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This book is a comprehensive guide to clinical diagnosis. Divided into five sections – general surgery, urogenital cases, neurosurgery, trauma, and paediatric surgery – each chapter describes a different disorder or disease.
Each condition is presented in a systematic, step by step manner, beginning with an overview of its physiology, pathology and clinical features, then its symptoms, history-taking, examination and differential diagnosis.
This highly useful manual presents students with an understanding of how to analyse clinical data in order to reach a diagnosis. More than 367 flow charts, tables and photographic illustrations enhance learning.
Key points
- Comprehensive guide to clinical diagnosis
- Numerous disorders described in a systematic approach helping students analyse clinical data to reach a diagnosis
- History-taking presented in questionnaire format
- Includes more than 367 flow charts, tables and photographic illustrations
Pramod Shrikrishna Bapat MS
Consultant General Surgeon, Shree Harneshwar Clinic, Talegaon (Dabhade), Pune, Maharashtra, India
- Section 1: General Surgery
- General principles of case-taking
- History-taking
- Selected common symptoms in clinical practice
- General examination
- Locoregional examination
- Respiratory system examination
- Pelvic examination [‘PS/E’, ‘PV/E’, ‘DRE’ and anoscopy (Proctoscopy)]
- Examination of the pregnant patient
- Diagnosis
- Guidelines on documentation of clinical notes
- Sudden loss of consciousness (Sudden unresponsiveness) / cardiorespiratory arrest
- Shock
- Infections / infestations
- Skeletal muscles in the body amenable to physical examination (Applied anatomy)
- Swelling—basic concepts
- Chronic lymph node swelling
- Chronic bone swelling
- Chronic vascular swelling
- Chronic circumscribed swelling in the region of the head and face
- Chronic swelling of the jaw
- Chronic circumscribed swelling in the neck
- Goiter and thyroid cancer
- A reducible (/irreducible) swelling in the groin
- A non-reducible swelling in the groin
- Scrotal swelling / scrotal pain
- Impalpable testicle / intermittently palpable testicle / empty scrotum
- Chronic swelling in the back
- Chronic swelling in the perineum, and gluteal region
- Swellings / bulges related to vulva / vagina /urethra
- Disorders of the female breast
- Disorders of the male breast
- Disorders of the chest wall
- Chronic pain in abdomen
- Acute pain in abdomen
- Lump in abdomen
- Distension of abdomen
- Jaundice
- Portal hypertension
- Difficulty in swallowing i.e. dysphagia, and other symptoms of (chronic) esophageal disorder
- Vomiting of blood—hematemesis
- Anorectal pain, bleeding per rectum, and other manifestations of anorectal disorder
- Ulcer
- Sinus / fistula
- (Recurrent attacks of) Discharge from the umbilicus
- Limb pain
- Limb ischemia—acute and chronic peripheral arterial occlusive disease
- Limb gangrene
- Amputation stump
- Tortuous veins in the limbs—varicose veins / chronic venous insufficiency
- Limb edema
- Oral cavity / orofacial pain
- Temporomandibular joint
- Backache
- Section 2: Urogenital Case
- Urogenital Case
- Section 3: Neurosurgery
- Intracranial space-occupying lesion
Headache
Head injury
- Section 4: Trauma (Essentially Soft Tissue)
- Acute mechanical trauma—general principles
- Head injury
- Facial (Maxillofacial) injury
- Injury to the neck
- Chest injury
- Esophageal injury
- Perforation
- Corrosive injury
- Ingested foreign body
- Abdominal trauma
- Urogenital trauma
- Injury to anorectum, perineum, buttock
- Spinal trauma
- Hand injury
- Vascular injury
- Burn injury: Thermal, chemical, electrical
- Section 5: Pediatric Surgery
- History-taking in a child
- Surgical examination of the child
- Respiratory distress in the newborn
- Acute abdominal disorders
- Colic (Colicky pain in abdomen)
- Neonatal intestinal obstruction
- Recurrent pain in abdomen
- Vomiting in the neonate
- Non-bile-stained vomiting in infancy
- GI bleeding
- Jaundice / cholelithiasis / portal hypertension
- Discharge from the umbilicus
- Anorectal malformation
- Urinary tract infection (UTI) / urinary stones
- Disorders of the lower urinary tract
- Acute scrotum
- Disorders of the external genitalia
- Acute pain in the limb
- Disorders of the mouth
- Swellings / lesions in the face
- Swelling in the neck / notes on selected swellings
- Torticollis (Wry neck)
- Disorders of the breast
- A big head / hydrocephalus / assessing a VP shunt
- Spinal dysraphism—spina bifida
- Foreign bodies