The Rational Clinical Examination Evidence Based Clinical Diagnosis

Filename: the-rational-clinical-examination-evidence-based-clinical-diagnosis.pdf
ISBN: 0071590315
Release Date: 2008-04-30
Number of pages: 732
Author: David Simel
Publisher: McGraw Hill Professional

Download and read online The Rational Clinical Examination Evidence Based Clinical Diagnosis in PDF and EPUB The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine


The Rational Clinical Examination Evidence Based Clinical Diagnosis

Filename: the-rational-clinical-examination-evidence-based-clinical-diagnosis.pdf
ISBN: 9780071590303
Release Date: 2008-08-25
Number of pages: 732
Author: David Simel
Publisher: McGraw-Hill Prof Med/Tech

Download and read online The Rational Clinical Examination Evidence Based Clinical Diagnosis in PDF and EPUB The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "There is a great deal to like about this book. It is focused on common clinical dilemmas and is well organized, and most chapters are a quick read....The evidence-based examination techniques put forth by Rational Clinical Examination the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. " This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series “The Rational Clinical Examination” was created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence, the RCE series was an instant hit. Now for the very first time in book form, completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES All the expert perspectives on the application of evidence-based medicine principles-with all the authority of the pioneering JAMA series, The Rational Clinical Examination Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Not-to-be-missed coverage of the principles of evidence-based medicine and physical diagnosis, with the concepts of specificity and sensitivity applied to the patient encounter Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine


The Rational Clinical Examination

Filename: the-rational-clinical-examination.pdf
ISBN: 0071640169
Release Date: 2009
Number of pages: 744
Author: David L. Simel
Publisher:

Download and read online The Rational Clinical Examination in PDF and EPUB In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series, this book was created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence, the RCE series was an instant hit. Now for the very first time in book form, completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies.


Evidence Based Physical Diagnosis

Filename: evidence-based-physical-diagnosis.pdf
ISBN: 9780323508711
Release Date: 2016-12-31
Number of pages: 736
Author: Steven McGee
Publisher: Elsevier Health Sciences

Download and read online Evidence Based Physical Diagnosis in PDF and EPUB Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones. Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios. Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations. Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more. NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.


Rational Diagnosis and Treatment

Filename: rational-diagnosis-and-treatment.pdf
ISBN: 0470723688
Release Date: 2008-03-11
Number of pages: 244
Author: Peter Gøtzsche
Publisher: John Wiley & Sons

Download and read online Rational Diagnosis and Treatment in PDF and EPUB Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.


Approach to Internal Medicine

Filename: approach-to-internal-medicine.pdf
ISBN: 9783319118215
Release Date: 2015-10-01
Number of pages: 542
Author: David Hui
Publisher: Springer

Download and read online Approach to Internal Medicine in PDF and EPUB This fully updated 4th Edition of provides an integrated symptom- and issue-based approach with easy access to high yield clinical information. For each topic, carefully organized sections on different diagnoses, investigations, and treatments are designed to facilitate patient care and examination preparation. Numerous clinical pearls and comparison tables are provided to help enhance learning, and international units (US and metric) are used to facilitate application in everyday clinical practice. The book covers many highly important, rarely discussed topics in medicine (e.g., smoking cessation, obesity, transfusion reactions, needle stick injuries, code status discussion, interpretation of gram stain, palliative care), and new chapters on end-of-life care and depression have been added. The fourth edition includes many reader-friendly improvements such as better formatting, intuitive ordering of chapters, and incorporation of the most recent guidelines for each topic. Approach to Internal Medicine continues to serve as an essential reference for every medical student, resident, fellow, practicing physician, nurse, and physician assistant.


Sapira s Art Science of Bedside Diagnosis

Filename: sapira-s-art-science-of-bedside-diagnosis.pdf
ISBN: 9781605474113
Release Date: 2010
Number of pages: 678
Author: Jane M. Orient
Publisher: Lippincott Williams & Wilkins

Download and read online Sapira s Art Science of Bedside Diagnosis in PDF and EPUB This fourth edition teaches the artful science of the patient interview and the physical examination. Clinical pearls, vignettes, step-by-step methods, and explanations of the physiologic significance of findings are included along with a companion Web site.


