Advanced Health Assessment & Clinical Diagnosis in Primary Care

Advanced Health Assessment & Clinical Diagnosis in Primary Care

6th Edition - December 22, 2018

Write a review

  • Authors: Joyce Dains, Linda Baumann, Pamela Scheibel
  • Paperback ISBN: 9780323676625
  • Paperback ISBN: 9780323554961
  • eBook ISBN: 9780323594547

Purchase options

Institutional Subscription

Free Global Shipping
No minimum order

Description

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!

Key Features

  • 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.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • List of chapters by body system
  • Copyright
  • Reviewers
  • Acknowledgments
  • Introduction
  • PART I. AN INTRODUCTION TO CLINICAL REASONING
  • 1.  Clinical reasoning, evidence-based practice, and symptom analysis
  •     Diagnostic reasoning
  •     The diagnostic process
  •     Expert versus novice practitioners
  •     Developing clinical reasoning
  •     Negotiating goals and expectations of a patient encounter
  •     Evidence-based practice
  •     Summary
  • 2.  Evidence-based clinical practice guidelines
  •     Steps in evidence-based practice
  •     Sources of evidence
  •     Levels of prevention
  •     Population versus targeted screening
  •     Ethical guidelines for screening
  •     Summary
  • PART II. COMMON SYMPTOMS IN PRIMARY CARE
  • 3.  Abdominal pain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  •     Chronic conditions that cause lower abdominal pain
  •     Chronic conditions that cause upper abdominal pain
  • 4.  Affective changes
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 5.  Amenorrhea
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 6.  Breast lumps and nipple discharge
  •     Diagnostic reasoning: Focused history for breast lumps
  •     Diagnostic reasoning: Focused history for nipple discharge
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 7.  Breast pain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 8.  Chest pain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis of common causes of emergent chest pain
  • 9.  Confusion in older adults
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 10.  Constipation
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 11.  Cough
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 12.  Diarrhea
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 13.  Dizziness
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 14.  Dyspnea
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 15.  Earache
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 16.  Fatigue
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 17.  Fever
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 18.  Genitourinary problems in patients with male genitalia
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 19.  Headache
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 20.  Heartburn and indigestion
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 21.  Hoarseness
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 22.  Lower extremity limb pain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 23.  Upper extremity limb pain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  •     Nonemergent causes of upper extremity pain
  • 24.  Low back pain (acute)
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 25.  Nasal symptoms and sinus congestion
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 26.  Palpitations
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 27.  Penile discharge
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 28.  Rashes and skin lesions
  •     Diagnostic reasoning: Initial focused physical examination
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 29.  Rectal pain, itching, and bleeding
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 30.  Red eye
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 31.  Sleep problems
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 32.  Sore throat
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 33.  Syncope
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 34.  Urinary incontinence
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 35.  Urinary problems in patients with female genitalia
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Differential diagnosis
  • 36.  Vaginal bleeding
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 37.  Vaginal discharge and itching
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 38.  Vision loss
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 39.  Unintentional weight loss or gain
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Differential diagnosis
  • 40.  Abdominal X-ray
  •     Diagnostic reasoning: Viewing the abdominal image
  •     Diagnostic reasoning: Systematic examination
  • 41.  Chest X-ray
  •     Diagnostic reasoning: Viewing the chest image
  •     Diagnostic reasoning: Systematic examination
  • 42.  Care of transgender patients
  •     Diagnostic reasoning: Focused history
  •     Diagnostic reasoning: Focused physical examination
  •     Laboratory and diagnostic studies
  •     Special health concerns
  •     Guidelines and standards for care
  • References
  • Index
  • Inside back cover

Product details

  • No. of pages: 642
  • Language: English
  • Copyright: © Mosby 2019
  • Published: December 22, 2018
  • Imprint: Mosby
  • Paperback ISBN: 9780323676625
  • Paperback ISBN: 9780323554961
  • eBook ISBN: 9780323594547

About the Authors

Joyce Dains

Affiliations and Expertise

Professor and Executive Director, Advanced Practice;The University of Texas M. D. Anderson Cancer Center,Houston, Texas

Linda Baumann

Affiliations and Expertise

Professor, School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin

Pamela Scheibel

Affiliations and Expertise

Clinical Professor, School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin

Ratings and Reviews

Write a review

There are currently no reviews for "Advanced Health Assessment & Clinical Diagnosis in Primary Care"