Evidence-based diagnosis in primary care: practical solutions to common problems

Evidence-based diagnosis in primary care: practical solutions to common problems

Polmear, Andrew

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Evidence-based Diagnosis in Primary Care gives guidance on diagnosis in general practice, from the patients first presentation with a symptom to the final establishment of a diagnosis or referral for further investigation. The book is divided into two parts: 1. Symptoms; which details the steps necessary to reach a provisional diagnosis when a patient presents with a symptom; and2. Disorders; in which the more detailed assessment of that initial diagnosis is described.This is the first book to be written about diagnosis in primary care that attempts to base its guidance on the research evidence. Enough information is provided on each symptom, or condition, to decide on:1. The pre-test probability of each possible disorder; and2. How the symptoms, signs and investigations alter those probabilities to allow a conclusion to be reached about the most likely diagnosis.In addition, the book explains the principles of evidence-based diagnosis, with special emphasis on the issues raised by attempting an evidence-based approach in primary care; and it illustrates each section with anexample to demonstrate the power, and the difficulties, of an evidence-based approach. This book will become a classic primary care text. INDICE: Part I. SymptomsAltered bowel habit Bleeding in early pregnancy Breast problems Chest pain Constipation Convulsions in adults CoughDelirium Diarrhoea Dizziness Dyspepsia Dyspnoea Dysuria and other acute urinary symptoms inmen Dysuria, frequency and urgency in women Erectile dysfunction Fatigue Fertility problems Haematuria Haemoptysis Headache Heartburn Insomnia A lump in the neck Memory loss and dementia Menorrhagia Neck pain Pain and tingling in thearm and hand Pain in the face Pain in the leg on walking Palpitations A pigmented skin lesion Pleuritic chest pain Rectal bleeding Rhinorrhoea Sleepiness The swollen leg Syncope Tinnitus Tremor Vaginal dischargePart 2. Disorders Acute coronary syndrome Acute respiratory infections Alcohol misuse Anaemia Anxiety disorders Asthma Benzodiazepine dependence Chronic fatigue syndrome Chronic obstructive pulmonary disease Coeliac disease in adults Colorectal carcinoma Depressive illness Diabetes Eating disorders Fibromyalgia Food allergy Heart failure Hypertension Hyperthyroidism Hypothyroidism Irritable bowel syndrome Lung cancer Meningitis Obstructive sleep apnoea Palliative care Penicillin allergy Pericarditis Pneumothorax Postnatal depression Prostate cancerPulmonary embolus Restless legs syndrome Stable angina Thrombophilia

  • ISBN: 978-0-7506-4910-0
  • Editorial: Butterworth-Heinemann
  • Encuadernacion: Rústica
  • Páginas: 550
  • Fecha Publicación: 01/03/2008
  • Nº Volúmenes: 1
  • Idioma: Inglés