Advanced Healh Assessment and Clinical Diagnosis in Primary Care - Elsevier eBook on VitalSource (Retail Access Card), 4th Edition

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Elsevier eBook on VitalSource - Access Card®

Advanced Healh Assessment and Clinical Diagnosis in Primary Care - Elsevier eBook on VitalSource (Retail Access Card), 4th Edition


Designed for advanced practice nurses and advanced practice nursing students, as well as Physician's Assistant students and practitioners, Advanced Health Assessment & Clinical Diagnosis in Primary Care, 4th Edition, is a practical resource that takes you to the "next step" of health assessment, beyond basic history and physical examination and through the diagnostic reasoning process. Accessible and concise, it approaches physical examination by focusing on a specific chief complaint rather than a diagnosis of a disease entity. Each chapter is organized into four major areas: Focused History; Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis. Those who master the diagnostic reasoning process in this text will be able to accurately diagnose the majority of conditions they will see in clinical practice.

  • Easy-to-follow format with consistent organization improves your ability to understand and accurately perform the different elements of the diagnostic reasoning process:

    • Focused History sections walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.

    • Key Questions highlight what questions to ask the patient, followed by an explanation of what the patient's responses might signify, to guide you toward an accurate assessment and precise diagnosis.

    • Focused Physical Examination sections explain how to conduct more advanced diagnostic techniques and offer interpretations of the findings.

    • Laboratory and Diagnostic Studies sections give a brief outline of what types of laboratory or diagnostic studies would be appropriate for the chief complaint or suspected diagnosis.

    • Differential Diagnosis sections contain the most common differential diagnoses for each chief complaint and summarize the history and physical examination findings, along with the laboratory and diagnostic studies indicated.
    • Differential Diagnosis tables offer an at-a-glance summary of possible diagnoses.
    • Reordered table of contents, organized alphabetically by patient problem rather than by body system, simplifies and accelerates information retrieval. A list of chapters by body system is also included for reference.

    • Three new chapters:

      • Chapter 23: Palpitations

      • Chapter 36: Weight Loss/Gain (Unintentional)

      • Chapter 38: The Abdominal X-ray
      • Additional Evidence-Based Practice boxes provide additional research-based tips on conducting the most effective exams for more accurate diagnoses.


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


      2. Abdominal Pain

      3. Affective Changes

      4. Amenorrhea

      5. Breast Lumps and Nipple Discharge

      6. Breast Pain

      7. Chest Pain

      8. Confusion in Older Adults

      9. Constipation

      10. Cough

      11. Diarrhea

      12. Dizziness

      13. Dyspnea

      14. Earache

      15. Fatigue

      16. Fever

      17. Genitourinary Problems in Males

      18. Headache

      19. Hoarseness

      20. Limb Pain

      21. Low Back Pain, Acute

      22. Nasal Symptoms and Sinus Congestion

      23. Palpitations (NEW!)

      24. Penile Discharge

      25. Rashes and Skin Lesions

      26. Rectal Pain, Itching, and Bleeding

      27. Red Eye

      28. Sleep Problems

      29. Sore Throat

      30. Syncope

      31. Urinary Incontinence

      32. Urinary Problems in Females and Children

      33. Vaginal Bleeding

      34. Vaginal Discharge and Itching

      35. Vision Loss

      36. Weight Loss/Gain (Unintentional) (NEW!)


      37. The Chest X-ray

      38. The Abdominal X-ray (NEW!)

      Joyce E. Dains, DrPH, JD, RN, FNP, BC, DPNAP, Associate Profesor and Advanced Practice Nursing Program Director; Manager, Professional Education for Prevention and Early Detection, 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, RN, MSN, CPNP, Clinical Professor, School of Nursing, University of Wisconsin-Madison, Madison, Wisconsin
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