History and Clinical Examination at a Glance

DESCRIPTION

Every medical student must be able to take an accurate history and perform a physical examination. This third edition of History and Clinical Examination at a Glance provides a concise, highly illustrated companion which will help you develop these critical skills as you practice on the wards. This book is the perfect guide for medical, and health science students and junior doctors, as an ideal resource for clinical attachments, last minute revision, or whenever a refresher is needed.

TABLE OF CONTENTS

• Preface.
• List of abbreviations.

Part 1 Communication Skills.

• Fundamental communication skills.
• Communicating information.
• Communicating bad news.
• Communicating with relatives.
• Cultural differences.
• Exploring sensitive issues.
• History and examination in Clinical Exams.

Part 2 Taking a history.

• Relationship with patient.
• History of presenting complaint.
• Past medical history, drugs and allergies.
• Family and social history.
• Functional enquiry.

Part 3 History and examination of the systems.

• Is the patient ill?
• Principles of examination.
• The cardiovascular system.
• The respiratory system.
• The gastrointestinal system.
• The male genitourinary system.
• Gynaecological history and examination.
• Breast examination.
• Obstetric history and examination.
• The nervous system.
• The musculoskeletal system.
• Skin.
• The visual system.
• Examination of the ears, nose, mouth, throat, thyroid and neck.
• Examination of urine.
• The psychiatric assessment.
• Examination of the legs.
• General examination.
• Presenting a history and examination.

Part 4 Presentations.

• Chest pain.
• Abdominal pain.
• Headache.
• Vomiting, diarrhoea and change in bowel habit.
• Gastrointestinal haemorrhage.
• Indigestion and dysphagia.
• Weight loss.
• Fatigue.
• The unconscious patient.
• The intensive care unit patient.
• Back pain.
• Hypertension.
• Swollen legs.
• Jaundice.
• Postoperative fever.
• Suspected meningitis.
• Anaemia.
• Lymphadenopathy.
• Cough.
• Confusion.
• Lump.
• Breast lump.
• Palpitations/arrhythmias.
• Joint problems.
• Red eye.
• Dizziness.
• Breathlessness.
• Dysuria and haematuria.
• Attempted suicide.
• Immunosuppressed patients.
• Diagnosing death.
• Shock.
• Trauma.
• Alcohol-related problems.
• Collapse.

Part 5 Conditions.

• Cardiovascular.
• Myocardial infarction and angina.
• Hypovolaemia.
• Heart failure.
• Mitral stenosis.
• Mitral regurgitation.
• Aortic stenosis.
• Aortic regurgitation.
• Tricuspid regurgitation.
• Pulmonary stenosis.
• Congenital heart disease.
• Aortic dissection.
• Aortic aneurysm.
• Infective endocarditis.
• Pulmonary embolism and deep vein thrombosis.
• Prosthetic cardiac valves.
• Peripheral vascular disease.
• Endocrine/metabolic.
• Diabetes mellitus.
• Hypothyroidism and hyperthyroidism.
• Addison’s disease and Cushing’s syndrome.
• Hypopituitarism.
• Acromegaly.
• Nephrology and urology.
• Renal failure.
• Polycystic kidney disease.
• Nephrotic syndrome.
• Urinary symptoms.
• Testicular lumps.
• Gastrointestinal.
• Chronic liver disease.
• Inflammatory bowel disease.
• Splenomegaly/hepatosplenomegaly.
• Acute abdomen.
• Pancreatitis.
• Abdominal mass.
• Appendicitis.
• Respiratory.
• Asthma.
• Pneumonia.
• Pleural effusion.
• Fibrosing alveolitis, bronchiectasis, cystic fibrosis and sarcoidosis.
• Carcinoma of the lung.
• Chronic obstructive pulmonary disease.
• Pneumothorax.
• Tuberculosis.
• Neurology
• Stroke.
• Parkinson’s disease.
• Motor neurone disease.
• Multiple sclerosis.
• Peripheral neuropathy.
• Carpal tunnel syndrome.
• Myotonic dystrophy and muscular dystrophy.
• Myaesthenia gravis
• Cerebellar disorders.
• Dementia.
• Musculoskeletal.
• Rheumatoid arthritis.
• Osteoarthritis and osteoporosis.
• Gout and Paget’s disease.
• Ankylosing spondylitis.
• Other.
• Systemic lupus erythematosus and vasculitis.
• Malignant disease.
• Scleroderma.
• AIDS and HIV.

• Appendix: A self-assessment framework of communication skills in history and examination.
• Index.