Additional Information
Book Details
Abstract
Logically organized around the 36 most common presenting complaints – 80% of what you’re likely to encounter in daily practice – Differential Diagnosis of Common Complaints, 7th Edition, uses a practical, clinically oriented approach to help you master the differential diagnosis of common symptoms. Using a clear, consistent format, it walks you through the problem-solving process that most physicians use to make a diagnosis. This book is the ideal reference for the beginning student and the busy clinician.
- Find information quickly thanks to an alphabetical organization by sign/symptom/disorder and a format that mimics the diagnostic decision-making process in clinical practice.
- Develop the clinical reasoning and critical thinking skills that are essential for physicians, nurse practitioners, and physician assistants.
- Stay up to date with evidence-based practice with increased evidence added to each chapter and thorough updating throughout, including the latest clinical and diagnostic studies.
- Clearly visualize key points in problem solving with new clinical algorithms and updated figures and images.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | ES2 | ||
| Differential Diagnosis of Common Complaints | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Introduction | vii | ||
| Nature of patient | viii | ||
| Nature of symptoms | viii | ||
| Differential diagnosis table | viii | ||
| Selected references | viii | ||
| Acknowledgments | ix | ||
| Contents | xi | ||
| Chapter 1: Abdominal Pain in Adults | 1 | ||
| Nature of patient | 2 | ||
| Nature of pain | 4 | ||
| Location of pain | 5 | ||
| Associated symptoms | 8 | ||
| Precipitating and aggravating factors | 9 | ||
| Ameliorating factors | 9 | ||
| Physical findings | 10 | ||
| Appendicitis | 10 | ||
| Cholecystitis | 11 | ||
| Peptic Ulcer | 11 | ||
| Intestinal Obstruction | 11 | ||
| Salpingitis | 12 | ||
| Irritable Bowel | 12 | ||
| Acute Diverticulitis | 12 | ||
| Ureterolithiasis | 12 | ||
| Diagnostic studies | 12 | ||
| Less common diagnostic considerations | 13 | ||
| Selected References | 19 | ||
| Chapter 2: Abdominal Pain in Children | 20 | ||
| Nature of patient | 22 | ||
| Nature of pain | 23 | ||
| Location of pain | 24 | ||
| Associated symptoms | 25 | ||
| Precipitating and aggravating factors | 26 | ||
| Ameliorating factors | 26 | ||
| Physical findings | 26 | ||
| Diagnostic studies | 28 | ||
| Less common diagnostic considerations | 28 | ||
| Selected References | 32 | ||
| Chapter 3: Backache | 33 | ||
| Nature of patient | 34 | ||
| Nature of symptoms and location of pain | 35 | ||
| Associated symptoms | 37 | ||
| Precipitating and aggravating factors | 38 | ||
| Ameliorating factors | 38 | ||
| Physical findings | 39 | ||
| Diagnostic studies | 43 | ||
| Less common diagnostic considerations | 45 | ||
| Selected References | 50 | ||
| Chapter 4: Belching, Bloating, and Flatulence | 52 | ||
| Belching | 52 | ||
| Nature of Patient | 52 | ||
| Associated Symptoms | 53 | ||
| Precipitating and Aggravating Factors | 53 | ||
| Diagnostic Studies | 53 | ||
| Less Common Diagnostic Considerations | 53 | ||
| Bloating and flatulence | 53 | ||
| Nature of Patient | 54 | ||
