Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition, is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice.
Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process:
Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis.
Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings.
Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis.
Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated.
Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses.
New to this Edition
Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference.
Three new chapters:
Chapter 23: Palpitations
Chapter 36: Weight Loss/Gain (Unintentional)
Chapter 38: The Abdominal X-ray
Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.
1. Clinical Reasoning, Differential Diagnosis, and Evidence-Based Practice
PART II. COMMON SYMPTOMS IN PRIMARY CARE
2. Abdominal Pain
3. Affective Changes
5. Breast Lumps and Nipple Discharge
6. Breast Pain
7. Chest Pain
8. Confusion in Older Adults
17. Genitourinary Problems in Males
20. Limb Pain
21. Low Back Pain, Acute
22. Nasal Symptoms and Sinus Congestion
23. Palpitations (NEW!)
24. Penile Discharge
25. Rashes and Skin Lesions
26. Rectal Pain, Itching, and Bleeding
27. Red Eye
28. Sleep Problems
29. Sore Throat
31. Urinary Incontinence
32. Urinary Problems in Females and Children
33. Vaginal Bleeding
34. Vaginal Discharge and Itching
35. Vision Loss
36. Weight Loss/Gain (Unintentional) (NEW!)
PART III. DIAGNOSTIC IMAGING
37. The Chest X-ray
38. The Abdominal X-ray (NEW!)
By Joyce E. Dains, DrPH, JD, RN, FNP, BC, DPNAP, Advanced Practice Nursing Program Director, The University of Texas, MD Anderson Cancer Center, Houston, TX; Linda Ciofu Baumann, PhD, APRN, BC, FAAN, Professor and Associate Dean, Academic Nursing Practice, University of Wisconsin-Madison, Madison, WI and Pamela Scheibel, RN, MSN, CPNP, Clinical Professor, University of Wisconsin-Madison, School of Nursing, Madison, WI