Macleod’s Clinical Examination – International Edition (2nd Edition)

Description

Macleod’s Clinical Diagnosis demonstrates how to apply the core clinical skills learned from the companion textbook Macleod’s Clinical Examination to maximum advantage. Charting the course from routine work-up to diagnosis, this book presents a modern and realistic approach to clinical assessment and explains how to integrate information obtained from the history, examination, bedside tests and specialised investigations. The first section Principles of clinical assessment examines different approaches to diagnosis, reviews the fundamental elements necessary for accurate patient assessment, provides a helpful template for a ‘routine workup’ and describes how to adapt the assessment to fit the clinical context. The second core section of the book Assessment of common presenting problems contains a series of ‘diagnostic guides’ that lead the reader, step-by-step through the major presenting problems in medicine and surgery, explaining how to recognise red flag features, eliminate life-threatening conditons and generate a logical differential diagnosis. This book has been praised as an invaluable resource for senior medical students and junior doctors as they attempt to make the difficult transition from mastering basic clinical skills to assessing patients in the real world of clinical medicine.

Key Features

• A unique book allowing a reader to apply the skills of clinical examination in the formulation of a differential diagnosis and placing a patient’s symptoms in context.
• Takes a problem-based approach to diagnostic reasoning, reflecting both modern medical and current educational practices.
• Builds on the clinical skills outlined in the companion Macleod’s Clinical Examination textbook.

Table of Contents

1.  Part 1 Principles of clinical assessment
   1. What’s in a diagnosis?
   2. Assessing patients: a practical guide
   3. The diagnostic process
2. Part 2 Assessment of common presenting problems
   1. Abdominal pain
   2. Breast lump
   3. Chest pain
   4. Coma and altered consciousness
   5. Confusion: delirium and dementia
   6. Diarrhoea
   7. Dizziness
   8. Dysphagia
   9. Dyspnoea
   10. Fatigue
   11. Fever
   12. GI haemorrhage haemorrhage: haematemesis and rectal bleeding
   13. Haematuria
   14. Haemoptysis
   15. Headache
   16. Jaundice
   17. Joint swelling
   18. Leg swelling
   19. Limb weakness
   20. Low back pain
   21. Mobility problems: falls and immobility
   22. Nausea and vomiting
   23. Palpitation
   24. Rash: acute generalised skin eruption
   25. Red eye
   26. Scrotal swelling
   27. Shock
   28. Transient loss of consciousness: syncope and seizures
   29. Urinary incontinence
   30. Vaginal bleeding
   31. Weight loss

Author Biography

Alan Japp
Affiliations and Expertise
Consultant Cardiologist, Royal Infirmary of Edinburgh; Honorary Clinical Senior Lecturer, University of Edinburgh, UK

Colin Robertson
Affiliations and Expertise
Honorary Professor of Accident and Emergency Medicine and Surgery, University of Edinburgh, Edinburgh, UK

Rohana Wright
Affiliations and Expertise
Consultant Physician, St. John’s Hospital, Livingston and Edinburgh Centre for Endocrinology and Diabetes, Edinburgh, UK.

Matthew Reed
Affiliations and Expertise
Consultant and NRS Career Researcher Clinician in Emergency Medicine, Royal Infirmary of Edinburgh; Honorary Reader, University of Edinburgh, UK.

Andrew Robson
Affiliations and Expertise
Specialist Registrar in General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK