本书以患者为中心，涵盖了临床常见的154个主题。提供了从病史采集、体格检查到作出诊断需要的所有知识。书中出现的医学术语均为常见词，浅显易懂。内容简洁精要，提纲挈领，易学易记。适合刚入临床的住院医生、实习生、医学生、全科医生阅读。
【内容简介】
临床诊断是医学的核心。繁忙的全科医生、医院医生和护士，常常需要在有限的时间内对患者进行临床诊断。本书向读者讲授如何快速、有效、准确、安全地收集临床信息。作者采用针对性的方法，为常见和重要的临床情景循序渐进地提供诊断策略，特别是摔倒、体重减轻、糖尿病等需要进行“横向”和整体思维的情况。
【作者简介】
克努特·施罗德（Knut Schroeder）是英国布里斯托大学医学专业高级讲师。他的主要研究方向是临床评估和诊断。
【目录】
Foreword, xi
Preface to 1st edition
Preface to 2nd edition
About the author
Acknowledgements
Selected useful resources
The focused consultation
Focused clinical assessment,
Useful consultation tools8
Red flags in general practice
Undifferentiated and miscellaneous presentations
Suspected cancer
Weight loss
Tiredness
Dizziness
Chronic pain
Sudden collapse and syncope
Frequent attenders
Medication review and polypharmacy
Medically unexplained symptoms
Insomnia
Irritability and ‘stress’
Homelessness
Paediatrics and adolescent health
The sick and/or feverish child
Suspected meningococcal meningitis and septicaemia
Neonatal jaundice
Faltering growth
Headache and migraine in children
Head injury in children
Suspected cancer in children and adolescents
Abdominal pain in children
Hearing loss in children
Childhood cough
Childhood wheeze
Constipation in children
Childhood obesity
Suspected child abuse and neglect
Nocturnal enuresis
Knee problems in children
Hip problems in children
Adolescent health problems
Self-harm in teenagers
Eating disorders
Autism-spectrum disorder
Cardiovascular
Chest pain
Palpitations
Cardiovascular risk assessment
Hypertension
Atrial fibrillation
Heart failure
Peripheral vascular disease
Respiratory
Shortness of breath
Haemoptysis
Suspected lung cancer
Asthma
Chronic obstructive pulmonary disease
Suspected pneumonia
Pleural effusion
Pulmonary embolism
Endocrine and metabolic
Diabetes review
Obesity
Hirsutism in women
Hypothyroidism
Hyperthyroidism
Hyponatraemia
Hypernatraemia
Hypokalaemia
Hyperkalaemia
Hypocalcaemia
Hypercalcaemia
Gastrointestinal
Nausea and vomiting
Dysphagia
Dyspepsia and reflux
Upper gastrointestinal bleeding and melaena
Abdominal pain
Constipation
Diarrhoea
Rectal bleeding and suspected bowel cancer
Abnormal liver function tests
Irritable bowel syndrome
Inflammatory bowel disease
Coeliac disease
Infectious diseases
Fever of unknown origin
Fever and illness in the returning traveller
HIV infection and AIDS
Tuberculosis
Rheumatic fever
Haematology
Iron-deficiency anaemia
Macrocytic anaemia (B12 and folate deficiency)
Bleeding disorders
Myeloma
Musculoskeletal
Soft-tissue injury
Acute hot and swollen joint
Chronic musculoskeletal pain
Polyarthralgia
Neck pain
Back pain
Shoulder and arm problems
Elbow problems
Hand problems
Hip pain
Groin problems
Leg pain and/or swelling
Knee pain
Foot and ankle problems
Gout
Osteoporosis
Neurology
Headache
Transient ischaemic attack and stroke
Head injury in adults
Suspected or confirmed brain tumour
Tremor
Motor neurone disease
Peripheral neuropathy
Multiple sclerosis
Gynaecology
Combined oral contraception
Menorrhagia
Amenorrhoea
Breast lumps
Loss of libido
Polycystic ovary syndrome
Suspected ovarian cancer
Obstetrics
Routine antenatal care
Bleeding in early pregnancy
Abdominal pain in pregnancy
Pre-eclampsia
Urology and renal medicine
Suspected urinary tract infection in women
Lower urinary tract symptoms in men
Urinary incontinence
Urethral discharge in men
Scrotal and testicular problems
Erectile dysfunction
Renal or ureteric colic (kidney stones)
Haematuria
Chronic kidney disease
Mental health
Depression
Self-harm and harm to others
Anxiety, phobias and panic disorder
Alcohol screening
Alcohol dependence
Illicit drug misuse
Obsessive–compulsive disorder
Mania
Schizophrenia
Skin
Moles and malignant melanoma
Pressure ulcers
Ophthalmology
Eye injuries
The acute red eye
Gradual painless visual disturbance
Sudden painless visual disturbance
Eye problems in older people,
Ear, nose and throat
Neck swelling,
Sore throat,
Ear pain
Hearing loss in adults
Tinnitus
Sinusitis and facial pain
Problems in older people
General health assessment in older people
Cognitive problems and dementia
Falls in older people
Delirium and acute confusional state
Depression in older people
Palliative and end-of-life care
Parkinson’s disease
Index
【前言】
Preface to 2nd edition
This new 2nd edition of The 10-Minute Clinical Assessment continues to give you all the information you need to carry out an effective and focused clinical assessment in general practice.
We have fully revised all the chapters using the latest key references, including the latest guidance from the National Institute for Health and Care Excellence (NICE).
Based on feedback and suggestions, especially from medical students and general practitioners in training, we have also added the following three new chapters on topics that are right at the heart of general practice:
Focused Clinical Assessment. Discover how to become more patient-centred, learn some useful tricks of the trade and explore how you can save time in the consultation without compromising on quality.
Useful Consultation Tools. Find better ways of asking questions and – more importantly – getting patients to talk. Uncovering how you can become a more effective listener and explore sensitive topics under time constraints, this chapter is packed with tips for conducting more effective consultations.
Red Flags in General Practice. Learn how to spot important warning signs of serious disease and how to make sense of red flags, and find useful advice on avoiding serious medical errors.
I hope not only that this book will help you provide excellent care for your patients, but also that it supports you in becoming a more effective, better and happier doctor.
Wishing you all the best for your career,
Knut Schroeder
Bristol
June 2016
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