| Nature of Symptoms | 55 | ||
| Associated Symptoms | 55 | ||
| Precipitating and Aggravating Factors | 55 | ||
| Ameliorating Factors | 56 | ||
| Physical Findings | 56 | ||
| Diagnostic Studies | 56 | ||
| Less Common Diagnostic Considerations | 56 | ||
| Selected References | 59 | ||
| Chapter 5: Breast Lumps | 60 | ||
| Nature of patient | 60 | ||
| Nature of symptoms | 61 | ||
| Associated symptoms | 62 | ||
| Precipitating and aggravating factors | 62 | ||
| Ameliorating factors | 62 | ||
| Physical findings | 62 | ||
| Diagnostic studies | 63 | ||
| Less common diagnostic considerations | 64 | ||
| Selected References | 67 | ||
| Chapter 6: Chest Pain | 68 | ||
| Nature of patient | 68 | ||
| Nature of pain | 71 | ||
| Associated symptoms | 73 | ||
| Precipitating and aggravating factors | 74 | ||
| Ameliorating factors | 74 | ||
| Physical findings | 75 | ||
| Diagnostic studies | 76 | ||
| Less common diagnostic considerations | 78 | ||
| Selected References | 82 | ||
| Chapter 7: Colds, Flu, and Stuffy Nose | 83 | ||
| Nature of patient | 83 | ||
| Nature of symptoms and associated symptoms | 84 | ||
| Precipitating and aggravating factors | 85 | ||
| Ameliorating factors | 85 | ||
| Physical findings | 85 | ||
| Diagnostic studies | 86 | ||
| Less common diagnostic considerations | 86 | ||
| Selected References | 90 | ||
| Chapter 8: Constipation | 91 | ||
| Nature of patient | 92 | ||
| Nature of symptoms | 93 | ||
| Associated symptoms | 93 | ||
| Precipitating and aggravating factors | 94 | ||
| Ameliorating factors | 95 | ||
| Physical findings | 95 | ||
| Diagnostic studies | 95 | ||
| Less common diagnostic considerations | 96 | ||
| Selected References | 101 | ||
| Chapter 9: Cough | 102 | ||
| Nature of patient | 102 | ||
| Nature of symptoms | 104 | ||
| Associated symptoms | 106 | ||
| Precipitating and aggravating factors | 106 | ||
| Ameliorating factors | 107 | ||
| Physical findings | 107 | ||
| Diagnostic studies | 108 | ||
| Less common diagnostic considerations | 108 | ||
| Selected References | 113 | ||
| Chapter 10: Diarrhea | 114 | ||
| Nature of patient | 114 | ||
| Nature of symptoms | 115 | ||
| Associated symptoms | 116 | ||
| Precipitating and aggravating factors | 121 | ||
| Ameliorating factors | 122 | ||
| Physical findings | 122 | ||
| Diagnostic studies | 122 | ||
| Less common diagnostic considerations | 123 | ||
| Chronic diarrhea in children | 124 | ||
| Selected References | 130 | ||
| Chapter 11: Dizziness/Lightheadedness and Vertigo | 131 | ||
| True vertigo | 131 | ||
| Nature of Patient | 131 | ||
| Nature of Symptoms | 132 | ||
| Associated Symptoms | 133 | ||
| Precipitating and Aggravating Factors | 133 | ||
| Ameliorating Factors | 134 | ||
| Physical Findings | 134 | ||
| Diagnostic Studies | 134 | ||
| Less Common Diagnostic Considerations | 134 | ||
| Lightheadedness/Dizziness and Giddiness | 135 | ||
| Nature of Patient | 135 | ||
| Nature of Symptoms | 135 | ||
| Associated Symptoms | 136 | ||
| Precipitating and Aggravating Factors | 136 | ||
| Ameliorating Factors | 136 | ||
| Physical Findings | 141 | ||
| Diagnostic Studies | 141 | ||
| Less Common Diagnostic Considerations | 141 | ||
| Selected References | 141 | ||
| Chapter 12: Earache | 142 | ||
| Nature of patient | 142 | ||
