ABSTRACT

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.

chapter 1|2 pages

Introduction

chapter 2|5 pages

Clinical reasoning

chapter 3|9 pages

Diagnostic strategy

chapter 4|19 pages

The history

chapter 5|26 pages

The examination

chapter 6|17 pages

Spot diagnosis and pattern recognition

chapter 7|14 pages

Red and yellow flags

chapter 8|12 pages

Restricted rule-outs

chapter 9|20 pages

Probabilistic reasoning

chapter 10|14 pages

Test of time and test of treatment

chapter 11|10 pages

Further cases