Talley and O'Connor's Clinical Examination - 2-Volume Set

9th Edition - September 28, 2021
Authors: Nicholas J. Talley, Simon O’Connor
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 2 9 5 - 4 4 2 4 - 5
eBook ISBN:
9 7 8 - 0 - 7 2 9 5 - 8 9 2 4 - 6
eBook ISBN:
9 7 8 - 0 - 7 2 9 5 - 8 9 2 6 - 0

Talley and O’Connor’s Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice. The text takes an evidenc… Read more

Talley and O'Connor's Clinical Examination - 2-Volume Set

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Talley and O’Connor’s Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice.

The text takes an evidence-based, patient-centric approach to conducting a clinical examination. In Volume 1, readers follow a logical framework ordered by body system, covering history taking, clinical examination and correlation between physical signs and disease for each system. Volume 2 focuses on medical specialties.

Originally written by Nicholas J Talley and Simon O’Connor during their registrar years, this book is uniquely targeted to students undertaking their MD or MBBS and is fully updated with the latest clinical data, including specially commissioned research.

Cover Image
Title Page
Copyright
Table of Contents
Foreword
Preface
Clinical methods: an historical perspective
The Hippocratic oath
VOLUME ONE
Section 1 The general principles of history taking and physical examination
Chapter 1 The general principles of history taking
Bedside manner and establishing rapport
Obtaining the history
Introductory questions
Presenting (principal) symptom
History of the presenting illness
Drug and treatment history
Past history
Social history
Family history
Systems review
Skills in history taking
References
Chapter 2 Taking the history: advanced history taking
Taking a good history
The differential diagnosis
Fundamental considerations when taking the history
Personal history taking
Cross-cultural history taking
Communication
The ‘uncooperative' or ‘difficult' patient
Self-harming and münchhausen syndrome
History taking for the maintenance of good health
The elderly patient
Patient confidentiality
Evidence-based history taking and differential diagnosis
The clinical assessment
Breaking bad news
Concluding the consultation
References
Chapter 3 The general principles of physical examination
Clinical examination
How to start
First impressions
Weight, body habitus and posture
Hydration
The hands and nails
Temperature
Smell
Preparing the patient for examination
Advanced concepts: evidence-based clinical examination
Introduction to the osce (see Introduction to the OSCE video at Student Consult)
References
Section 2 The cardiovascular system
Chapter 4 The cardiovascular history
Presenting symptoms
Risk factors for coronary artery disease
Drug and treatment history
Past history
Social history
Family history
References
Chapter 5 The cardiac examination
Examination anatomy
Positioning the patient
General appearance
Hands
Arterial pulse
Blood pressure
Face
Neck
Praecordium
The back
The abdomen and legs
References
Chapter 6 The limb examination and peripheral vascular disease
Examination anatomy
Peripheral vascular disease
Acute arterial occlusion
Deep venous thrombosis
Varicose veins
Chronic venous disease
References
Chapter 7 Correlation of physical signs disease and cardiovascular disease
Cardiac failure
Chest pain
Pericardial disease
Systemic hypertension
Pulmonary hypertension
Innocent murmurs
Valve diseases of the left heart
Valve diseases of the right heart
Cardiomyopathy
Acyanotic congenital heart disease
Cyanotic congenital heart disease
‘Grown-up' congenital heart disease
References
Chapter 8 A summary of the cardiovascular examination and extending the cardiovascular examination
Extending the cardiovascular physical examination
Reference
Section 3 The respiratory system
Chapter 9 The respiratory history
Presenting symptoms
Other presenting symptoms
Current treatment
Past history
Occupational history
Social history
Family history
References
Chapter 10 The respiratory examination
Examination anatomy
Positioning the patient
General appearance
Hands
Face
Trachea
Chest
The heart
The abdomen
Other
References
Chapter 11 Correlation of physical signs and respiratory disease
Respiratory distress: respiratory failure
Consolidation (lobar pneumonia)
Atelectasis (collapse)
Pleural effusion
Pneumothorax
Tension pneumothorax
Bronchiectasis
Bronchial asthma
Chronic obstructive pulmonary disease (COPD)
Chronic bronchitis
Interstitial lung disease (ILD)
Tuberculosis (TB)
Mediastinal compression
Carcinoma of the lung
Sarcoidosis
Pulmonary embolism (PE)
References
Chapter 12 A summary of the respiratory examination and extending the respiratory examination
Extending the respiratory physical examination
References
Section 4 The gastrointestinal system
Chapter 13 The gastrointestinal history
Presenting symptoms
Treatment
Past history
Social history
Family history
References
Chapter 14 The gastrointestinal examination
Examination anatomy
Positioning the patient
General appearance
Hands
Arms
Face
Bilateral
Neck and chest
Abdomen
Hepatomegaly
Hernias
Rectal examination
Other
Examination of the gastrointestinal contents
Urinalysis
References
Chapter 15 Correlation of physical signs and gastrointestinal disease
Examination of the acute abdomen
Liver disease
Portal hypertension
Hepatic encephalopathy
Dysphagia
Gastrointestinal bleeding
Inflammatory bowel disease
Malabsorption and nutritional status
References
Chapter 16 A summary of the gastrointestinal examination and extending the gastrointestinal examination
Extending the gastrointestinal examination
Imaging the gastrointestinal system
Section 5 The genitourinary system
Chapter 17 The genitourinary history
Presenting symptoms
Menstrual and sexual history
Treatment
Past history
Social history
Family history
References
Chapter 18 The genitourinary examination
Examination anatomy
The examination
General appearance
Hands
Arms
Face
Neck
Chest
The abdominal examination
The back
Legs
Blood pressure
Fundi
Male genitalia
References
Chapter 19 A summary of the examination of chronic kidney disease and extending the genitourinary examination
Extending the genitourinary examination
Reference
Section 6 The haematological system
