Evidence-Based Diagnosis explains diagnostic, screening, and prognostic tests in clinical medicine. The authors' approach is based on many years of experience teaching physicians in a clinical research training program. Although needing only a minimum of mathematics, the quantitative discussions in this book are deeper and more rigorous than in most introductory texts. The book includes numerous worked examples and 60 problems (with answers) based on real clinical situations and journal articles. This book is a great choice for anyone looking to select, develop, or apply medical tests. Topics covered include: the diagnostic process; test reliability and accuracy; testing and treatment thresholds; critical appraisal of studies of diagnostic, screening and prognostic tests; test independence and methods of combining tests; quantifying treatment benefits using randomized trials and observational studies; Bayesian interpretation of P values and confidence intervals; challenges for evidence-based diagnosis; likelihood ratios and ROC curves.
Covering a full range of topics from cardiovascular and pulmonary disease to ophthalmology, hematology and pediatrics, this is the only single volume, quick reference designed for use in daily practice. The 150+ clinical prediction rules as well as the background information necessary to determine its validity and relevance are essential for every physician in a time of limited health care resources. Designed as an aid in diagnosis and treatment, these rules allow more accurate diagnosis and treatment decisions while eliminating superfluous testing.
British Medical Association Book Awards 2009 - First Prize Winner, Primary Care Category Evidence-Based Diagnosis in Primary Care provides guidance on diagnosis in general practice, from the patient’s first presentation with a symptom to the final establishment of a diagnosis or referral for further investigation. The book is divided into two parts: • Symptoms; which details the steps necessary to reach a provisional diagnosis when a patient presents; and • 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 the pre-test probability of each possible disorder, and how the symptoms, signs and investigations alter those probabilities to allow a conclusion to be reached about the most likely diagnosis. Evidence-Based Diagnosis in Primary Care also explains the principles of evidence-based diagnosis – with special emphasis on the issues raised by attempting an evidence-based approach in primary care – and clearly demonstrates the power, and the difficulties, of an evidence-based approach. Many chapters also feature ‘red flags’ – elements of the history or examination that should alert the practitioner to the possibility of serious disease, which is vital for general practice.
Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones. Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios. Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations. Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more. NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.
An engaging case-based approach to learning the diagnostic process in internal medicine "All clinicians caring for patients, from medical students to residents and attending physicians, are the intended audience. The book is well written for all levels, and the authors are well-respected educators and experts in the field. 3 Stars."--Doody's Review Service Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process you 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. Coverage for each disease includes: Textbook Presentation: offers a concise statement of the common or classic presentation of the particular disease Disease Highlights: covers the most pertinent epidemiologic and pathophysiologic information for the disease Evidence-Based Diagnosis: reviews the accuracy of the history, physical exam, laboratory and radiologic tests for the disease. In this unique section, the author points out the findings that help you “rule in” or “rule out” the various diseases. Treatment: details the basics of therapy for the disease discussed Filled with algorithms, summary tables, and questions that direct evaluation, Symptom to Diagnosis is a true must read before your first clinical encounter.
This unique book presents a framework for the strategy and methodology of diagnostic research, in relation to its relevance for practice. Now in its second edition The Evidence Base of Clinical Diagnosis has been fully revised and extended with new chapters covering the STARD guidelines (STAndards for the Reporting of Diagnostic accuracy studies) and the multivariable analysis of diagnostic data. With contributions from leading international experts in evidence-based medicine, this book is an indispensable guide on how to conduct and interpret studies in clinical diagnosis. It will serve as a valuable resource for all investigators who want to embark on diagnostic research and for clinicians, practitioners and students who want to learn more about its principles and the relevant methodological options available.
Translating the evidence from the bedside topopulations This sixth edition of the best-selling Epidemiology,Evidence-based Medicine and Public Health Lecture Notes equipsstudents and health professionals with the basic tools required tolearn, practice and teach epidemiology and health prevention in acontemporary setting. The first section, ‘Epidemiology’, introduces thefundamental principles and scientific basis behind work to improvethe health of populations, including a new chapter on geneticepidemiology. Applying the current and best scientific evidence totreatment at both individual and population level is intrinsicallylinked to epidemiology and public health, and has been introducedin a brand new second section: ‘Evidence-basedMedicine’ (EBM), with advice on how to incorporate EBMprinciples into your own practice. The third section, 'PublicHealth', introduces students to public health practice, includingstrategies and tools used to prevent disease, prolong life, reduceinequalities, and includes global health. Thoroughly updated throughout, including new studies and casesfrom around the globe, key learning features include: Learning objectives and key points in every chapter Extended coverage of critical appraisal and datainterpretation A brand new self-assessment section of SAQs and’True/False’ questions for each topic A glossary to quickly identify the meaning of key terms, all ofwhich are highlighted for study and exam preparation Further reading suggestions on each topic Whether approaching these topics for the first time, starting aspecial study module or placement, or looking for a quick-referencesummary, this book offers medical students, junior doctors, andpublic health students an invaluable collection of theoretical andpractical information.
Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.
Rev. ed. of: Evidence-based dermatology / [edited by] Howard I. Maibach, Saqib J. Bashir, Ann McKibbon. Hamilton, Ont.: B.C. Decker, 2002.
