Contents
SECTION 1 PRINCIPLES OF CLINICAL ASSESSMENT 1
- What’s in a diagnosis? 3
- Assessing patients: a practical guide 7
- The diagnostic process 17
SECTION 2 ASSESSMENT OF COMMON PRESENTING PROBLEMS 22
- Abdominal pain 24
- Breast lump 46
- Chest pain 50
- Coma and altered consciousness 72
- Confusion: delirium and dementia 78
- Diarrhoea 90
- Dizziness 96
- Dysphagia 108
- Dyspnoea 112
- Fatigue 130
- Fever 138
- Gastrointestinal haemorrhage: haematemesis and rectal bleeding 150
- Haematuria 158
- Haemoptysis 162
- Headache 166
- Jaundice 174

- Joint swelling 184
- Leg swelling 190
- Limb weakness 196
- Low back pain 208
- Mobility problems: falls and immobility 214
- Nausea and vomiting 222
- Palpitation 232
- Rash: acute generalized skin eruption 240
28 Red eye 250 - Scrotal swelling 258
- Shock 264
- Transient loss of consciousness: syncope and seizures 270
- Urinary incontinence 282
- Vaginal bleeding 288
- Weight loss 294
Appendix 301
Index 305

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