Chapter 20 The haematological history
Haematological disorders
Presenting symptoms
Treatment history to ask about
Past history
Social history
Family history
Chapter 21 The haematological examination
Examination anatomy
General appearance
Hands
Epitrochlear nodes
Axillary nodes
Face
Cervical and supraclavicular nodes
Bone tenderness
The abdominal examination
Inguinal nodes
Legs
Fundi
References
Chapter 22 A summary of the haematological examination and extending the haematological examination
Extending the haematological physical examination
Section 7 The rheumatological system
Chapter 23 The rheumatological history
Presenting symptoms
Treatment history
Recent and past history
Social history
Family history
References
Chapter 24 The rheumatological examination
Examination anatomy
Principles of joint examination
Assessment of individual joints
References
Chapter 25 Correlation of physical signs with rheumatological and musculoskeletal disease
Rheumatoid arthritis
Seronegative spondyloarthritides
Gouty arthritis
Calcium pyrophosphate arthritis (pseudogout)
Calcium hydroxyapatite arthritis
Osteoarthritis
Systemic lupus erythematosus
Systemic sclerosis (scleroderma and CREST)
Mixed connective tissue disease (MCTD)
Rheumatic fever
The vasculitides
Soft-tissue rheumatism
Nerve entrapment syndromes
References
Chapter 26 A summary of the rheumatological examination and extending the rheumatological examination
Extending the rheumatological system examination
References
Section 8 The endocrine system
Chapter 27 The endocrine history
Presenting symptoms
Risk factors for diabetes (metabolic syndrome)
Past history and treatment
Social history
Family history
References
Chapter 28 The endocrine examination
The thyroid
The pituitary
The adrenals
References
Chapter 29 Correlation of physical signs and endocrine disease
Diabetes mellitus
Calcium metabolism
Osteoporosis and osteomalacia
Syndromes associated with short stature
Hirsutism
Gynaecomastia
Paget's disease
References
Chapter 30 A summary of the endocrine examination and extending the endocrine examination
The endocrine examination: a suggested method
Extending the endocrine physical examination
Section 9 The nervous system
Chapter 31 The neurological history
Starting off
Presenting symptoms
Past health
Medication history
Social history
Family history
References
Chapter 32 The neurological examination: general signs and the cranial nerves
A preamble regarding the neurological examination
Examination anatomy
General signs
The cranial nerves
Examination of the face
References
Chapter 33 The neurological examination: speech and higher centres
Speech
The cerebral hemispheres
References
Chapter 34 The neurological examination: the peripheral nervous system
Limbs and trunk
References
Chapter 35 Correlation of physical signs and neurological syndromes and disease
Upper motor neurone lesions
Lower motor neurone lesions
Motor neurone disease
Peripheral neuropathy
Guillain–barré syndrome (acute inflammatory polyradiculoneuropathy)
Multiple sclerosis
Thickened peripheral nerves
Spinal cord compression
Important spinal cord syndromes
Myopathy
Dystrophia myotonica
Myasthenia gravis
The cerebellum
Parkinson's disease
Other extrapyramidal movement disorders (dyskinesia)
The unconscious patient
References
Chapter 36 A summary of the neurological examination and extending the neurological examination
Extending the neurological examination
Diagnostic testing
VOLUME TWO
Section 10 Paediatric and neonatal history and examination
Chapter 37 The paediatric history and examination
Principles of paediatric history taking and examination
Paediatric history taking
General physical examination
Adolescent history and examination
Physical examination for suspected child abuse (see Text box 37.6)
References
Chapter 38 The neonatal history and examination
The history
The physical examination
References
Section 11 Women's health history and examination
Chapter 39 The obstetric history and examination
The obstetric history
Early pregnancy symptoms
Minor symptoms in pregnancy
Major symptoms in pregnancy
History
Examination anatomy
Examination
References
Chapter 40 The gynaecological history and examination
History
Examination
References
Chapter 41 The breasts: history and examination
Examination anatomy
History
Examination
Evaluation of a breast lump
References
Section 12 Specialty system history and examination
Chapter 42 The eyes, ears, nose and throat
Eyes
Ears
Nose and sinuses
Mouth and throat
Common investigations
References
Chapter 43 The skin and lumps
Examination anatomy
Dermatological history
General principles of physical examination of the skin
How to approach the clinical diagnosis of a lump
Correlation of physical signs and skin disease
The nails
References
Chapter 44 The older person assessment
History taking in older persons: special considerations
Physical examination in older persons: special considerations
References
Chapter 45 Approaching infectious diseases
Pyrexia of unknown origin
HIV infection and AIDS
References
Section 13 Mental health history and examination
Chapter 46 The mental health history and mental state examination
The history
Obtaining the history
The mental state examination
The diagnosis
Examples of important psychiatric illnesses
References
Section 14 Acute care and end of life
Chapter 47 The acutely ill patient
Initial assessment
Level of consciousness
Delirium
Further examination
References
Chapter 48 The pre-anaesthetic medical evaluation (PAME)
The history
The examination
Chapter 49 Assessment of death
Assessment
Informing relatives
Completing the death certificate
Postmortem
Organ donation
Section 15 Adult history taking and examination in the wards and clinics
Chapter 50 Writing and presenting the adult history and physical examination
History
Physical examination (PE)
Provisional diagnosis
Problem list and plans
Continuation notes
Presentation1
Reference
Chapter 51 A suggested method for a rapid screening adult physical examination
Hands and arms
Face
Front of the neck
Chest
Back of the chest and neck
Abdomen
Legs
Neurological examination
Completing the examination
Index

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Nicholas J. Talley

Simon O’Connor