Differential diagnosis of common complaints 4th edition

Develop the clinical reasoning and critical thinking skills that are essential for physicians, nurse practitioners, and physician assistants. This enhanced eBook experience allows you to search all of the text, figures, references and animations, designed to produce a more rounded learning experience.

Free Global Shipping. Using a clear, consistent format, it walks you through the problem-solving process that most physicians use to make a diagnosis. This book is the ideal reference for the beginning student and the busy clinician. Abdominal Pain in Adults 2. Abdominal Pain in Children 3.

Backache 4. Belching, Bloating, and Flatulence 5. Breast Lumps 6. Chest Pain 7. Colds, Flu and Stuffy Nose 8. Constipation 9. Cough These lists are not comprehensive but are a good starting point. Each list of differential diagnoses can be used as a guide for asking the important questions about each differential and the risk factors. See the appropriate sections in the rest of this book for further information on the clinical signs and the specific investigations needed to exclude or confirm a diagnosis.

Fever, sweats, fatigue, malaise, loss of appetite, weight loss, lumps. Chest pain, palpitation, breathlessness exertional, at rest, orthopnoea, paroxysmal nocturnal dyspnoea , ankle swelling, dizziness. See Fig. Hernia inguinal , hip or pelvic pathology, e. Most causes of abdominal pain are surgical. Cardiovascular due to transient reduction in blood flow to the brain. DM , antihypertensive medications e. Neurocardiogenic vasovagal syncope and carotid sinus hypersensitivity.

Vasovagal syncope may be induced by prolonged standing, cough, micturition, venepuncture, heat exposure, or painful stimuli. There may be no identifiable cause, especially in the elderly. Blackouts due to carotid sinus hypersensitivity may be produced by head turning, tight-fitting collars, or shaving. The causes of breathlessness are best classified according to rapidity of onset. However, although the onset gives a significant clue, the following lists are not mutually exclusive.

See Blackouts, p. Cutaneous malignancy with frequent internal spread. Specific skin signs sometimes associated with malignancy. NB Staphylococcus aureus and Bacillus cereus mainly present with vomiting 1—6h after ingestion of prepared food, e. RA, SLE, sarcoidosis, vasculitides, polymyalgia rheumatica. NB Nasal or upper respiratory tract and GI bleeding may be confused with haemoptysis.

Causes of pruritus without visible skin disease. See Haematemesis and melaena, p. TB, syphilis. See Vomiting, p. See Fits, p. See Table Table Associated with rigidity; associative movements, small steppage gait, mask-like facies.

Worse with motion and associated with cerebellar signs. Jerky, irregular, sudden movements, intermittent fidgeting. Sustained contractions of single muscles or muscle groups.

Flinging movements of the arm and leg on one side. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use for details see Privacy Policy and Legal Notice.

Oxford Medicine Online. Publications Pages Publications Pages. Recently viewed 0 Save Search. Oxford Handbook of Acute Medicine 4 edn. Ramrakha and Kevin P. Develop the clinical reasoning and critical thinking skills that are essential for physicians, nurse practitioners, and physician assistants.

This enhanced eBook experience allows you to search all of the text, figures, references and animations, designed to produce a more rounded learning experience. Stay up to date with evidence-based practice with increased evidence added to each chapter and thorough updating throughout, including the latest clinical and diagnostic studies.

Clearly visualize key points in problem solving with new clinical algorithms and updated figures and images. Download e-Book Pdf.