Contents

SECTION 1 PRINCIPLES OF CLINICAL ASSESSMENT 1

  1. What’s in a diagnosis? 3
  2. Assessing patients: a practical guide 7
  3. The diagnostic process 17

SECTION 2 ASSESSMENT OF COMMON PRESENTING PROBLEMS 22

  1. Abdominal pain 24
  2. Breast lump 46
  3. Chest pain 50
  4. Coma and altered consciousness 72
  5. Confusion: delirium and dementia 78
  6. Diarrhoea 90
  7. Dizziness 96
  8. Dysphagia 108
  9. Dyspnoea 112
  10. Fatigue 130
  11. Fever 138
  12. Gastrointestinal haemorrhage: haematemesis and rectal bleeding 150
  13. Haematuria 158
  14. Haemoptysis 162
  15. Headache 166
  16. Jaundice 174
  1. Joint swelling 184
  2. Leg swelling 190
  3. Limb weakness 196
  4. Low back pain 208
  5. Mobility problems: falls and immobility 214
  6. Nausea and vomiting 222
  7. Palpitation 232
  8. Rash: acute generalized skin eruption 240
    28 Red eye 250
  9. Scrotal swelling 258
  10. Shock 264
  11. Transient loss of consciousness: syncope and seizures 270
  12. Urinary incontinence 282
  13. Vaginal bleeding 288
  14. Weight loss 294
    Appendix 301
    Index 305

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