Syndrome-based Approach to Diagnosis

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1447147332
Total Pages : 127 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Syndrome-based Approach to Diagnosis by : Efim Benenson

Download or read book Syndrome-based Approach to Diagnosis written by Efim Benenson and published by Springer Science & Business Media. This book was released on 2013-03-12 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many young, inexperienced doctors, have difficultly pinpointing a diagnosis: Is it a condition to which certain diseases could belong, or a disease definable in line with certain criteria? How can I apply my basic knowledge of diseases to a real patient? How can I find the correct diagnosis for a disease that I am seeing for the very first time? The traditional diagnostic pathways conveyed by current methods of teaching, from visual identification of the disease, knowledge of diseases, understanding of symptoms or patterns to diagnosis, leave certain diagnostic questions unanswered, especially on first experience of such a clinical pattern. Syndrome-based Approach to Diagnosis: A Practical Guide offers lecturers an alternative training concept in their teaching, which provides students with a model for self-study as well as the educational tools for learning how to think in clinical terms.

The Little Black Book of Neuropsychology

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Publisher : Springer Science & Business Media
ISBN 13 : 0387769781
Total Pages : 968 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis The Little Black Book of Neuropsychology by : Mike R. Schoenberg

Download or read book The Little Black Book of Neuropsychology written by Mike R. Schoenberg and published by Springer Science & Business Media. This book was released on 2011-01-11 with total page 968 pages. Available in PDF, EPUB and Kindle. Book excerpt: From translating the patient’s medical records and test results to providing recommendations, the neuropsychological evaluation incorporates the science and practice of neuropsychology, neurology, and psychological sciences. The Little Black Book of Neuropsychology brings the practice and study of neuropsychology into concise step-by-step focus—without skimping on scientific quality. This one-of-a-kind assessment reference complements standard textbooks by outlining signs, symptoms, and complaints according to neuropsychological domain (such as memory, language, or executive function), with descriptions of possible deficits involved, inpatient and outpatient assessment methods, and possible etiologies. Additional chapters offer a more traditional approach to evaluation, discussing specific neurological disorders and diseases in terms of their clinical features, neuroanatomical correlates, and assessment and treatment considerations. Chapters in psychometrics provide for initial understanding of brain-behavior interpretation as well as more advanced principals for neuropsychology practice including new diagnostic concepts and analysis of change in performance over time. For the trainee, beginning clinician or seasoned expert, this user-friendly presentation incorporating ‘quick reference guides’ throughout which will add to the practice armentarium of beginning and seasoned clinicians alike. Key features of The Black Book of Neuropsychology: Concise framework for understanding the neuropsychological referral. Symptoms/syndromes presented in a handy outline format, with dozens of charts and tables. Review of basic neurobehavioral examination procedure. Attention to professional issues, including advances in psychometrics and diagnoses, including tables for reliable change for many commonly used tests. Special “Writing Reports like You Mean It” section and guidelines for answering referral questions. Includes appendices of practical information, including neuropsychological formulary. The Little Black Book of Neuropsychology is an indispensable resource for the range of practitioners and scientists interested in brain-behavior relationships. Particular emphasis is provided for trainees in neuropsychology and neuropsychologists. However, the easy to use format and concise presentation is likely to be of particular value to interns, residents, and fellows studying neurology, neurological surgery, psychiatry, and nurses. Finally, teachers of neuropsychological and neurological assessment may also find this book useful as a classroom text. "There is no other book in the field that covers the scope of material that is inside this comprehensive text. The work might be best summed up as being a clinical neuropsychology postdoctoral residency in a book, with the most up to date information available, so that it is also an indispensible book for practicing neuropsychologists in addition to students and residents...There is really no book like this available today. It skillfully brings together the most important foundationsof clinical neuropsychology with the 'nuts and bolts' of every facet of assessment. It also reminds the more weathered neuropsychologists among us of the essential value of neuropsychological assessment...the impact of the disease on the patient’s cognitive functioning and behavior may only be objectively quantified through a neuropsychological assessment." Arch Clin Neuropsychol (2011) first published online June 13, 2011 Read the full review acn.oxfordjournals.org

