Category: Clinical Skills

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This is a practical manual for clinicians who take care of patients with concussions. The long-term effects of concussions are an increasingly recognized problem in the medical community and by the general public. Most people recover well from concussions, but a substantial minority does not. However, most clinicians do not have specific training in how to evaluate and treat concussion patients who do not make a rapid and complete recovery.
This manual, based on the experience of the director of the concussion clinic at Washington University in St Louis, provides specific step-by-step guidance for managing a variety of problems related to complex concussions: making an accurate diagnosis, general treatment strategies, headaches, sleep disruption, attention deficit, mood instability, anxiety and depression, post-traumatic stress, personality change, balance problems, dizziness, fatigue etc. Furthermore, there are specific sections on return to work, return to driving, return to school and return to contact sports. Finally, the manual includes information on special topics, such as concussion in adolescents, children, contact sport athletes, military personnel, and patients involved in medico-legal matters.
The manual is written for clinicians with a broad range of backgrounds: primary care physicians, nurse practitioners, physician’s assistants, athletic trainers, emergency medicine doctors, neurologists, neurosurgeons, psychiatrists, and rehabilitation medicine physicians should all be able to use the manual effectively. There is information on how to set up a specialty concussion clinic, and an extensive list of internet-based resources related to concussion. A list of other publications is provided to point to additional detailed information beyond what a pocket-sized ‘on-the-fly’ manual can provide.

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This practical guide provides an instruction manual for common, essential ward-based practical procedures. The book is aimed at those in their foundation years, as well as being useful for those starting their subsequent specialist training years. Many of these procedures are not taught at medical school, yet are expected to be routinely implemented as a junior doctor. Furthermore, the competency-based assessment structure being implemented as part of the ‘Modernising Medical Careers’ programme has highlighted and defined the need for professional guidance and teaching with such procedures. The book covers all major ward-based practical procedures (including all of those covered in the Foundation Programme syllabus), with chapters for related procedures being grouped under relevant sections. Each chapter is set out under a standard set of headings, including the indications for the procedure, the anatomy underlying the procedure, details of how to perform the procedures, post-procedure care, potential complications and their management, and relevant investigations. The style is concise and to the point in the form of a quick reference guide, and the methodology reads as if performing the procedure in person on the ward. Numerous clinical photographs and diagrams complement the text at key steps of the procedure. Every chapter has a number of helpful ‘Tips’ boxes providing practical advice and experience in an easy-to-read manner. Current recommendations are included from the National Institute for Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA), together with procedural guidelines issued by the British Thoracic Society (BTS) and the British Society of Gastroenterology (BSG).

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A bestselling title for over 25 years, the updated seventh edition of Talley and O’Connor’s Clinical Examination is an essential read for all student clinicians. Fully updated with the latest clinical data, including specially commissioned research, Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice. Clinical Examination: A systematic guide to physical diagnosis, 7th edition breaks down each body system into a logical framework focusing on the history, clinical examination and correlation between physical signs and disease for each system. Helping students to navigate from first impressions through to the end of consultation, the text provides a patient-centred, evidence-based approach, making it the definitive resource for anyone embarking upon a medical career.

Building on the strengths of previous editions, Clinical Examination 7th edition, includes StudentConsult with access to:

• Full eBook
• 4 additional chapters: – The Paediatric History and Examination – The Neonatal History and Examination – The Gynaecological History and Examination – The Obstetric History and Examination
• OSCE-based scenario videos to assist with examination preparation
• ECG case studies
• Imaging library (X-rays, MRIs and CT scans)
• 390 MCQs

The book is written for the clinical skills subject of the medical curriculum. Medical schools teach this at varying stages, some introducing the subject in the beginning years (graduate medical schools years 1 & 2) and others at year 3 (traditional/hybrid curricula, usually 5 or 6 years). Specialty Colleges and RACP teach a clinical skills subject in the early part of basic training which takes place after PGY1 & 2.

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A classic text, Chamberlain’s Symptoms and Signs in Clinical Medicine has been providing students and professionals with a detailed and well-illustrated account of the symptoms and signs of diseases affecting all the body systems since the first edition published in 1936. Now completely rewritten by a new team of authors selected for their experience and reputation in writing quality publications in their specialist fields, the 13th edition brings the title into line with current teaching and practice.

One of the key challenges of writing a textbook of diagnostic medicine is to balance the “bottom up” approach of constructing a differential diagnosis from individual clinical findings, and the “top down” approach of learning the key features pertaining to a particular diagnosis. The 13th edition of Chamberlain’s Symptoms and Signs in Clinical Medicine integrates both approaches into a coherent working framework that will assist the reader in preparing for academic and professional examinations, and in everyday practice.

Presented in full colour and illustrated with relevant images, this book provides a thorough lesson in diagnostic medicine, ensuring the reader is fully prepared to deal with the challenging process of differential diagnosis through a thorough knowledge of the central features of the conditions that they are likely to encounter.

Key features:

• Teaches the reader how to diagnose correctly through assessment of symptoms and signs while simultaneously recalling all key features of a given condition
• Full colour and generously illustrated
• Conforms with the core competencies required for the foundation years
• Includes bullet point lists and tip boxes
• Chapters conclude with a summary of key points for easy revision
• Written and edited by a highly experienced team of specialists
• Companion website

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This is a convenient new review e-book, consisting of nearly 1000 case-based problems. Whether you’re studying for the board, recertifying, or just looking for a convenient way to make sure your patient-care skills stay sharp, this internal medicine self assessment tool makes review easy and enjoyable.

* Comprehensive. An extensive library of questions covers all of adult internal medicine, plus Psychiatry, Neurology, Dermatology, and more. And, each of the 981 questions presents commonly encountered cases, diagnostic and therapeutic options, and in-depth reasoning and explanations on the recommended choices. Covers all the major areas of practice you need to review to score well on the exam.

* Trustworthy. Questions are derived from the respected ACP Medicine CME program. For further reading, the problems are referenced to ACP Medicine, a continually updated, evidence-based reference of adult internal medicine. The cases are reviewed by experts in clinical practice from our editorial board at the nation’s leading medical institutions.

* Relevant. Case-based for greater relevance to daily practice—the format selected for many of the questions on recent exams. These self-assessment questions provide easy-to-understand, detailed explanations of the principles behind the answers—an ideal way to get ready for the boards or recertification.

* Print or Electronic Formats. Our problem series can be ordered in traditional print or convenient e-book formats. The soft-cover print book is approximately 600 pages, published in July of 2005. Or, our e-book offers a convenient PDF format for immediate download and allows you to test your medical knowledge wherever you choose—from your computer or handheld device or by printing out an easy-to-read hardcopy to carry with you.

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