| Nature of symptoms | 143 | ||
| Associated symptoms | 144 | ||
| Precipitating and aggravating factors | 144 | ||
| Ameliorating factors | 145 | ||
| Physical findings and diagnostic studies | 145 | ||
| Less common diagnostic considerations | 146 | ||
| Selected References | 150 | ||
| Chapter 13: Facial Pain | 151 | ||
| Nature of patient | 151 | ||
| Nature of symptoms | 152 | ||
| Associated symptoms | 153 | ||
| Precipitating and aggravating factors | 154 | ||
| Ameliorating factors | 154 | ||
| Physical findings | 155 | ||
| Diagnostic studies | 156 | ||
| Less common diagnostic considerations | 157 | ||
| Selected References | 162 | ||
| Chapter 14: Fatigue | 163 | ||
| Nature of patient | 164 | ||
| Nature of symptoms | 165 | ||
| Associated symptoms | 166 | ||
| Precipitating and exacerbating factors | 166 | ||
| Ameliorating factors | 167 | ||
| Physical findings | 167 | ||
| Diagnostic studies | 174 | ||
| Less common diagnostic considerations | 174 | ||
| Selected References | 174 | ||
| Chapter 15: Fever | 176 | ||
| Nature of patient | 177 | ||
| Nature of symptoms | 178 | ||
| Associated symptoms | 178 | ||
| Precipitating and aggravating factors | 179 | ||
| Physical findings | 179 | ||
| Diagnostic studies | 180 | ||
| Less common diagnostic considerations | 180 | ||
| Selected References | 186 | ||
| Chapter 16: Forgetfulness | 188 | ||
| Nature of patient | 188 | ||
| Nature of symptoms | 189 | ||
| Associated symptoms | 189 | ||
| Precipitating and aggravating factors | 189 | ||
| Ameliorating factors | 190 | ||
| Physical findings | 190 | ||
| Diagnostic studies | 193 | ||
| Less common diagnostic considerations | 193 | ||
| Selected References | 193 | ||
| Chapter 17: Headache | 194 | ||
| Nature of patient | 195 | ||
| Nature of pain | 197 | ||
| Headache patterns | 200 | ||
| Associated symptoms | 201 | ||
| Precipitating and aggravating factors | 202 | ||
| Ameliorating factors | 203 | ||
| Physical findings | 203 | ||
| Diagnostic studies | 204 | ||
| Less common diagnostic considerations | 205 | ||
| Selected References | 212 | ||
| Chapter 18: Heartburn, Indigestion, and Dyspepsia | 213 | ||
| Nature of patient | 214 | ||
| Nature of symptoms | 215 | ||
| Associated symptoms | 216 | ||
| Precipitating and aggravating factors | 216 | ||
| Ameliorating factors | 217 | ||
| Physical findings | 217 | ||
| Diagnostic studies | 218 | ||
| Less common diagnostic considerations | 218 | ||
| Selected References | 222 | ||
| Chapter 19: Insomnia | 223 | ||
| Nature of patient | 223 | ||
| Nature of symptoms | 225 | ||
| Associated symptoms | 226 | ||
| Precipitating and aggravating factors | 226 | ||
| Ameliorating factors | 227 | ||
| Physical findings | 227 | ||
| Diagnostic studies | 230 | ||
| Less common diagnostic considerations | 230 | ||
| Selected References | 230 | ||
| Chapter 20: Menstrual Irregularities | 231 | ||
| Abnormal bleeding | 231 | ||
| Anovulatory Bleeding | 231 | ||
| Estrogen-Withdrawal Bleeding | 231 | ||
| Estrogen-Breakthrough Bleeding | 232 | ||
| Progesterone-Withdrawal Bleeding | 233 | ||
| Progesterone-Breakthrough Bleeding | 233 | ||
| Dysfunctional Ovulatory Bleeding | 233 | ||
| Bleeding Patterns | 234 | ||
| Nature of patient | 234 | ||
