Advanced Health Assessment & Clinical Diagnosis in Primary Care , 6th Edition

By Joyce E. Dains, DrPH, JD, RN, FNP-BC, FNAP, FAANP, Linda Ciofu Baumann, PhD, APRN, BC, FAAN and Pamela Scheibel, MSN, RN, CPNP
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Learn to accurately diagnose the majority of patients seen in today's primary care settings! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition goes beyond basic history and physical examination skills to help you learn the diagnostic reasoning process. You will develop this key skill by following assessment guidelines that focus on a specific complaint rather than beginning with a previously established diagnosis or disease entity. Written by advanced practitioners, this edition includes a new chapter on The Transgender Patient that gives you the knowledge you need to properly assess and care for this underserved patient population. It also features expanded coverage of geriatrics, highly infectious diseases, coordination with the interprofessional healthcare team, genetics/genomics in lab testing and family history, updates on psychiatric-mental health problems, and more!


Key Features
  • A clear, consistent diagnostic reasoning process takes you to the next step of health assessment - beyond basic history and physical examination to diagnostic reasoning.
  • Diagnostic Reasoning: Focused History sections use "self-questions" to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
  • Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings.
  • Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify.
  • Laboratory and Diagnostic Studies sections outline the types of tests that might be appropriate based on the focused history and focused physical examination.
  • Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies.
  • Differential Diagnosis tables provide you with a quick-reference summary of possible diagnoses for each patient problem.
  • Evidence-Based Practice boxes - more than 30 are NEW - summarize the scientific evidence related to the diagnosis of patient problems.
  • Evidence-Based Preventive Health Screening chapter helps you to screen for common asymptomatic conditions and in promoting wellness.
  • Information on screening for abuse and sexual assault helps you identify patients who might need additional support or intervention.
  • List of Chapters by Body System provides a convenient Table of Contents organized by different body systems.

New to this Edition
  • NEW! Updated content throughout, includes special focus on genetics/genomics, psychiatric-mental health issues, geriatrics, and more.
  • NEW! Chapter on The Transgender Patient equips providers with the necessary knowledge to properly assess and care for this growing patient population.
  • NEW! Interprofessional team of reviewers ensures content is appropriate for Nurse Practitioners, Physician Assistants, Respiratory Therapists, and other providers, as well as ensuring that referral information promotes effective interprofessional collaboration.
  • NEW! A smaller, more convenient size makes it easy to have this this essential reference handy in a lab-coat pocket, and expanded color illustrations and full-color design enhance content, with colored thumb tabs making it easier for you to find the information you need.
  • NEW! Updated information on psychiatric/mental health problems reflects the latest changes in practice as well as changes to the DSM.
ISBN 9780323676625
Table of Content


1. Clinical Reasoning, Differential Diagnosis, Evidence-Based Practice, and Symptom Analysis

2. Evidence-Based Health Screening


3. Abdominal Pain

4. Affective Changes

5. Amenorrhea

6. Breast Lumps and Nipple Discharge

7. Breast Pain

8. Chest Pain

9. Confusion in Older Adults

10. Constipation

11. Cough

12. Diarrhea

13. Dizziness

14. Dyspnea

15. Earache

16. Fatigue

17. Fever

18. Genitourinary Problems in Males

19. Headache

20. Heartburn and Indigestion

21. Hoarseness

22. Lower Extremity Limb Pain

23. Upper Extremity Limb Pain

24. Low Back Pain (Acute)

25. Nasal Symptoms and Sinus Congestion

26. Palpitations

27. Penile Discharge

28. Rashes and Skin Lesions

29. Rectal Pain, Itching, and Bleeding

30. Red Eye

31. Sleep Problems

32. Sore Throat

33. Syncope

34. Urinary Incontinence

35. Urinary Problems in Females and Children

36. Vaginal Bleeding

37. Vaginal Discharge and Itching

38. Vision Loss

39. Weight Loss/Gain (Unintentional)


40. The Abdominal X-Ray

41. The Chest X-Ray


42. The Transgender Patient


Author Informaiton By Joyce E. Dains, DrPH, JD, RN, FNP-BC, FNAP, FAANP, Associate Professor, Department of Nursing, The University of Texas; The University of Texas MD Anderson Cancer Center, Houston, Texas; Linda Ciofu Baumann, PhD, APRN, BC, FAAN, Professor, School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin and Pamela Scheibel, MSN, RN, CPNP, Clinical Professor, School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin
Publication Date 01-03-2019
Stock Status In Stock
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