ABC of Clinical Reasoning

Filename: abc-of-clinical-reasoning.pdf
ISBN: 9781119059127
Release Date: 2016-06-07
Number of pages: 64
Author: Nicola Cooper
Publisher: John Wiley & Sons

Download and read online ABC of Clinical Reasoning in PDF and EPUB Being a good clinician is not just about knowledge – how doctors and other healthcare professionals think, reason and make decisions is arguably their most critical skill. While medical schools and postgraduate training programmes teach and assess the knowledge and skills required to practice as a doctor, few offer comprehensive training in clinical reasoning or decision making. This is important because studies suggest that diagnostic error is common and results in significant harm to patients – and errors in reasoning account for the majority of diagnostic errors. The ABC of Clinical Reasoning covers core elements of the thinking and decision making associated with clinical practice – from what clinical reasoning is, what it involves and how to teach it. Informed by the latest advances in cognitive psychology, education and studies of expertise, the ABC covers: Evidence-based history and examination Use and interpretation of diagnostic tests How doctors think – models of clinical reasoning Cognitive and affective biases Metacognition and cognitive de-biasing strategies Patient-centred evidence based medicine Teaching clinical reasoning From an international team of authors, the ABC of Clinical Reasoning is essential reading for all students, medical professionals and other clinicians involved in diagnosis, in order to improve their decision-making skills and provide better patient care.


The Patient History Evidence Based Approach

Filename: the-patient-history-evidence-based-approach.pdf
ISBN: 9780071624947
Release Date: 2012-06-13
Number of pages: 738
Author: Mark Henderson
Publisher: McGraw Hill Professional

Download and read online The Patient History Evidence Based Approach in PDF and EPUB The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter—an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians


DeGowin s Diagnostic Examination

Filename: degowin-s-diagnostic-examination.pdf
ISBN: 0071409238
Release Date: 2004-05-13
Number of pages: 1040
Author: Richard F. LeBlond
Publisher: McGraw Hill Professional

Download and read online DeGowin s Diagnostic Examination in PDF and EPUB The classic internal medicine manual for students and residents! This handy guide addresses physical examination techniques and procedures while providing a catalog of clinical findings resulting from the physical examination. Thoroughly reorganized, the Eighth Edition of DeGowin’s Diagnostic Examination features a more user-friendly, easy-access format than previous editions.


Social Work ASWB Clinical Exam Guide

Filename: social-work-aswb-clinical-exam-guide.pdf
ISBN: 9780826172013
Release Date: 2015-05-11
Number of pages: 368
Author: Dr. Dawn Apgar, PhD, LSW, ACSW
Publisher: Springer Publishing Company

Download and read online Social Work ASWB Clinical Exam Guide in PDF and EPUB “Dawn gave us the tools we needed to take the exam, and let me tell you—she was on point! Not only did she cover the content areas we needed to focus in on, but she also showed us how to read and interpret the questions on the exam.” —Ammu D. Kowolik, LMSW, McSilver Institute for Poverty Policy and Research Students and social workers preparing for the social work clinical licensure exam will find an invaluable study resource in the Social Work ASWB® Clinical Exam Guide. Written by a prominent social work leader and trainer for social work licensing exams in the United States, this guide is based on years of time-tested exam prep workshops conducted by the author. It mirrors the ASWB Clinical “Knowledge, Skills, and Abilities” upon which the exam is based and incorporates information from the DSM®-5. The guide is comprehensive yet focuses on the material most likely to be included on the exam, so readers can prioritize information as they study. A self-assessment section helps identify strengths and weaknesses before tackling the material. The author shares her extensive knowledge of the exam by providing useful test-taking strategies and tips for overcoming test anxiety. The 170-question practice test at the end of the guide (with explanations of the correct answers) mirrors the actual exam in both length and structure. Content includes human development, human behavior in the environment, diversity, addictions, assessment and diagnosis, treatment planning, clinical interventions, case management, and professional values and ethics. This book will be a valuable asset for social workers throughout the United States and Canada. Key Features: Developed by a highly respected educator of social work licensure candidates Covers all the content areas on the clinical examination, including new content added in 2015 Begins with a self-assessment section to help identify areas of strength and weakness Offers a wealth of test-taking tips and strategies to foster exam confidence Includes a practice test (with explanations of the correct answers) that mirrors the exam ASWB is a registered service mark of the Association of Social Work Boards, which neither sponsors nor endorses this product.


