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Index
Title page
Table of Contents
Copyright
Reviewers
Acknowledgments
Introduction
How to use
PART I: AN INTRODUCTION TO CLINICAL REASONING
Chapter 1: Clinical reasoning, differential diagnosis, evidence-based practice, and symptom analysis
Diagnostic reasoning
The diagnostic process
Expert versus novice clinicians
Developing clinical judgment
Negotiating goals and expectations of a patient encounter
Evidence-based practice
Summary
PART II: COMMON SYMPTOMS IN PRIMARY CARE
Chapter 2: Abdominal pain
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Acute conditions that cause abdominal pain
Chronic conditions that cause lower abdominal pain
Chronic conditions that cause upper abdominal pain
Chapter 3: Affective changes
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 4: Amenorrhea
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 5: 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
Chapter 6: Breast pain
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 7: Chest pain
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 8: Confusion in older adults
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 9: Constipation
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 10: Cough
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 11: Diarrhea
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 12: Dizziness
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 13: Dyspnea
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 14: Earache
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 15: Fatigue
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 16: Fever
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 17: Genitourinary problems in males
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 18: Headache
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 19: Hoarseness
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 20: Limb pain
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 21: Low back pain (acute)
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 22: Nasal symptoms and sinus congestion
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 23: Palpitations
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 24: Penile discharge
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 25: 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
Chapter 26: Rectal pain, itching, and bleeding
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 27: Red eye
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 28: Sleep problems
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 29: Sore throat
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 30: Syncope
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 31: Urinary incontinence
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 32: Urinary problems in females and children
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 33: Vaginal bleeding
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 34: Vaginal discharge and itching
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 35: Vision loss
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Laboratory and diagnostic studies
Differential diagnosis
Chapter 36: Weight loss/gain (unintentional)
Diagnostic reasoning: focused history
Diagnostic reasoning: focused physical examination
Differential diagnosis
PART III: DIAGNOSTIC IMAGING
Introduction
Chapter 37: The chest x-ray
Diagnostic reasoning: viewing the chest image
Diagnostic reasoning: systematic examination
Chapter 38: The abdominal x-ray
Diagnostic reasoning: viewing the abdominal image
Diagnostic reasoning: systematic examination
Appendixes
APPENDIX A: Conversion tables
APPENDIX B: Temperature equivalents
APPENDIX C: Body mass index chart
Index
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