Syndrome-Based Approach to Diagnosis

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Author :
Publisher :
ISBN 13 : 9781447147343
Total Pages : 132 pages
Book Rating : 4.1/5 (473 download)

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Book Synopsis Syndrome-Based Approach to Diagnosis by : Efim Benenson

Download or read book Syndrome-Based Approach to Diagnosis written by Efim Benenson and published by . This book was released on 2013-03-31 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Nelson Pediatric Symptom-Based Diagnosis

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323761755
Total Pages : 1355 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Nelson Pediatric Symptom-Based Diagnosis by : Robert M. Kliegman

Download or read book Nelson Pediatric Symptom-Based Diagnosis written by Robert M. Kliegman and published by Elsevier Health Sciences. This book was released on 2022-01-10 with total page 1355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients don’t present with a disease; they present with symptoms. Using a practical, symptom-based organization, Nelson Pediatric Symptom-Based Diagnosis: Common Diseases and their Mimics, 2nd Edition, offers authoritative guidance on differential diagnosis and treatment of diseases and disorders in children and adolescents, and covers the symptoms you’re likely to see in practice, their mimics, and uncommon disorders. Drs. Robert M. Kliegman, Heather Toth, Brett J. Bordini, and Donald Basel walk you through what to consider and how to proceed when faced with common symptoms such as cough, fever, headache, autistic-like behaviors, chronic pain, chest pain, gait disturbances, and much more. Begins with a presenting symptom and leads you through differential diagnosis and a concise review of treatment recommendations. Contains more than a dozen new topics including Disease Mimics: An Approach to Undiagnosed Diseases, Autistic-like Behaviors, Shock, Hypertension, Neurocognitive and Developmental Regression, Chronic Pain, Hypertonicity, Movement Disorders, Hypermobility, and more. Features a new focus on symptoms of rarer diseases that are mimics of more common diseases. Offers a user-friendly approach to Altered Mental Status such as coma and other CNS disorders, with numerous clinically useful tables and figures to guide clinical decision making in various care settings. Uses a highly templated format for easy reference and quick answers to clinical questions, with the same consistent presentation in each chapter: History, Physical Examination, Diagnosis (including laboratory tests), Imaging, Diagnosis, and Treatment. Includes numerous full-color illustrations, algorithms, tables, and "red flags" to aid differential diagnosis. Serves as an ideal companion to Nelson Textbook of Pediatrics, 21st Edition. Content in this book is referenced and linked electronically to the larger text, providing easy access to full background and evidence-based treatment and management content when you own both references.

Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

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Author :
Publisher : National Academies Press
ISBN 13 : 0309316928
Total Pages : 304 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome by : Institute of Medicine

Download or read book Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-16 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world. ME/CFS can cause significant impairment and disability. Despite substantial efforts by researchers to better understand ME/CFS, there is no known cause or effective treatment. Diagnosing the disease remains a challenge, and patients often struggle with their illness for years before an identification is made. Some health care providers have been skeptical about the serious physiological - rather than psychological - nature of the illness. Once diagnosed, patients often complain of receiving hostility from their health care provider as well as being subjected to treatment strategies that exacerbate their symptoms. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome proposes new diagnostic clinical criteria for ME/CFS and a new term for the illness - systemic exertion intolerance disease(SEID). According to this report, the term myalgic encephalomyelitis does not accurately describe this illness, and the term chronic fatigue syndrome can result in trivialization and stigmatization for patients afflicted with this illness. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness. This report lists the major symptoms of SEID and recommends a diagnostic process.One of the report's most important conclusions is that a thorough history, physical examination, and targeted work-up are necessary and often sufficient for diagnosis. The new criteria will allow a large percentage of undiagnosed patients to receive an accurate diagnosis and appropriate care. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome will be a valuable resource to promote the prompt diagnosis of patients with this complex, multisystem, and often devastating disorder; enhance public understanding; and provide a firm foundation for future improvements in diagnosis and treatment.