The Complete Guide to ECGs

Filename: the-complete-guide-to-ecgs.pdf
ISBN: 9781449627805
Release Date: 2010-10-25
Number of pages: 558
Author: James H. O'Keefe Jr.
Publisher: Jones & Bartlett Publishers

Download and read online The Complete Guide to ECGs in PDF and EPUB The Study Guide of Choice for Cardiology Programs Around the Nation! The Complete Guide to ECGs has been developed as a unique and practical means for physicians, physicians-in-training, and other medical professionals to improve their ECG interpretation skills. The highly interactive format and comprehensive scope of information are also ideally suited for physicians preparing for the American Board of Internal Medicine (ABIM) Cardiovascular Disease or Internal Medicine Board Exams, the American College of Cardiology ECG proficiency test, and other exams requiring ECG interpretation. The Complete Guide to ECGs is simply the best book on the subject I have ever seen! It is a superb addition to the library of every intern, resident, and fellow, and a uniquely practical and comprehensive study guide for physicians interested in improving their interpretation of ECGs and preparing for board examinations. Features of the Third Edition: Includes a total of 89 ECG cases; 26 of which are new to this edition Entirely new section of self test quizzes called Find the Imposter More than 1000 questions and answers related to ECG interpretation Expanded final section of ECG Criteria Featured sections on approach to ECG interpretation and ECG differential diagnosis


Doing Research in Emergency and Acute Care

Filename: doing-research-in-emergency-and-acute-care.pdf
ISBN: 9781118643471
Release Date: 2016-03-02
Number of pages: 288
Author: Michael P. Wilson
Publisher: John Wiley & Sons

Download and read online Doing Research in Emergency and Acute Care in PDF and EPUB A practical guide to understanding and navigating the unique challenges faced by physicians and other professionals who wish to undertake research in the ED or other acute care setting. Focusing on the hyper-acute and acute care environment and fulfilling two closely-related needs: 1) the need for even seasoned researchers to understand the specific logistics and issues of doing research in the ED; and 2) the need to educate clinically active physicians in research methodology. This new text is not designed to be a complex, encyclopedic resource, but instead a concise, easy-to-read resource designed to convey key “need-to-know” information within a comprehensive framework. Aimed at the busy brain, either as a sit-down read or as a selectively-read reference guide to fill in knowledge gaps, chapters are short, compartmentalized, and are used strategically throughout the text in order to introduce and frame concepts. This format makes it easy - and even entertaining - for the research novice to integrate and absorb completely new (and typically dry) material. The textbook addresses aspects of feasibility, efficiency, ethics, statistics, safety, logistics, and collaboration in acute research. Overall, it grants access for the seasoned researcher seeking to learn about acute research to empathically integrate learning points into his or her knowledge base. As the ED is the primary setting for hyper-acute and acute care, and therefore a prime site for related clinical trial recruitment and interventions, the book presents specific logistical research challenges that researchers from any discipline, including physicians, research nurse coordinators, study monitors, or industry partners, need to understand in order to succeed.


Improving Diagnosis in Health Care

Filename: improving-diagnosis-in-health-care.pdf
ISBN: 9780309377690
Release Date: 2016-01-29
Number of pages: 472
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press

Download and read online Improving Diagnosis in Health Care in PDF and EPUB Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001) finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.


Spasticity

Filename: spasticity.pdf
ISBN: 9781617052422
Release Date: 2015-12-09
Number of pages: 568
Author: Allison Brashear, MD
Publisher: Springer Publishing Company

Download and read online Spasticity in PDF and EPUB Since publication of the first edition, Spasticity: Diagnosis and Management has been the defining reference and go-to source for physicians, therapists, and other healthcare providers who care for patients with spasticity. For this new updated edition, Dr. Brashear and a diverse team of specialists have come together to integrate new research, clinical trials, measurement tools, therapies, and other recent advances that reflect this evolving field. The book is organized into four sections, each of which covers a broad scope of material. The first is a general overview of spasticity and its effects on movement in patients. Other chapters cover epidemiology and ancillary findings commonly associated with spasticity. Part II details assessment tools and measurements, treatment goals, and how to aim for realistic outcomes. Part III outlines various treatment modalities, including heavily updated chapters on the use of botulinum toxin in the upper and lower extremities, guidance techniques for injections, intrathecal baclofen, neuromodulation, surgery, physical therapy, and more. The last section, which contains several new chapters, discusses evaluation of outcomes and management of patients with stroke, traumatic brain injury, spinal cord injuries, multiple sclerosis, cerebral palsy, and cancer, followed by chapters on spasticity management in long-term care facilities and economic considerations. This book remains the most comprehensive guide to diagnosis and management of spasticity in adults and children, and the revised second edition will continue to serve as an invaluable resource for professionals in any discipline who strive to provide quality care to spasticity patients. Key Features: Revised edition of the premier clinical reference on spasticity Incorporates the latest advances in assessment and treatment Contains six entirely new chapters highlighting key topics including Tardieu scale and other measurement tools, ultrasound guidance for botulinum toxin management, spasticity in special populations, emerging therapies, and economic impact More than 200 figures and 70 tables accompany the updated text