'Medical technology is beneficial for well researched dangerous diseases. However, most symptoms that people bring to their primary care physician have no single clearly identifiable cause: investigations and drugs do more harm than good - and also waste resources - ' - Wilfrid Treasure Diagnosis and Risk Management in Primary Care teaches that adopting an evidence-based approach to primary care improves patient care and treatment outcomes. It demonstrates that brief clinical assessments, repeated if necessary, allow effective diagnosis while avoiding the costs and complications associated with more advanced testing. Adopting a fresh approach, this book sets consultation skills alongside evidence-based information by both itemising the specific techniques and facts that are needed in the consulting room, and providing detailed information on odds and likelihood ratios to quantify risk and deal with uncertainty. This book provides food for thought, and helps doctors develop communication skills that support their personal styles of consulting, encouraging a more traditional, intuitive treatment. It provides a map of the consultation and a compass to navigate through symptoms, signs and evidence - listening to their patients with one ear and, with the other, to the reflective inner voice of reason. General Practitioner Specialist Trainees and their teachers will find much of interest, as will established General Practitioners with an interest in maintaining traditional models of care. Undergraduate medical students and candidates for the MRCGP will find this an ideal reader for the clinical skills assessment. 'What a breath of fresh air to find an author capable of putting the patient back at the centre of the consultation and who is able to entertain at the same time as he informs and to stimulate critical reflection while nudging us in the direction of a rigorous approach to diagnosis, and the assessment and communication of risk.' From the foreword by Roger Jones

Clinical Anatomy Cases integrates anatomy, physical examination, and medical imaging into a single, practical resource-an ideal presentation for today's students and residents. Carefully organized content presents normal, clinical, and radiologic anatomy, along with case examples, relevant physical examination information, and clinical pearls. Written and developed by students, residents, physicians, and instructors, Clinical Anatomy Cases is a valuable resource for coursework in medical, physician assistant, nurse practitioner, dental, physical therapy, occupational therapy, and other health programs as well as for board exam preparation and as an introduction to radiology during the transition to clinical rotations and practice. This first edition features: More than 80 clinical cases organized by region with corresponding systems overviews as well as typical lab tests, functional testing, and diagnostic imaging presenting full, integrated cases. A highly visual presentation with more than 320 illustrations, photographs, and images to lead students through normal anatomy and common clinical presentations and diseases. Specialty icons that identify case content for Family Medicine, Emergency Medicine, Obstetrics and Gynecology, Surgery, and Internal Medicine. Lists of differential diagnoses and high-yield clinical pearls that help students think through clinical scenarios. Co-authors of the best-selling anatomy textbooks Clinically Oriented Anatomy and Essential Clinical Anatomy .

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

Sinusitis, Hay Fever, and Allergic Rhinitis is widespread and affects millions of people. This books aims to provide the information sought out by those millions of people. Frederick Earlstein has written this medical education guide to provide an understanding of Sinusitis, Hay Fever, and Allergic Rhinitis with the goal of providing relief. Symptoms, signs, treatment, remedies, relief, cure, natural remedies, prevention, home remedies, medicine, vaccine, and surgery all covered The book is written in an easy to read and understandable style. In a straight forward, no nonsense fashion, Frederick Earlstein covers all aspects of Sinusitis, Hay Fever, and Allergic Rhinitis. The book is full of informative content and answers to your questions - including some you didn't know you had

Helps clinicians to systematically look beyond the obvious to arrive at a correct diagnosis Written specifically for both the notice and experienced cardiovascular clinician in acute care settings, this is the only resource to focus on the art of conducting an indepth patient history. Quite often, a patient will tell their first provider one thing, and their second provider something else, even when asked the exact same question. If recorded and interpreted correctly, a clinician can use a comprehensive history alone to obtain a correct diagnosis without exhaustive and expensiveevaluations. Using the steps and strategies outlined in this text, the cardiovascular clinician will learn to adopt specific and detailed a line of questioning to dissect patient symptoms down to their core. This book includes two clinical scenarios for chief complaints that cardiovascular clinicians may see in their practice. Unpacking these scenarios challenge clinicians to look beyond the obvious and recognize atypical presentations. Each scenario dissects and then discusses the history and other pertinent patient information to illuminate subtle differences in the process of information gathering. With this breakdown, the clinician can then identify if the patient has an acute cardiovascular issue. Each chapter ends with a sample of "how to present the patient" to an MD or peer and describes common pitfalls and assumptions to avoid. Key Features: Focuses specifically on acute cardiovascular issues in acute care settings Referenced by chief complaint or consult questions Targets patient history portion of the work up Examines subtle differences between cardiac diagnosis vs. non-cardiac diagnosis based on how patient history is taken Highlights common errors in review of information using EMR vs. standard questioning

Introducing a new edition of the popular text for medical students, residents, and practitioners on interpreting electrocardiograms in children. Pediatric cardiologists Dr. Myung Park and Dr. Warren Guntheroth teach the vectorial approach to pediatric ECG interpretation in a simple and practical way. How to Read Pediatric ECGs contains over 200 actual size ECG tracings, review questions, case studies for board review. Now with a 2 color design Case Studies teach a systematic approach to interpreting ECG results Review questions at end of each chapter assist with board preparation and self-assessment Actual size tracings allows readers to measure intervals and durations of sample tracings accurately

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.

