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Exploring Symptoms: An Evidence-based Approach to the Patient History

Exploring Symptoms: An Evidence-based Approach to the Patient History

          
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About the Book

Understand the relationship between disease and description with this invaluable guide Correctly interpreting patient symptoms is one of the most critical components of medical diagnosis and treatment. Though each instance of any given disease will share features with others, each patient’s experience is unique, and assessment of their condition depends on taking and interpreting an individual patient’s history. Correct diagnosis and treatment decisions rely on a sound, evidence-based approach to this crucial clinical interaction. Exploring Symptoms - An Evidence-based Approach to the Patient History offers a rigorous analysis of the complex relationship between symptoms and patient communication. Carefully connecting basic sciences such as anatomy and physiology with the development of symptoms in each body system, this book surveys evidence for how patients tend to experience and describe symptoms and how these descriptions can shape diagnosis and treatment. It’s a must-have volume for students and clinicians looking to concretely improve patient outcomes. Exploring Symptoms - An Evidence-based Approach to the Patient History readers will also find: Detailed discussion of patient thresholds for presenting symptoms to healthcare professionals Analysis of individual symptom epidemiology and its general expression at both the patient and population level An inclusive approach with concrete advice for addressing the needs of a diverse patient body Exploring Symptoms - An Evidence-based Approach to the Patient History is ideal for undergraduate and postgraduate students, as well as healthcare educators and postgraduate-allied health professionals. It is also a useful tool for early-years practitioners and general practitioners.

