable translational and clinical applications to patient treatment. "Soft Tissue Tumors: A Multidisciplinary, Decisional Diagnostic Approach" presents a distillation of these experiences, combined with valuable data and perspectives contributed by senior pathologists, oncologists, and radiologists from several of the world's other leading cancer centers of excellence.
The Structured Clinical Interview for DSM-5 Disorders-Clinician Version (SCID-5-CV) guides the clinician step-by-step through the DSM-5 diagnostic process. Interview questions are provided conveniently along each corresponding DSM-5 criterion, which aids in rating each as either present or absent. A unique and valuable tool, the SCID-5-CV covers the DSM-5 diagnoses most commonly seen in clinical settings. The User's Guide for the SCID-5-CV provides comprehensive instructions on how to use the SCID-5-CV effectively and accurately. It not only describes the rationale, structure, conventions, and usage of the SCID-5-CV, but also discusses in detail how to interpret and apply the specific DSM-5 criteria for each of the disorders included in the SCID-5-CV. A number of sample role-play and homework cases are also included to help clinicians learn how to use the SCID-5-CV. Together with the SCID-5-CV, the User's Guide for the SCID-5-CV will prove invaluable to clinicians, researchers, interviewers, and students in the mental health professions who seek to integrate time-tested interview questions corresponding to the DSM-5 criteria into their DSM-5 diagnostic assessment process.
This is an authoritative overview for anyone encountering Postural Orthostatic Tachycardia Syndrome (POTS) - a dysfunction of the autonomic nervous system resulting in diverse symptoms experienced in an upright position that are relieved by lying down - and other types of acquired dysautonomia. It provides essential information on the symptoms, diagnosis and treatment in children and young people. Post-viral syndromes can be extremely difficult to manage and the average individual spends two to three years accessing appropriate diagnosis. This book provides necessary information for parents and healthcare professionals on identifying POTS and other post-viral dysautonomia, the most common triggers, appropriate intervention and successful multi-disciplinary management in both short and long term situations. It also includes helpful tips and coping strategies for managing the syndrome at home and in educational and clinical settings.
Volume 2 of the Child Maltreatment Assessment serves to help readers identify and interpret sexual, emotional, and psychological forms of abuse in children by providing chapters on the topics of sexual abuse, neglect and abandonment, torture, and more. While sexual abuse typically has some physical indicators, many cases of emotional and psychological abuse do not. By providing detailed examples and descriptions of abusive scenarios and injuries that readers may encounter in the field, this workbook aims to better prepare experienced professionals and students alike. This assessment is supplemented with 16 case studies and dozens of full-color clinical images, guiding readers through the potential indicators of sexual, emotional, or psychological abuse, better preparing them to respond to cases of maltreatment in the future. Each workbook in the Child Maltreatment Assessment series will also feature both a test section and photographic atlas at the back of the book. Using this assessment, the reader can review and apply the knowledge they have gained from the chapters within, making this text ideal for self-study or classroom settings. The photographic atlas will contain an additional 80 high-quality images with accompanying case histories.
DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition is a user-friendly, supplementary guide for psychiatrists, psychologists, and other mental health practitioners who need to know how DSM-5 differs from its predecessor in terms of organizational structure, diagnostic categories, and the criteria themselves. While it does not replace the comprehensive and authoritative DSM-5, it illuminates its content by teaching mental health professionals how to use the revised diagnostic criteria and by providing a practical context for its clinical use. The book offers many valuable features, including: * An historical overview of the development of the DSM in general, and DSM-5 in particular, a progression that might be said to mirror the evolution of psychiatry as a whole. The material on the creation of DSM-5 includes coverage of dimensional assessment, reliability and field trials, and the controversies that arose during development of DSM-5.* An indispensable chapter on how to use DSM-5 that addresses coding, diagnostic certainty, the demise of the multiaxial system, and the key changes to each diagnostic category.* Full coverage of the significant reorganization from DSM-IV-TR to DSM-5, which is designed to incorporate advances in neuroscience, brain imaging and genetics. Chapters were reordered to reflect scientific advances in the understanding of psychiatric disorders, and the presumed etiological and the pathophysiological relationships among them.* Extensive coverage of the decision to integrate dimensional measures into DSM-5, which may enhance the clinician's ability to assess symptom variation and severity and aid in patient evaluation, treatment decisions, and outcome monitoring. The various measures are presented and their use discussed.* Finally, as the authors were not part of the revision process, they offer a fresh, down-to-earth perspective that will resonate with clinicians by focusing on the changes that will most significantly impact clinicians' professional lives. DSM-5 Guidebook provides a roadmap to the many changes in this living document, DSM-5, and will prove invaluable to psychiatrists, psychologists, psychiatric nurses, neurologists, social workers, and all who strive to understand mental illness as it is conceived today.
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