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.

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.

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.

Child Sexual Abuse: Entry-Level Training for the Mandated Reporter is a self-assessment training module for those professionals bound to report incidents of suspected child abuse. Mandated reporters have a vital role to play on the front lines of child protection, and it is important they be prepared to recognize potential cases of abuse and to respond appropriately to disclosures of abusive incidents. It is equally important that the mandated reporter understand when, how, and to whom reports of potential abuse should be made in order to report promptly and appropriately in all cases. Child Sexual Abuse: Entry-Level Training for the Mandated Reporter is designed with these goals in mind: to understand, effectively respond to, and assist in the prevention of child sexual abuse, however it manifests. It is the author's and the publisher's sincerest hope that this training self-assessment will benefit mandated reporters of every variety, as well as the children and families they work with, by means of continued education in child protection.

Spriggs's Essentials of Polysomnography, Third Edition is a comprehensive, full-color text designed specifically for sleep technicians and professionals. The Third Edition has earned its place as the touchstone for hospitals, sleep labs, physicians' offices,

Viral hemorrhagic fevers (VHFs) represent a collection of illnesses caused by several distinct viral families. While some types of hemorrhagic fever viruses can cause relatively mild illnesses, many of these viruses cause life-threatening diseases. The chapters of this book discuss the consequences of the Ebola outbreak in West Africa; the most frequency imported infection worldwide (malaria); the reservoirs of selected infectious diseases (often bats and fruit bats); the clinical symptoms of viral diseases and the most widely used diagnostic methods for the correct identification of the pathogen involved; and a discussion on Japanese encephalitis (JE) as an infectious disease caused by a virus transmitted by blood-sucking arthropods.

Coagulopathy (also called clotting disorder and bleeding disorder) is a condition in which the blood's ability to clot (coagulate) is impaired. Acquired hemophilia is a rare disorder characterized by spontaneous bleeding in a patient with no previous personal or family hemorrhagic history. The first chapter explores the challenges associated with this disease, its unfamiliarity often causing a delay in diagnosis and therapeutic approaches. The second chapter focuses on lower gastrointestinal bleeding (LGIB) in children, describing the epidemiology, etiology and clinical management. The third chapter reviews the pathogenesis, risk factors and treatment strategies of coagulopathy in patients with craniocerebral injury. The next article examines Vitamin B12 with its four cobalamin vitamers, which often play a role in coagulation. The next chapter starts with a description of the methodology of viscoelastic hemostatic assay, followed by a review of literature on the utilization of thrombelastography (TEG) or rotational thromboelastometry (ROTEM). Finally, the role of TEG and ROTEM to monitor or guide prophylaxis/treatment of thromboembolic events and the limitations of using them to detect hypercoagulability and identify patients with increased risks for thromboembolic complications are discussed. The final chapter of this book focuses on the use of fresh frozen plasma (FFP) in patients who are not actively bleeding, critically questions these assumptions in the context of pre-procedural administration of FFP, and also examines why carrying out high quality trails in this area has been so problematic.

Progressive multifocal leukoencephalopathy (PML) is a rare, disabling and potentially fatal brain infection of the central nervous system (CNS) caused by reactivation of the John Cunningham virus (JCV). The most important risk factor for PML is immunosuppression associated with HIV/AIDS or therapy. Approximately 60 to 80% of the adult population has JC antibodies, but PML is rarely diagnosed. The chapters in this book include research on the pathologic features of PML, the diagnosis, risk factors, pathogenesis, and management strategies.

DSM-5 Handbook of the Cultural Formulation Interview provides the background, context, and detailed guidance necessary to train clinicians in the use of the Cultural Formulation Interview (CFI), which was created as part of the 2007-2013 DSM revision process. The purpose of the CFI-and this unique handbook-is to make it easier for providers to account for the influence of culture in their clinical work to enhance patient-clinician communication and improve outcomes. Cultural psychiatry as a field has evolved enormously from the days when it was principally concerned with epidemiological and clinical studies of disease prevalence; it now examines a multitude of issues, primary among them the differing patient, family, and practitioner models of illness and treatment experiences within and across cultures. The editors, all of whom have been intimately involved in the evolution of the field, have designed the book and accompanying videos for maximum instructional and clinical utility. The Handbook boasts many strengths and useful features, including: * A detailed description of each of the three CFI components: a core 16-item questionnaire, which can be applied in any clinical setting with any patient by any mental health clinician; an informant version of the core CFI used to obtain information from caregivers; and 12 supplementary modules that expand on these basic assessments. This material facilitates implementation of the CFI by clinicians.* Over a dozen clinical vignettes are included to illustrate use of the three components, and the Handbook also includes multiple videos that demonstrate the application of portions of the core CFI, and several supplementary modules.* Strategies for incorporating the CFI into clinical training are identified and discussed, furthering the objective of developing culturally-sensitive and astute practitioners.* The theoretical bases of the CFI are explored, raising questions for discussion and identifying areas for further research. The CFI is a valuable tool for all patients, not just those judged to be culturally different. The CFI has been called the single most practically useful contribution of cultural psychiatry and medical anthropology to clinical psychiatry, primary care, and medicine in general. DSM-5 Handbook on the Cultural Formulation Interview is the only book on the market that equips readers with the skills and insight to incorporate the CFI into practice, making it a critically important addition to the clinical literature.