| Nature of symptoms | 238 | ||
| Irregular Bleeding During Menstrual Life | 240 | ||
| Heavy Menstrual Bleeding | 240 | ||
| Bleeding Before Puberty and After Menopause | 241 | ||
| Bleeding During Pregnancy | 241 | ||
| Associated Symptoms | 241 | ||
| Precipitating and Aggravating Factors | 241 | ||
| Physical Findings | 241 | ||
| Diagnostic Studies | 241 | ||
| Less Common Diagnostic Considerations | 242 | ||
| Amenorrhea | 243 | ||
| Selected References | 253 | ||
| Chapter 21: Menstrual Pain | 254 | ||
| Nature of patient | 256 | ||
| Nature of symptoms | 256 | ||
| Associated symptoms | 257 | ||
| Precipitating and aggravating factors | 257 | ||
| Ameliorating factors | 257 | ||
| Physical findings | 258 | ||
| Diagnostic studies | 258 | ||
| Less common diagnostic considerations | 258 | ||
| Selected References | 261 | ||
| Chapter 22: Nausea and/or Vomiting Without Abdominal Pain | 262 | ||
| Nature of patient | 262 | ||
| Nature of symptoms | 264 | ||
| Associated symptoms | 265 | ||
| Precipitating and aggravating factors | 266 | ||
| Ameliorating factors | 266 | ||
| Physical findings | 266 | ||
| Diagnostic studies | 267 | ||
| Less common diagnostic considerations | 267 | ||
| Selected References | 271 | ||
| Chapter 23: Pain in the Foot | 272 | ||
| Nature of patient | 272 | ||
| Nature of symptoms | 273 | ||
| Precipitating and aggravating factors | 274 | ||
| Physical findings | 274 | ||
| Diagnostic studies | 275 | ||
| Less common diagnostic considerations | 276 | ||
| Selected References | 280 | ||
| Chapter 24: Pain in the Lower Extremity in Adults | 281 | ||
| Nature of patient | 281 | ||
| Nature of symptoms | 282 | ||
| Degenerative Joint Disease | 282 | ||
| Sciatica | 283 | ||
| Effects of Exercise and Rest on Pain | 283 | ||
| Arterial Insufficiency (Peripheral Artery Disease). | 283 | ||
| Rest Pain (Often Nocturnal) in the Toes or Heel Is Almost Pathognomonic of Arterial Insufficiency. | 283 | ||
| Venous Insufficiency. | 284 | ||
| Spinal Stenosis. | 284 | ||
| Thrombophlebitis. | 284 | ||
| Other Conditions | 285 | ||
| Associated symptoms | 286 | ||
| Precipitating and aggravating factors | 287 | ||
| Ameliorating factors | 287 | ||
| Physical findings and diagnostic studies | 287 | ||
| Muscular and Ligamentous Strains and Tears | 289 | ||
| Degenerative Joint Disease | 290 | ||
| Sciatica | 291 | ||
| Intermittent Claudication | 291 | ||
| Thrombophlebitis | 292 | ||
| Other Conditions | 294 | ||
| Less common diagnostic considerations | 295 | ||
| The leg and sports medicine | 298 | ||
| Selected References | 303 | ||
| Chapter 25: Pain in the Lower Extremity and Limping in Children | 304 | ||
| Nature of patient | 304 | ||
| Nature of symptoms | 305 | ||
| Associated symptoms | 306 | ||
| Physical findings | 307 | ||
| Diagnostic studies | 309 | ||
| Less common diagnostic considerations | 309 | ||
| Selected References | 309 | ||
| Chapter 26: Pain in the Upper Extremity | 310 | ||
| Shoulder | 310 | ||
| Nature of Patient | 311 | ||
| Nature of Symptoms | 312 | ||
| Involvement of Supraspinatus Tendon. | 313 | ||
| Involvement of Teres Minor, Infraspinatus, and Subscapularis Muscles. | 313 | ||
| Tears and Ruptures of Rotator Cuff. | 313 | ||
| Calcific Tendinitis. | 313 | ||