Diagnosis: A Symptom-based Approach in Internal Medicine

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Publisher : JP Medical Ltd
ISBN 13 : 9380704755
Total Pages : 385 pages
Book Rating : 4.3/5 (87 download)

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Book Synopsis Diagnosis: A Symptom-based Approach in Internal Medicine by : Madgaonkar CS

Download or read book Diagnosis: A Symptom-based Approach in Internal Medicine written by Madgaonkar CS and published by JP Medical Ltd. This book was released on 2011-08 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis: A Symptom-based Approach in Internal Medicine is a concise guide to diagnosis various conditions, based on the symptoms presented. The book discusses in detail, both common and uncommon symptoms and their interpretation, to help practitioners achieve an accurate diagnosis and prescribe appropriate treatment. With the help of illustrations and images, the text also guides students and clinicians through possible 'red flags', helping them not to mis-diagnose certain disorders.

Clinical Psychopharmacology

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Publisher : Oxford University Press, USA
ISBN 13 : 0199995486
Total Pages : 601 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Clinical Psychopharmacology by : Nassir Ghaemi

Download or read book Clinical Psychopharmacology written by Nassir Ghaemi and published by Oxford University Press, USA. This book was released on 2019-01-04 with total page 601 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Psychopharmacology offers a comprehensive guide to clinical practice that explores two major aspects of the field: the clinical research that exists to guide clinical practice of psychopharmacology, and the application of that knowledge with attention to the individualized aspects of clinical practice. The text consists of 50 chapters, organized into 6 sections, focusing on disease-modifying effects, non-DSM diagnostic concepts, and essential facts about the most common drugs. This innovative book advocates a scientific and humanistic approach to practice and examines not only the benefits, but also the harms of drugs. Providing a solid foundation of knowledge and a great deal of practical information, this book is a valuable resource for practicing psychiatrists, psychiatric nurse practitioners, medical students and trainees in psychiatry, as well as pharmacists.

Improving Diagnosis in Health Care

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Publisher : National Academies Press
ISBN 13 : 0309377722
Total Pages : 473 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Improving Diagnosis in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Person-Centered Diagnosis and Treatment in Mental Health

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Publisher : Jessica Kingsley Publishers
ISBN 13 : 1849058865
Total Pages : 356 pages
Book Rating : 4.8/5 (49 download)

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Book Synopsis Person-Centered Diagnosis and Treatment in Mental Health by : Peter D. Ladd

Download or read book Person-Centered Diagnosis and Treatment in Mental Health written by Peter D. Ladd and published by Jessica Kingsley Publishers. This book was released on 2012 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clients with mental health conditions are often diagnosed and treated using a strictly medical model of diagnosis, with little input from the client themselves.This reference manual takes a person-centered, holistic approach to diagnosis and treatment, seeing the client as the unrecognized expert on their condition and encouraging their collaboration. Designed to complement the DSM-IV, the manual covers several different conditions including ADHD, depression, bulimia, and OCD, as well as mental health 'patterns' such as abuse, bullying, violence and loss. In each case, the client is involved in the diagnosis and treatment plan. the book features extended case studies, sample questions and treatment plans throughout.This will be an essential reference book for all those involved in mental health diagnosis and treatment, including psychologists, psychiatrists, mental health counselors, clinical social workers, school counselors and therapists.

Symptom to Diagnosis

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Publisher : McGraw-Hill Medical Publishing
ISBN 13 :
Total Pages : 452 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Symptom to Diagnosis by : Scott D. C. Stern

Download or read book Symptom to Diagnosis written by Scott D. C. Stern and published by McGraw-Hill Medical Publishing. This book was released on 2006 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative introduction to patient encounters utilizes an evidence-based step-by-step process that teaches students how to evaluate, diagnose, and treat patients based on the clinical complaints they present. By applying this approach, students are able to make appropriate judgments about specific diseases and prescribe the most effective therapy. (Product description).

