Description
Book SynopsisEvery medical student must be able to take an accurate history and perform a physical examination. This third edition of History and Clinical Examination at a Glance provides a concise, highly illustrated companion which will help you develop these critical skills as you practice on the wards.
Trade Review"This is a useful, basic book for all students and clinicians. Regardless of readers' level of professional development -- just starting to learn physical examination or experienced but wishing a quick memory jogger for common complaints they encounter in the primary care setting - they will find this to be a one-of-a-kind resource." (Doody's, 30 August 2012)
Table of ContentsPreface 7
List of abbreviations 9
Part 1 Communication skills
1 Fundamental communication skills 10
2 Communicating information 12
3 Communicating bad news 14
4 Communicating with relatives 16
5 Cultural differences 18
6 Exploring sensitive issues 20
7 History and examination in clinical exams 22
Part 2 Taking a history
8 Relationship with patient 24
9 History of presenting complaint 26
10 Past medical history, drugs and allergies 28
11 Family and social history 30
12 Functional enquiry 31
Part 3 History and examination of the systems
13 Is the patient ill? 32
14 Principles of examination 34
15 The cardiovascular system 36
16 The respiratory system 40
17 The gastrointestinal system 42
18 The male genitourinary system 44
19 Gynaecological history and examination 46
20 Breast examination 48
21 Obstetric history and examination 49
22 The nervous system 50
23 The musculoskeletal system 54
24 Skin 56
25 The visual system 58
26 Examination of the ears, nose, mouth, throat, thyroid and neck 60
27 Examination of urine 61
28 The psychiatric assessment 62
29 Examination of the legs 65
30 General examination 66
31 Presenting a history and examination 68
Part 4 Presentations
32 Chest pain 70
33 Abdominal pain 72
34 Headache 74
35 Vomiting, diarrhoea and change in bowel habit 76
36 Gastrointestinal haemorrhage 79
37 Indigestion and dysphagia 80
38 Weight loss 82
39 Fatigue 84
40 The unconscious patient 86
41 The intensive care unit patient 88
42 Back pain 90
43 Hypertension 92
44 Swollen legs 94
45 Jaundice 95
46 Postoperative fever 96
47 Suspected meningitis 97
48 Anaemia 98
49 Lymphadenopathy 100
50 Cough 101
51 Confusion 102
52 Lump 104
53 Breast lump 105
54 Palpitations/arrhythmias 106
55 Joint problems 107
56 Red eye 108
57 Dizziness 109
58 Breathlessness 110
59 Dysuria and haematuria 112
60 Attempted suicide 114
61 Immunosuppressed patients 116
62 Diagnosing death 117
63 Shock 118
64 Trauma 120
65 Alcohol-related problems 122
66 Collapse 124
Part 5 Conditions
Cardiovascular
67 Myocardial infarction and angina 126
68 Hypovolaemia 128
69 Heart failure 130
70 Mitral stenosis 132
71 Mitral regurgitation 133
72 Aortic stenosis 134
73 Aortic regurgitation 136
74 Tricuspid regurgitation 138
75 Pulmonary stenosis 139
76 Congenital heart disease 140
77 Aortic dissection 142
78 Aortic aneurysm 144
79 Infective endocarditis 146
80 Pulmonary embolism and deep vein thrombosis 148
81 Prosthetic cardiac valves 150
82 Peripheral vascular disease 151
Endocrine/metabolic
83 Diabetes mellitus 152
84 Hypothyroidism and hyperthyroidism 154
85 Addison’s disease and Cushing’s syndrome 156
86 Hypopituitarism 157
87 Acromegaly 158
Nephrology and urology
88 Renal failure 160
89 Polycystic kidney disease 162
90 Nephrotic syndrome 163
91 Urinary symptoms 164
92 Testicular lumps 166
Gastrointestinal
93 Chronic liver disease 168
94 Infl ammatory bowel disease 170
95 Splenomegaly/hepatosplenomegaly 171
96 Acute abdomen 172
97 Pancreatitis 174
98 Abdominal mass 176
99 Appendicitis 177
Respiratory
100 Asthma 178
101 Pneumonia 180
102 Pleural effusion 181
103 Fibrosing alveolitis, bronchiectasis, cystic fibrosis and sarcoidosis 182
104 Carcinoma of the lung 184
105 Chronic obstructive pulmonary disease 186
106 Pneumothorax 188
107 Tuberculosis 189
Neurology
108 Stroke 190
109 Parkinson’s disease 192
110 Motor neurone disease 193
111 Multiple sclerosis 194
112 Peripheral neuropathy 196
113 Carpal tunnel syndrome 197
114 Myotonic dystrophy and muscular dystrophy 198
115 Myasthenia gravis 200
116 Cerebellar disorders 201
117 Dementia 202
Musculoskeletal
118 Rheumatoid arthritis 204
119 Osteoarthritis and osteoporosis 206
120 Gout and Paget’s disease 208
121 Ankylosing spondylitis 209
Other
122 Systemic lupus erythematosus and vasculitis 210
123 Malignant disease 212
124 Scleroderma 213
125 AIDS and HIV 214
Appendix: A self-assessment framework of communication skills in history and examination 216
Index 217
