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E-grāmata: Helping Hands: An Introduction to Diagnostic Strategy and Clinical Reasoning

(Honorary Senior Clinical Lecturer, Nuffield Dept Primary Care Health Sciences and Associate Director, Graduate-entry Medicine, University of Oxford;), (ST3 GP Trainee, Cambridge VTS, Health Education East of England, Cambridgeshire, UK)
  • Formāts: 168 pages
  • Izdošanas datums: 18-Oct-2019
  • Izdevniecība: CRC Press
  • Valoda: eng
  • ISBN-13: 9780429825057
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  • Formāts: 168 pages
  • Izdošanas datums: 18-Oct-2019
  • Izdevniecība: CRC Press
  • Valoda: eng
  • ISBN-13: 9780429825057
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This brand-new textbook introduces medical students, junior doctors, medical educators and allied health professionals to the vital skills of diagnostic strategy and clinical reasoning, both essential components of becoming an effective clinician. Taking the examination of the hands as a springboard often the initial step in physical examination and from which a wealth of information can be gleaned through real-life clinical cases readers are encouraged to refine their powers of observation and decision-making strategy.

Key features:

Encourages a conscious approach to clinical reasoning see rather than just look

Develops an understanding of why all clinicians can be responsible for diagnostic mistakes and how, with a raised awareness, they can work towards avoiding error

Outlines approaches that can be used when taking a history and when examining patients in any clinical setting

Bundled e-book for use on the go while the companion website provides additional materials for students and lecturers including self-assessment questions and teaching guidance

Outlining the process of formulating and refining an initial diagnosis, in using this book the medical student or junior doctor will develop a critical self-awareness of the strategies they employ in assessing patients, learn how to improve and enhance their skills, and feel enabled to craft an appropriate management plan.

Recenzijas

"This is a helpful guide on evidence-based clinical reasoning in early patient contact for medical students. It is a first edition book published in the United Kingdom.

Eleven chapters present discussions on clinical reasoning, diagnostic strategy, the history and examination, spot diagnosis and pattern recognition, red and yellow flags, restricted rule-outs, probabilistic reasoning, test of time, test of treatment, and various case studies. Full-color photographs are well presented. The case study chapters impart a classical Socratic method of teaching with questions that lead readers to diagnoses through various concepts (e.g., red and yellow flags). There are some references included, but this is appropriate as the book's objective is to teach students how to approach patients rather than present a study of specific conditions.

As an introductory text for medical students early on their journey into medicine, this is a practical text. "

Vincent F Carr, DO, MSA, FACC, FACP Uniformed Services University of the Health Sciences

Preface i
Acknowledgements xi
About the authors xiii
1 Introduction
1(2)
References
2(1)
2 Clinical reasoning
3(6)
Why it is important to study clinical reasoning
3(1)
Diagnostic closure
4(1)
How doctors think
4(1)
Comparing system 1 thinking and system 2 thinking
5(1)
Improving clinical reasoning
6(1)
References
7(2)
3 Diagnostic strategy
9(10)
Clinical decision making and factors that affect it
9(1)
Selected strategies employed by clinicians to aid decision making
10(1)
Additional strategies and diagnostic aids
10(3)
Diagnostic error
13(2)
Metacognition and cognitive strategies to avoid error
15(1)
References
16(3)
4 The history
19(20)
Introduction
19(1)
Information gathering
20(1)
Specific approaches in history taking
20(3)
Case 4.1
23(5)
Case 4.2
28(8)
References
36(3)
5 The examination
39(26)
Introduction
39(1)
Evidence-based examination
40(1)
Initial impression
40(1)
Observational skills and visual literacy
41(1)
Using the hand photographs in this book to help develop observational skills and visual literacy
41(3)
A note on skin examination
44(1)
Case 5.1
45(3)
Case 5.2
48(7)
Case 5.3
55(5)
Case 5.4
60(4)
References
64(1)
6 Spot diagnosis and pattern recognition
65(18)
Introduction
65(1)
Dangers of spot diagnosis and pattern recognition
66(1)
Cases in this chapter
66(1)
Case 6.1
67(4)
Case 6.2
71(3)
Case 6.3
74(7)
References
81(2)
7 Red and yellow flags
83(14)
Introduction
83(1)
Identifying the red flags for a particular condition
84(1)
Avoiding errors
84(1)
Yellow flags
84(1)
The cases
85(1)
Case 7.1
86(4)
Case 7.2
90(3)
Case 7.3
93(3)
References
96(1)
8 Restricted rule-outs
97(12)
Introduction
97(1)
`Safe' safety netting
98(1)
Case 8.1
99(5)
Case 8.2
104(4)
References
108(1)
9 Probabilistic reasoning
109(20)
Introduction
109(1)
Using probabilities in clinical reasoning
110(1)
Thinking about a diagnostic process that uses probabilistic reasoning
111(1)
Case 9.1
112(8)
Case 9.2
120(8)
References
128(1)
10 Test of time and test of treatment
129(14)
Introduction
129(1)
Test of time
129(1)
Test of treatment
130(1)
Case 10.1
131(7)
Case 10.2
138(4)
References
142(1)
11 Further cases
143(10)
Introduction
143(1)
Case 11.1
144(4)
Case 11.2
148(4)
Reference
152(1)
Index 153
Caroline Rodgers is a GP Trainee, Cambridge VTS, Health Education East of England, Cambridgeshire, UK



Richard Harrington is Honorary Senior Clinical Lecturer, Nuffield Dept Primary Care Health Sciences and Associate Director, Graduate-entry Medicine, University of Oxford and a GP Partner, The Rycote Practice, Thame, Oxfordshire, UK