Table of Contents:
Preface xxiii Abbreviations xxv 1 Exploring Symptoms 1 1.1 This History of the History 1 1.2 What Is a Symptom? 3 1.3 What Do Patients Want from Their Clinicians? 6 1.4 The Structure of a Medical History 8 1.5 Clinical Communication 11 1.6 The Opening Statement and Agreeing the Agenda 12 1.7 How Does the History Work? 15 1.8 Sources of Bias in the History 18 1.9 Ethnicity and Health 19 1.10 Statistical Concepts 23 Acknowledgements 24 References 24 2 The Skin 27 2.1 Symptoms of Skin Disease 27 2.2 About Dermatology 27 2.3 Burden of Skin Disease 28 2.4 Skin Anatomy 29 2.5 Skin Physiology 32 2.6 Assessing Skin of Colour (SOC) 32 2.7 Key Points of the History 32 2.8 The Patient Experience of Skin Disease 34 2.9 Itch (Pruritis) 34 2.10 Colour of Skin When Inflamed 37 2.11 Description of Skin Lesions 38 2.12 Assessing Conditions in Skin of Colour 38 2.13 Eczema 42 2.14 Psoriasis 44 2.15 Skin Appendages 44 2.16 Nails 45 2.17 Wounds 45 References 46 3 Respiratory 51 3.1 Ear, Nose and Throat 51 3.2 Lower Respiratory Tract 57 3.3 Anatomy and Physiology of the Lower Respiratory Tract 58 3.4 Symptoms 58 3.5 Cough 59 3.6 Breathlessness 61 3.7 Wheeze 64 3.8 Sputum 65 3.9 Haemoptysis 66 3.10 Chest Pain 69 3.11 Symptoms Clusters in Respiratory Disease 71 References 71 4 Cardiovascular 75 4.1 Global Burden of Cardiovascular Disease 75 4.2 Key Symptoms of Cardiovascular Disease 77 4.3 Prevalence of Symptoms 77 4.4 Assessment of Cardiovascular Risk 77 4.5 Pain 82 4.6 Breathlessness 90 4.7 Palpitations 93 4.8 Swelling (Oedema) 96 4.9 Syncope 99 References 101 5 Gastrointestinal 105 5.1 Overview 105 5.2 Global Burden of Gastrointestinal Disease 105 5.3 Anatomy and Function 106 5.4 Key Gastrointestinal Symptoms 108 5.5 How Common Are Gastrointestinal Symptoms? 108 5.6 Difficulty Swallowing (Dysphagia) 110 5.7 Dyspepsia 114 5.8 Nausea and Vomiting 119 5.9 Haematemesis 121 5.10 Abdominal Pain 122 5.11 Bloating and Distension 125 5.12 Change in Bowel Habit 129 5.13 Anatomy and Physiology of the Colon 130 5.14 Jaundice 132 Acknowledgements 135 References 135 6 Endocrine and Multisystem Symptoms 139 6.1 Structure and Function of the Endocrine System 139 6.2 Endocrine Symptoms 140 6.3 Burden of Disease 140 6.4 Ethnicity 142 6.5 Lgbtq+ 142 6.6 Fatigue 142 6.7 Fever/Chills/Night Sweats 146 6.8 Sepsis 149 6.9 Key Points in the History 151 6.10 Unintentional Weight Loss 151 6.11 Weight Gain 153 6.12 Dizziness 154 6.13 Thirst and Polyuria 156 6.14 Skin: Rashes/Bruising 156 6.15 Flushing 159 6.16 Long Covid 160 References 163 7 Musculoskeletal 167 7.1 Symptoms of Musculoskeletal (MSK) Disease 167 7.2 Burden of Musculoskeletal Disease 167 7.3 Community Prevalence of Symptoms 168 7.4 Distribution of Symptoms and Signs 169 7.5 Key Points in History-taking 170 7.6 Pain 171 7.7 Stiffness 173 7.8 Swelling 174 7.9 Loss of Function 175 7.10 Activities of Daily Living 176 7.11 Extra-articular Manifestations 177 7.12 Specific Joints 179 7.13 Neck 179 7.14 Thoracolumbar Spine 180 7.15 Shoulder 181 7.16 Elbow 182 7.17 Hand 182 7.18 Hip 183 7.19 Knee 183 References 186 8 Neurological 191 8.1 Impact of Neurological Disease 191 8.2 Ethnicity 191 8.3 Lgbtq+ 192 8.4 Approaching the Neurological History 192 8.5 Key Neurological Symptoms 194 8.6 Headache 194 8.7 Altered Mental Status 198 8.8 Seizures 199 8.9 Weakness 202 8.10 Sensory Symptoms 205 8.11 Tremor 206 8.12 Visual Disturbance 207 8.13 Gait Abnormality 208 8.14 Speech Abnormalities 209 References 211 9 Urinary 215 9.1 Burden of Urinary Problems 215 9.2 Community Prevalence of Urinary Symptoms 215 9.3 Ethnicity and Urinary Symptoms 216 9.4 LGBTQ+ Experience 216 9.5 Anatomy and Physiology of the Urinary Tract 217 9.6 What Causes Symptoms of the Urinary Tract? 