An engaging case-based approach to learning the diagnostic process in internal medicine "All clinicians caring for patients, from medical students to residents and attending physicians, are the intended audience. The book is well written for all levels, and the authors are well-respected educators and experts in the field. 3 Stars."--Doody's Review Service Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process you 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. Coverage for each disease includes: Textbook Presentation: offers a concise statement of the common or classic presentation of the particular disease Disease Highlights: covers the most pertinent epidemiologic and pathophysiologic information for the disease Evidence-Based Diagnosis: reviews the accuracy of the history, physical exam, laboratory and radiologic tests for the disease. In this unique section, the author points out the findings that help you “rule in” or “rule out” the various diseases. Treatment: details the basics of therapy for the disease discussed Filled with algorithms, summary tables, and questions that direct evaluation, Symptom to Diagnosis is a true must read before your first clinical encounter.
This multidisciplinary textbook presents a unique approach to diagnosis and management of the various temporomandibular disorders. Written by a large group of eminent researchers and clinicians, it links current scientific concepts of basic anatomy, physiology, biomechanics, and pathology of the temporomandibular joint with specific diagnostic and treatment protocols that are based on sound clinical data. Thus, in keeping with the current thrust in medicine and dentistry, the book provides access to the best available evidence so that clinicians can make informed rather than empirical decisions about what is appropriate therapy. Where lack of data or rapid changes in a particular discipline do not allow for evidence-based conclusions or recommendations, the book highlights the areas of agreement and disagreement in order to expose the deficiencies in our present knowledge base. In a field of treatment long associated with controversy, this book educates readers about which current practices of diagnosis and treatment are strongly supported by scientific research and which are supported only by practical experience and/or anecdotal evidence.
This small pocket book contains more than 500 clinical pearls in 12 major areas of internal medicine, collected from teaching conferences for residents at the Johns Hopkins Hospital. The pearls were selected by two residents and reviewed by senior faculty at the Johns Hopkins University School of Medicine.
The ultimate guide to the evidence-based clinical encounter "This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency."--Annals of Internal Medicine "The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination."--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! "Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. "This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. "This extraordinary, one-of-a-kind book is a valuable addition to every medical library."--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
This book provides the skills and knowledge to use information effectively when exercising professional judgement and clinical decisions. By integrating theory with practical examples, it provides an overview of the key issues facing nurses in decision making today. Review of up-to-date research into clinical professional judgement and decision making Focus on evidence and skills and knowledge relevant to nursing practice Combines current theory with analysis of applications in practice Learning exercises and self-assessment components in each chapter Comprehensive coverage of subject
Use this convenient resource to formulate nursing diagnoses and create individualized care plans! Updated with the most recent NANDA-I approved nursing diagnoses, Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 9th Edition shows you how to build customized care plans using a three-step process: assess, diagnose, and plan care. It includes suggested nursing diagnoses for over 1,300 client symptoms, medical and psychiatric diagnoses, diagnostic procedures, surgical interventions, and clinical states. Authors Elizabeth Ackley and Gail Ladwig use Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) information to guide you in creating care plans that include desired outcomes, interventions, patient teaching, and evidence-based rationales. Promotes evidence-based interventions and rationales by including recent or classic research that supports the use of each intervention. Unique! Provides care plans for every NANDA-I approved nursing diagnosis. Includes step-by-step instructions on how to use the Guide to Nursing Diagnoses and Guide to Planning Care sections to create a unique, individualized plan of care. Includes pediatric, geriatric, multicultural, and home care interventions as necessary for plans of care. Includes examples of and suggested NIC interventions and NOC outcomes in each care plan. Allows quick access to specific symptoms and nursing diagnoses with alphabetical thumb tabs. Unique! Includes a Care Plan Constructor on the companion Evolve website for hands-on practice in creating customized plans of care. Includes the new 2009-2011 NANDA-I approved nursing diagnoses including 21 new and 8 revised diagnoses. Illustrates the Problem-Etiology-Symptom format with an easy-to-follow, colored-coded box to help you in formulating diagnostic statements. Explains the difference between the three types of nursing diagnoses. Expands information explaining the difference between actual and potential problems in performing an assessment. Adds detailed information on the multidisciplinary and collaborative aspect of nursing and how it affects care planning. Shows how care planning is used in everyday nursing practice to provide effective nursing care.
This new atlas provides a differential guide to diagnosis of disorders of the hair, as well as an evidence-based critique of the options for therapy. Covering evaluation methods, it also discusses the whole range of problems with hair, from disease and disorders induced by treatment to problems concerning special groups of patients. Presenting the latest opinion on management, and extensively illustrated with over 500 color photographs, a range of color drawings, and more than sixty tables, Diagnosis and Treatment of Hair Disorders will be of immense interest and value to all dermatologists.
Facts101 is your complete guide to Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care. In this book, you will learn topics such as as those in your book plus much more. With key features such as key terms, people and places, Facts101 gives you all the information you need to prepare for your next exam. Our practice tests are specific to the textbook and we have designed tools to make the most of your limited study time.

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