This book has been prepared by professionals working in the UK and sets out the principles and practice of EBM in primary care diagnosis. Giving guidance on over 100 symptoms and disorders, the book illustrates the fundamental issues: that the value of a history, examination and investigation depends on the patient's prior probability of disease and on the setting and expertise of the doctor. Many chapters feature "red flags" - elements of the history or examination that should alert us to the possibility of serious disease, which are vital for general practice.
Part I. Symptoms Altered bowel habit Bleeding in early pregnancy Breast problems A cardiac murmur Chest pain Constipation Convulsions in adults Cough Deafness Delirium Diarrhoea Dizziness Dyspepsia Dyspnoea Dysuria and other acute urinary symptoms in men Dysuria, nocturia, frequency and urgency in women Erectile dysfunction Fatigue Fertility problems Haematuria Haemoptysis Headache Heartburn Insomnia Intermittent claudication Lower urinary tract symptoms in men (LUTS) A lump in the neck Memory loss and dementia Menorrhagia Neck pain Pain and tingling in the arm and hand Pain in the face Palpitations A pigmented skin lesion Pleuritic chest pain Rectal bleeding Rhinorrhoea Sleepiness The swollen leg Syncope Tinnitus Tremor Vaginal discharge Weight loss
Edited by Andrew Polmear, MA, MSC, FRCP, FRCGP, Former Senior Research Fellow, Academic Unit of Primary Care, The Trafford Centre for Medical Education and Research, University of Sussex; former General Practitioner, Brighton and Hove, UK
246 X 189 (7 11/16 x 9 7/16)
Please allow 2 - 3 weeks for delivery
"This book is a great leap forward in being able to encourage the use of evidence within the primary care consultation for any and every GP...This is the ideal companion to the working GP that allows for evidenced based decisions within the daily workload." BMA Book Awards 2009 - judges comments