Practical Surgical Neuropathology: A Diagnostic Approach E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323508669
Total Pages : 640 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Practical Surgical Neuropathology: A Diagnostic Approach E-Book by : Arie Perry

Download or read book Practical Surgical Neuropathology: A Diagnostic Approach E-Book written by Arie Perry and published by Elsevier Health Sciences. This book was released on 2017-10-16 with total page 640 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the in-depth and practical Pattern Recognition series, Practical Surgical Neuropathology, 2nd Edition, by Drs. Arie Perry and Daniel J. Brat, helps you arrive at an accurate CNS diagnosis by using a pattern-based approach. Leading diagnosticians in neuropathology guide you from a histological (and/or clinical, radiologic, and molecular) pattern, through the appropriate work-up, around the pitfalls, and to the best diagnosis. Almost 2,000 high-quality illustrations capture key neuropathological patterns for a full range of common and rare conditions, and a "visual index" at the beginning of the book directs you to the exact location of in-depth diagnostic guidance. Instructive algorithms provide detailed guidance based on 8 major (scanning magnification) patterns and 20 minor (high magnification) patterns – helping you narrow the range of diagnostic possibilities. A user-friendly design color-codes patterns to specific entities, and key points are summarized in tables, charts, and graphs so you can quickly and easily find what you are looking for. Sweeping content updates keep you at the forefront of recent findings regarding gliomas, embryonal neoplasms, meningiomas, pituitary region and pineal tumors, epilepsy pathology, peripheral nerve sheath tumors, neurodegenerative disorders, tumor predisposition syndromes, and much more. Improved pattern call-outs are now linked directly within the chapter, reinforcing the patterns for more efficient and complete understanding.

Neurologic Differential Diagnosis

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Publisher : Cambridge University Press
ISBN 13 : 1107014557
Total Pages : 693 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Neurologic Differential Diagnosis by : Alan B. Ettinger

Download or read book Neurologic Differential Diagnosis written by Alan B. Ettinger and published by Cambridge University Press. This book was released on 2014-04-17 with total page 693 pages. Available in PDF, EPUB and Kindle. Book excerpt: "There is an apocryphal story of an eminent neurology professor who was asked to provide a differential diagnosis. He allegedly quipped: "I can't give you a differential diagnosis. If you wish I will give you a list of wrong diagnoses followed by the right diagnosis." Sadly, this sort of arrogance pervaded our field, particularly in the era before there were accurate diagnostic methods and effective treatments of neurological diseases. Fortunately, this sort of pomposity is now relegated to the past and remains only as an antique reminder of a type of hubris that precluded discovery and progress in diseases of the nervous system"--

Process-Based CBT

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Publisher : New Harbinger Publications
ISBN 13 : 1626255989
Total Pages : 480 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Process-Based CBT by : Steven C. Hayes

Download or read book Process-Based CBT written by Steven C. Hayes and published by New Harbinger Publications. This book was released on 2018-01-02 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by Steven C. Hayes and Stefan G. Hofmann, and based on the new training standards developed by the Inter-Organizational Task Force on Cognitive and Behavioral Psychology Doctoral Education, this groundbreaking textbook presents the core competencies of cognitive behavioral therapy (CBT) in an innovative, practically applicable way, with contributions from some of the luminaries in the field of behavioral science. CBT is one of the most proven-effective and widely used forms of psychotherapy today. But while there are plenty of books that provide an overview of CBT, this is the first to present the newest recommendations set forth by a special task force of the Association for Behavioral and Cognitive Therapies—and that focuses on the application of these interventions based on a variety of approaches for doctoral-level education and training. Starting with an exploration of the science and theoretical foundations of CBT, then moving into a thorough presentation of the clinical processes, this book constitutes an accessible, comprehensive guide to grasping and using even the most difficult competencies. Each chapter of Process-Based CBT is written by a leading authority in that field, and their combined expertise presents the best of behavior therapy and analysis, cognitive therapy, and the acceptance and mindfulness therapies. Most importantly, in addition to gaining an up-to-date understanding of the core processes, with this premiere text you’ll learn exactly how to put them into practice for maximum efficacy. For practitioners, researchers, students, instructors, and other professionals working with CBT, this breakthrough textbook—poised to set the standard in coursework and training—provides the guidance you need to fully comprehend and utilize the core competencies of CBT in a way that honors the behavioral, cognitive, and acceptance and mindfulness wings of the tradition.