218 9.7 Dysuria 219 9.8 Urinary Frequency 221 9.9 Urgency 222 9.10 Nocturia 223 9.11 Haematuria 224 9.12 Pain from the Urinary Tract 226 9.13 Incontinence 228 9.14 Prostatic Symptoms 230 9.15 Symptoms of Chronic Kidney Disease 232 References 233 10 Gender, Sexuality and Reproduction 237 10.1 The Scope of the Sexual History 237 10.2 Epidemiology of Gender, Sexual and Reproductive Symptoms 238 10.3 Sexual Orientation 239 10.4 Barriers to Taking a Sexual History 240 10.5 Non-consensual Sex 240 10.6 Health Professionals’ Roles in Discussion and Treatment of Non-consensual Sex 241 10.7 Gender Dysphoria 241 10.8 Vaginal Discharge 245 10.9 Normal Menstruation 247 10.10 Dysmenorrhoea 247 10.11 Heavy Menstrual Bleeding (HMB) 250 10.12 Pelvic Pain 252 10.13 Menopause 254 10.14 Sexual Dysfunction 255 10.15 Erectile Dysfunction 256 10.16 Female Sexual Dysfunction 258 10.17 Fertility Problems 259 10.18 Breast Lump 261 References 263 11 Mental Health 267 11.1 Impact of Mental Health Disorders 268 11.2 Stigma and Discrimination 271 11.3 Community Prevalence of Mental Health Symptoms 271 11.4 Social Determinants of Mental Health 271 11.5 Ethnicity and Mental Health 272 11.6 LGBTQ+ and Mental Health 272 11.7 The Patient Experience 273 11.8 Approaching the Mental Health Interview 273 11.9 Anxiety 275 11.10 Mood Disorders 276 11.11 Thought Disorder 280 11.12 Sleep Disorders 282 11.13 Memory Change 284 11.14 Personality Disorders 287 11.15 Self-harm 289 11.16 Suicide 290 11.17 Assessing Risk of Self-harm and Suicide 291 References 291 12 Babies and Children 297 12.1 Burden of Disease in Childhood 297 12.2 Social Determinants of Health 297 12.3 Ethnicity 298 12.4 Phases of Childhood 298 12.5 Exploring Symptoms of Babies and Children 299 12.6 Signs of Serious Illness in Babies 301 12.7 Feeding and Growth 301 12.8 Development 303 12.9 Cardiovascular Disease 305 12.10 Respiratory 309 12.11 Neurological 310 12.12 Gastrointestinal 311 12.13 Musculoskeletal Symptoms 312 12.14 Cancer in Children 312 12.15 Emotional Disorders 313 12.16 Autistic Spectrum Disorders (ASD) 313 12.17 Attention Deficit Hyperactivity Disorder (ADHD) 316 12.18 Adolescence 317 12.19 Gender Identity and Sexual Orientation 317 12.20 Sexual Orientation Symptoms in Children 319 References 319 13 Elderly Care 325 13.1 Global Burden of Disease in Older People 325 13.2 Ethnicity and Ageing 326 13.3 LGBTQ+ and Ageing 326 13.4 Normal Ageing 327 13.5 Symptoms in the Elderly 327 13.6 Key Tips in Taking a History 329 13.7 Multimorbidity and Comorbidity 329 13.8 Frailty 330 13.9 Falls 333 13.10 Appetite and Weight 338 13.11 Hearing and Vision 338 13.12 Mobility 339 13.13 Mental Health 340 13.14 Sexuality 341 13.15 Elder Abuse 343 References 344 14 Functional Symptoms 349 14.1 Introduction 349 14.2 Burden of Functional Disorders 350 14.3 Impact on Patients and Clinicians 350 14.4 Ethnicity and Culture 350 14.5 When Is it Organic Disease? 351 14.6 Maintaining Factors 352 14.7 Disorders of Gut-Brain Interaction (DGBI) 352 14.8 The Gut-Brain Axis 354 14.9 Irritable Bowel Syndrome (IBS) 357 14.10 Functional Dyspepsia 359 14.11 Functional Cardiovascular Symptoms 361 14.12 Functional Respiratory Symptoms 363 14.13 Functional Neurological Disorder (FND) 366 14.14 Fibromyalgia 369 14.15 Patient-Doctor Communication and Functional Symptoms 371 References 373 15 Bedside Teaching 379 Teaching About Symptoms and Diseases 379 15.1 Settings 379 15.2 Bedside Teaching 380 15.3 Organising Bedside Teaching 381 15.4 Marrying Process and Content 384 15.5 Teachable Moments 388 15.6 Topics for Reflecting on the History 389 15.7 Case-Based Discussion 394 References 394 Glossary of Terms 397 Index 401


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Product Details
  • ISBN-13: 9781394218813
  • Publisher: John Wiley & Sons Inc
  • Publisher Imprint: Wiley-Blackwell
  • Height: 252 mm
  • No of Pages: 448
  • Spine Width: 21 mm
  • Weight: 1040 gr
  • ISBN-10: 1394218818
  • Publisher Date: 13 Feb 2025
  • Binding: Paperback
  • Language: English
  • Returnable: Y
  • Sub Title: An Evidence-based Approach to the Patient History
  • Width: 201 mm


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