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Learn to accurately diagnose the majority of patients seen in today’s primary care settings! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition goes beyond basic history and physical examination skills to help you learn the diagnostic reasoning process. You will develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practitioners, this edition includes a new chapter on The Transgender Patient that gives you the knowledge you need to properly assess and care for this underserved patient population. It also features expanded coverage of geriatrics, highly infectious diseases, coordination with the interprofessional healthcare team, genetics/genomics in lab testing and family history, updates on psychiatric-mental health problems, and more!

  • A clear, consistent diagnostic reasoning process takes you to the next step of health assessment -- beyond basic history and physical examination to diagnostic reasoning.
  • Diagnostic Reasoning: Focused History sections use "self-questions" to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
  • Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings.
  • Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify.
  • Laboratory and Diagnostic Studies sections outline the types of tests that might be appropriate based on the focused history and focused physical examination.
  • Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies.
  • Differential Diagnosis tables provide you with a quick-reference summary of possible diagnoses for each patient problem.
  • Evidence-Based Practice boxes -- more than 30 NEW -- summarize the scientific evidence related to the diagnosis of patient problems.
  • Evidence-Based Preventive Health Screening chapter helps you to screen for common asymptomatic conditions and promote wellness.
  • Information on screening for abuse and sexual assault helps you identify patients who might need additional support or intervention.
  • List of Chapters by Body System provides a convenient Table of Contents organized by body system.

1. Introduction - p. viii 2. PART I. AN INTRODUCTION TO CLINICAL REASONING - p. ix 3. 1.  Clinical reasoning, evidence-based practice, and symptom analysis - p. ix 4. 2.  Evidence-based clinical practice guidelines - p. 5 5. PART II. COMMON SYMPTOMS IN PRIMARY CARE - p. 10 6. 3.  Abdominal pain - p. 10 7. 4.  Affective changes - p. 36 8. 5.  Amenorrhea - p. 53 9. 6.  Breast lumps and nipple discharge - p. 69 10. 7.  Breast pain - p. 83 11. 8.  Chest pain - p. 91 12. 9.  Confusion in older adults - p. 110 13. 10.  Constipation - p. 124 14. 11.  Cough - p. 134 15. 12.  Diarrhea - p. 151 16. 13.  Dizziness - p. 170 17. 14.  Dyspnea - p. 183 18. 15.  Earache - p. 200 19. 16.  Fatigue - p. 211 20. 17.  Fever - p. 223 21. 18.  Genitourinary problems in patients with male genitalia - p. 223 22. 19.  Headache - p. 237 23. 20.  Heartburn and indigestion - p. 253 24. 21.  Hoarseness - p. 268 25. 22.  Lower extremity limb pain - p. 277 26. 23.  Upper extremity limb pain - p. 300 27. 24.  Low back pain (acute) - p. 316 28. 25.  Nasal symptoms and sinus congestion - p. 333 29. 26.  Palpitations - p. 343 30. 27.  Penile discharge - p. 352 31. 28.  Rashes and skin lesions - p. 360 32. 29.  Rectal pain, itching, and bleeding - p. 378 33. 30.  Red eye - p. 393 34. 31.  Sleep problems - p. 406 35. 32.  Sore throat - p. 419 36. 33.  Syncope - p. 430 37. 34.  Urinary incontinence - p. 439 38. 35.  Urinary problems in patients with female genitalia - p. 451 39. 36.  Vaginal bleeding - p. 462 40. 37.  Vaginal discharge and itching - p. 480 41. 38.  Vision loss - p. 494 42. 39.  Unintentional weight loss or gain - p. 507 43. 40.  Abdominal X-ray - p. 522 44. 41.  Chest X-ray - p. 530 45. 42.  Care of transgender patients - p. 541 46. References - p. 552 47. Index - p. 553 48. Inside back cover - p. 554

Descripcion
Descripción

Learn to accurately diagnose the majority of patients seen in today’s primary care settings! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition goes beyond basic history and physical examination skills to help you learn the diagnostic reasoning process. You will develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practitioners, this edition includes a new chapter on The Transgender Patient that gives you the knowledge you need to properly assess and care for this underserved patient population. It also features expanded coverage of geriatrics, highly infectious diseases, coordination with the interprofessional healthcare team, genetics/genomics in lab testing and family history, updates on psychiatric-mental health problems, and more!

  • A clear, consistent diagnostic reasoning process takes you to the next step of health assessment -- beyond basic history and physical examination to diagnostic reasoning.
  • Diagnostic Reasoning: Focused History sections use "self-questions" to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
  • Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings.
  • Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify.
  • Laboratory and Diagnostic Studies sections outline the types of tests that might be appropriate based on the focused history and focused physical examination.
  • Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies.
  • Differential Diagnosis tables provide you with a quick-reference summary of possible diagnoses for each patient problem.
  • Evidence-Based Practice boxes -- more than 30 NEW -- summarize the scientific evidence related to the diagnosis of patient problems.
  • Evidence-Based Preventive Health Screening chapter helps you to screen for common asymptomatic conditions and promote wellness.
  • Information on screening for abuse and sexual assault helps you identify patients who might need additional support or intervention.
  • List of Chapters by Body System provides a convenient Table of Contents organized by body system.

1. Introduction - p. viii 2. PART I. AN INTRODUCTION TO CLINICAL REASONING - p. ix 3. 1.  Clinical reasoning, evidence-based practice, and symptom analysis - p. ix 4. 2.  Evidence-based clinical practice guidelines - p. 5 5. PART II. COMMON SYMPTOMS IN PRIMARY CARE - p. 10 6. 3.  Abdominal pain - p. 10 7. 4.  Affective changes - p. 36 8. 5.  Amenorrhea - p. 53 9. 6.  Breast lumps and nipple discharge - p. 69 10. 7.  Breast pain - p. 83 11. 8.  Chest pain - p. 91 12. 9.  Confusion in older adults - p. 110 13. 10.  Constipation - p. 124 14. 11.  Cough - p. 134 15. 12.  Diarrhea - p. 151 16. 13.  Dizziness - p. 170 17. 14.  Dyspnea - p. 183 18. 15.  Earache - p. 200 19. 16.  Fatigue - p. 211 20. 17.  Fever - p. 223 21. 18.  Genitourinary problems in patients with male genitalia - p. 223 22. 19.  Headache - p. 237 23. 20.  Heartburn and indigestion - p. 253 24. 21.  Hoarseness - p. 268 25. 22.  Lower extremity limb pain - p. 277 26. 23.  Upper extremity limb pain - p. 300 27. 24.  Low back pain (acute) - p. 316 28. 25.  Nasal symptoms and sinus congestion - p. 333 29. 26.  Palpitations - p. 343 30. 27.  Penile discharge - p. 352 31. 28.  Rashes and skin lesions - p. 360 32. 29.  Rectal pain, itching, and bleeding - p. 378 33. 30.  Red eye - p. 393 34. 31.  Sleep problems - p. 406 35. 32.  Sore throat - p. 419 36. 33.  Syncope - p. 430 37. 34.  Urinary incontinence - p. 439 38. 35.  Urinary problems in patients with female genitalia - p. 451 39. 36.  Vaginal bleeding - p. 462 40. 37.  Vaginal discharge and itching - p. 480 41. 38.  Vision loss - p. 494 42. 39.  Unintentional weight loss or gain - p. 507 43. 40.  Abdominal X-ray - p. 522 44. 41.  Chest X-ray - p. 530 45. 42.  Care of transgender patients - p. 541 46. References - p. 552 47. Index - p. 553 48. Inside back cover - p. 554

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