Efnisyfirlit

• Cover image
• Title Page
• Table of Contents
• John Macleod (1915–2006)
• Copyright
• Preface
• Acknowledgements
• How to make the most of this book
• Examination sequences
• Clinical skills videos
• Key points in examinations: photo galleries
• Video contents
• Video production team
• Contributors
• Section 1 Principles of Clinical History and Examination
• Introduction
• 1 Managing clinical encounters with patients
• The clinical encounter
• Alternatives to face-to-face encounters
• Professional responsibilities
• Personal responsibilities
• 2 General aspects of history taking
• The importance of a clear history
• Gathering information
• Difficult situations
• 3 General aspects of examination
• General principles of physical examination
• Preparing for physical examination
• Sequence for performing a physical examination
• Initial observations
• Hands
• Skin
• Tongue
• Odours
• Body habitus and nutrition
• Lumps and lymph nodes
• Spot diagnoses
• Section 2 System-Based Examination
• Introduction
• 4 The cardiovascular system
• Heart
• Peripheral arterial system
• Peripheral venous system
• 5 The respiratory system
• Anatomy and physiology
• The history
• The physical examination
• Interpretation of the findings
• Investigations
• 6 The gastrointestinal system
• Anatomy and physiology
• The history
• The physical examination
• Investigations
• 7 The nervous system
• Anatomy and physiology
• The history
• The physical examination
• Cranial nerves
• Motor system
• Sensory system
• Peripheral nerves
• Interpretation of the findings
• Investigations
• 8 The visual system
• Anatomy and physiology
• The history
• The physical examination
• Investigations
• 9 The ear, nose and throat
• Ear
• Nose and sinuses
• Mouth, throat and neck
• 10 The endocrine system
• The thyroid
• The parathyroids
• The pituitary
• The adrenals
• The gonads
• Diabetes
• 11 The reproductive system
• Breast
• Female reproductive system
• Obstetric history and examination: the booking visit
• Routine antenatal check in later pregnancy
• Male reproductive system
• 12 The renal system
• Anatomy and physiology
• The history
• The physical examination
• Interpretation of the findings
• Investigations
• 13 The musculoskeletal system
• The history
• The physical examination
• Detailed examination of the musculoskeletal system
• Fractures, dislocations and trauma
• Investigations
• 14 The skin, hair and nails
• Anatomy and physiology
• The history
• The physical examination
• Investigations
• Section 3 Applying History and Examination Skills in Specific Situations
• Introduction
• 15 Babies and children
• Babies
• Older children
• 16 The patient with mental disorder
• The history
• The mental state examination
• The physical examination
• Collateral history
• Psychiatric rating scales
• Putting it all together: clinical vignettes
• 17 The frail elderly patient
• Assessment of the frail elderly patient
• The history
• The physical examination
• Interpretation of the findings
• 18 The deteriorating patient
• Vital signs
• Early warning scores
• Initial assessment
• The ABCDE approach
• Sepsis
• Ongoing management
• 19 The dying patient
• Assessing the dying patient
• Confirming and certifying death
• Looking after yourself and others
• Section 4 Putting History and Examination Skills to Use
• Introduction
• 20 Preparing for assessment
• General principles
• Methods of assessment
• Marking structures
• Approach to preparation
• Approach to assessment
• Putting it all together
• 21 Preparing for practice
• Adapting history and examination skills appropriately
• Integrated examination
• Diagnostic strategies
• Approach to the patient with medically unexplained symptoms
• Assessment of a patient with minor injury or illness
• Assessment of a critically ill patient
• Documenting your findings
• Communicating with colleagues
• Index