Hutchison Clinical methods 24th Edition by Michael Glynn, William Drake ISBN 9780702067426 0702067423

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ISBN 10: 0702067423
ISBN 13: 9780702067426
Author: Michael Glynn, William Drake

Hutchison’s Clinical Methods, first published more than a century ago, is the classic textbook on clinical skills. It provides an outstanding source of learning and reference for undergraduate medical students and postgraduate doctors. It seeks to teach an integrated approach to clinical practice, so that new methods and investigations are grafted onto established patterns of clinical practice, rather than added on as something extra. The text is organised so that both system-related and problem-oriented chapters are included. Particular emphasis is placed on the importance of the doctor-patient relationship, the essential skills needed for clinical examination, and for planning the appropriate choice of investigations in diagnosis and management. Hutchison’s Clinical Methods is an invaluable resource for all those learning and training in medicine and is an essential adjunct to a standard textbook of medicine, surgery or other specialty.

Hutchison Clinical methods 24th Edition Table of contents:

Section 1 General patient assessment

1 Doctor and patient

Introduction

Setting the scene

Emergency presentations

History taking

Analysing symptoms

What does the patient actually want?

Retaking the history

Note taking

Conclusion

2 General patient examination and differential diagnosis

Introduction

General examination of a patient

Putting it all together

Documentation and communication

Presenting a case

Summary

3 The next steps

Introduction

Management plan

What to write in the case notes

What to say to the patient

What to do when the diagnosis is unclear

Multiple causation

Selecting appropriate investigations

4 Ethical considerations

Introduction

Autonomy

Consent

Confidentiality

Organ donation

Resuscitation

Consent for autopsy

Other ethical problems

Principles of medical ethics

Section 2 Assessment in particular groups

5 Women

Introduction

Gynaecological history

Gynaecological examination

Pelvic examination in special circumstances

History relating to current pregnancy

Presentation of obstetric cases

Obstetric examination

Investigations in obstetrics and gynaecology

Tests of fetal wellbeing

6 Children and adolescents

Introduction

7 Older people

Introduction

Presentation of disease in older people

History

Examination

Other issues

8 Psychiatric assessment

Introduction

History taking

The psychiatric history

The mental state examination

Attention and concentration

Ending the interview

Final reflection

Further investigations

9 Patients presenting as emergencies

Introduction

The importance of clinical assessment

Diagnosis versus resuscitation

The pyrexial and septic patient

The patient with chest pain

The breathless patient

The patient with hypotension or shock

The patient with diminished consciousness

The syncopal patient

The patient with seizures

The patient with acute confusion

The patient with acute headache

The acutely weak patient

The patient with acute abdominal pain

The patient with haematemesis and/or melaena

10 Patients with a fever

Introduction

Approach to a patient with a fever – causes of fever

Examination

Investigations for infectious causes of fever

Pyrexia of unknown origin

11 Patients in pain

Introduction

Definition

Classification of pain

Mechanisms of pain

The patient in pain

Treatment strategies

Conclusions

Section 3 Basic systems

12 Respiratory system

Introduction

The history

The examination

Other investigations

13 Cardiovascular system

Introduction

The cardiac history

The cardiac examination

The electrocardiogram

Clinical applications of ECG

The chest X-ray

Echocardiography

Stress echocardiography

Doppler echocardiography

Cardiovascular radionuclide imaging

Computed tomography

Magnetic resonance imaging

Cardiac catheterization

Pathology laboratory support

14 Gastrointestinal system

Introduction

Symptoms of gastrointestinal disease

Nutritional assessment

Physical examination of the GI tract and abdomen

The acute abdomen

Examination of abdominal fluids

Special techniques in the examination of the GI tract

15 Locomotor system

Introduction

General assessment: the ‘GALS’ locomotor screen

Specific locomotor history

Examination: general principles

Examination of individual joints

Investigations in rheumatic diseases

16 Nervous system

Introduction

The neurological history

The neurological examination

Cranial nerve examination

Speech

Motor system

Cerebellar system

Movement disorders

Sensation

Posture and gait

Patterns of motor and sensory signs

Cognitive function

Localizing the neurological lesion

Investigations

17 Urogenital system

The diagnostic process in nephrology and urology

Symptoms of renal and urological disease

Physical signs in renal and urological disease

The renal and urological syndromes

Laboratory assessment and imaging of the kidneys and urinary tract: assessment of structure and function

Imaging of the urinary tract

Sexually transmitted infections

Genital examination

18 Endocrine and metabolic disorders

Introduction

The endocrine history

The examination

Investigation

Diabetes mellitus

Presenting symptoms of diabetes

Symptoms of complications of diabetes

Hypoglycaemia

Examination of the diabetic patient

Investigation

Lipid disorders

19 Skin, nails and hair

Introduction

History

Examination

Cutaneous manifestations of internal disease

Special techniques in examination of the skin

20 Eyes

Introduction

History

Examination

Eyelid, lacrimal and orbital assessment

Examination of the eye in children

Imaging

Special examination techniques

21 Ear, nose and throat

Introduction

The ear

The nose and paranasal sinuses

The throat

Index

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