A Rational Approach to Clinical Infectious Diseases

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323695795
Total Pages : 307 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis A Rational Approach to Clinical Infectious Diseases by : Zelalem Temesgen

Download or read book A Rational Approach to Clinical Infectious Diseases written by Zelalem Temesgen and published by Elsevier Health Sciences. This book was released on 2020-12-15 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written specifically for non-infectious disease specialists in both inpatient and outpatient settings, A Rational Approach to Clinical Infectious Diseases provides concise, practical guidance that mimics the decision-making process and reasoning employed by an ID physician. Using clear, understandable language, Dr. Zelalem Temesgen and his esteemed colleagues at the Mayo Clinic present the art and the context of infectious diseases together with the science, helping non-specialists apply a rational approach to the diagnosis and treatment of infectious conditions. Clearly explains the rationale of opting for one particular treatment or length of course over another in order to arrange appropriate management and follow-up. Provides focused ID decision support to questions such as: What diagnostic test should I order? What is the correct antibiotic for this patient/geographical region? Are IV or oral antibiotics most appropriate? How long should the antibiotic course be and when should it be de-escalated? What special considerations should be taken in immunocompromised patients? How often should complex infections be followed up? Uses a succinct, easy-to-read writing style, following a consistent format: Important characteristics/epidemiology; Clinical related data; Rash characteristics; Ancillary diagnostic studies; Treatment; and Other. Provides visual and quick-reference support with dozens of figures and tables throughout the text. Contains invaluable guidance to help non-specialists provide the best care for patients, stem antibiotic misuse and resistance, avoid adverse drug events, and avoid unnecessary costs.

Symptom to Diagnosis An Evidence Based Guide, Fourth Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 1260121127
Total Pages : 624 pages
Book Rating : 4.2/5 (61 download)

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Book Synopsis Symptom to Diagnosis An Evidence Based Guide, Fourth Edition by : Scott D. C. Stern

Download or read book Symptom to Diagnosis An Evidence Based Guide, Fourth Edition written by Scott D. C. Stern and published by McGraw Hill Professional. This book was released on 2019-11-29 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. "This book is a tremendous asset for students and residents learning to develop their diagnostic skills. It can also be useful as a refresher for established clinicians when the more common diagnoses are not the cause of a patient's complaints." —Doody's Review An engaging case-based approach to learning the diagnostic process in internal medicine Symptom to Diagnosis, Fourth Edition teaches an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process clinicians will be able to recognize specific diseases and prescribe the most effective therapy. Each chapter is built around a common patient complaint that illustrates essential concepts and provides insight into the process by which the differential diagnosis is identified. As the case progresses, clinical reasoning is explained in detail. The differential diagnosis for that particular case is summarized in tables that highlight the clinical clues and important tests for the leading diagnostic hypothesis and alternative diagnostic hypotheses. As the chapter progresses, the pertinent diseases are reviewed. Just as in real life, the case unfolds in a stepwise fashion as tests are performed and diagnoses are confirmed or refuted. Completely updated to reflect the latest research in clinical medicine, this fourth edition is enhanced by algorithms, summary tables, questions that direct evaluation, and an examination of recently developed diagnostic tools and guidelines. Clinical pearls are featured in every chapter. Coverage for each disease includes: Textbook Presentation, Disease Highlights, Evidence-Based Diagnosis, and Treatment.

A Compendium of Neuropsychological Tests

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Author :
Publisher : American Chemical Society
ISBN 13 : 0195159578
Total Pages : 1235 pages
Book Rating : 4.1/5 (951 download)

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Book Synopsis A Compendium of Neuropsychological Tests by : Esther Strauss

Download or read book A Compendium of Neuropsychological Tests written by Esther Strauss and published by American Chemical Society. This book was released on 2006 with total page 1235 pages. Available in PDF, EPUB and Kindle. Book excerpt: This compendium gives an overview of the essential aspects of neuropsychological assessment practice. It is also a source of critical reviews of major neuropsychological assessment tools for the use of the practicing clinician.

Advances in Patient Safety

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Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.