Book Metadata
- Full Title: The Patient History: An Evidence-Based Approach to Differential Diagnosis.
- Editors: Mark C. Henderson, MD, Lawrence M. Tierney, Jr., MD, and Gerald W. Smetana, MD.
- Authors: Contributed by multiple clinical experts across various specialties.
- Year of Publication: 2012.
- Edition: Second Edition.
- Total Number of Pages: 753 pages.
Copyright Summary
This work is a LANGE medical book published by The McGraw-Hill Companies, Inc., with a copyright date of 2012. The eBook version is identified by ISBN 978-0-07-180420-2, while the corresponding print version carries ISBN 978-0-07-162494-7. The publisher provides a standard legal notice stating that medicine is an ever-changing science and disclaims responsibility for any errors or omissions in the text.
Preface Analysis
The authors' primary intent is to introduce clinicians to the "timeless art of history taking" as the fundamental gateway to clinical diagnosis. The book addresses a specific clinical gap: while modern imaging and diagnostic techniques have proliferated, history remains the most effective tool for making a diagnosis in the majority of patients.
Unlike traditional texts organized by disease, this resource is organized by symptoms, reflecting the actual presentation of patients in a clinical setting. The intended primary audience includes students of medicine, residents, and aspiring healthcare professionals seeking to master the integration of evidence-based principles with clinical history taking.
Unlike traditional texts organized by disease, this resource is organized by symptoms, reflecting the actual presentation of patients in a clinical setting. The intended primary audience includes students of medicine, residents, and aspiring healthcare professionals seeking to master the integration of evidence-based principles with clinical history taking.
Chapter List
- History and Physical Examination: Art and Science
- Subtleties of Medical History Taking
- Patient-Centered Interviewing
- Clinician-Centered Interviewing
- Evidence-Based Clinical Decision Making
- Dizziness
- Fatigue
- Fever
- Headache
- Insomnia
- Lymphadenopathy
- Night Sweats
- Muscle Weakness
- Weight Gain
- Weight Loss
- Red Eye
- Ear Pain
- Hearing Loss
- Tinnitus
- Sore Throat
- Inflammatory Dermatoses (Rashes)
- Pruritus
- Hair Loss
- Cough
- Dyspnea
- Hemoptysis
- Chest Pain
- Palpitations
- Syncope
- Edema
- Abdominal Pain
- Constipation
- Diarrhea
- Dyspepsia
- Dysphagia
- Acute Gastrointestinal Bleeding
- Jaundice
- Nausea and Vomiting
- Anorectal Pain
- Dysuria
- Hematuria
- Flank Pain
- Erectile Dysfunction
- Urinary Incontinence
- Scrotal Pain
- Amenorrhea
- Breast Complaints
- Pelvic Pain
- Vaginitis
- Abnormal Vaginal Bleeding
- Neck Pain
- Shoulder Pain
- Arm and Hand Pain
- Low Back Pain
- Buttock, Hip, and Thigh Pain
- Knee and Calf Pain
- Foot and Ankle Pain
- Confusion
- Memory Loss
- Diplopia
- Gait Abnormalities
- Tremor
- Anxiety
- Depressed Mood
- The Case Presentation
Why Read This? Clinical Value Proposition
For the practicing physician, the Patient History provides a highly practical, evidence-based framework for differential diagnosis. Each symptom-based chapter includes likelihood ratios (LRs) for specific historical findings, enabling clinicians to mathematically adjust the probability of a disease based on a patient’s answers.
The text also features diagnostic algorithms and "alarm symptoms" designed to help the doctor quickly identify life-threatening conditions. By focusing on "interviewing the chart" and using patient-centered techniques, this book equips clinicians with the tools to reach an accurate diagnosis efficiently without over-reliance on expensive imaging.
The text also features diagnostic algorithms and "alarm symptoms" designed to help the doctor quickly identify life-threatening conditions. By focusing on "interviewing the chart" and using patient-centered techniques, this book equips clinicians with the tools to reach an accurate diagnosis efficiently without over-reliance on expensive imaging.
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