| Bicipital and Tricipital Tendinitis. | 313 | ||
| Bursitis. | 314 | ||
| Frozen Shoulder. | 314 | ||
| Subluxation or Dislocation. | 314 | ||
| Impingement Syndrome. | 314 | ||
| Site of Pain. | 315 | ||
| Pain From Vigorous Physical Activity. | 315 | ||
| Arthritis. | 316 | ||
| Nonarticular Pain. | 316 | ||
| Associated Symptoms | 317 | ||
| Precipitating and Aggravating Factors | 318 | ||
| Ameliorating Factors | 318 | ||
| Physical Findings | 318 | ||
| Elbow | 319 | ||
| Hand and wrist | 319 | ||
| Diagnostic studies | 322 | ||
| Less common diagnostic considerations | 323 | ||
| Selected References | 328 | ||
| Chapter 27: Palpitations | 329 | ||
| Nature of patient | 329 | ||
| Nature of symptoms | 330 | ||
| Associated symptoms | 332 | ||
| Precipitating and aggravating factors | 332 | ||
| Ameliorating factors | 333 | ||
| Physical findings | 333 | ||
| Diagnostic studies | 337 | ||
| Less common diagnostic considerations | 337 | ||
| Selected References | 337 | ||
| Chapter 28: Shortness of Breath | 338 | ||
| Nature of patient | 338 | ||
| Nature of symptoms | 339 | ||
| Acute Dyspnea | 339 | ||
| Chronic Dyspnea | 339 | ||
| Associated symptoms | 340 | ||
| Acute Dyspnea | 340 | ||
| Precipitating and aggravating factors | 341 | ||
| Ameliorating factors other than medical therapy | 341 | ||
| Physical findings | 341 | ||
| Diagnostic studies | 342 | ||
| Less common diagnostic considerations | 347 | ||
| Selected References | 347 | ||
| Chapter 29: Skin Problems | 348 | ||
| Selected References | 358 | ||
| Color Plate of Chapter 29 | c1 | ||
| Chapter 30: Sore Throat | 359 | ||
| Nature of patient | 360 | ||
| Nature of symptoms | 360 | ||
| Associated symptoms | 362 | ||
| Predisposing factors | 362 | ||
| Physical findings | 363 | ||
| Diagnostic studies | 365 | ||
| Less common diagnostic considerations | 365 | ||
| Selected References | 368 | ||
| Chapter 31: Swelling of the Legs | 369 | ||
| Nature of patient | 369 | ||
| Nature of symptoms | 370 | ||
| Associated symptoms | 371 | ||
| Precipitating and aggravating factors | 372 | ||
| Ameliorating factors | 372 | ||
| Physical findings | 373 | ||
| Diagnostic studies | 373 | ||
| Less common diagnostic considerations | 374 | ||
| Selected References | 378 | ||
| Chapter 32: Urethral Discharge and Dysuria | 379 | ||
| Nature of patient | 380 | ||
| Nature of symptoms | 380 | ||
| Cystitis | 380 | ||
| Urethritis | 381 | ||
| Associated symptoms | 383 | ||
| Precipitating and aggravating factors | 384 | ||
| Ameliorating factors | 384 | ||
| Physical findings | 385 | ||
| Diagnostic studies | 385 | ||
| Less common diagnostic considerations | 386 | ||
| Selected References | 390 | ||
| Chapter 33: Vaginal Discharge and Itching | 391 | ||
| Nature of patient | 391 | ||
| Prepubertal Patients | 391 | ||
| Adolescents | 392 | ||
| Adults | 392 | ||
| Nature of symptoms | 392 | ||
| Associated symptoms | 393 | ||
| Precipitating and aggravating factors | 394 | ||
| Physical findings | 394 | ||
| Diagnostic studies | 395 | ||
| Less common diagnostic considerations | 396 | ||
| Selected References | 400 | ||
| Chapter 34: Vision Problems and Other Common Eye Problems | 401 | ||
| Nature of patient | 401 | ||
| Nature of symptoms | 402 | ||
| Associated symptoms | 405 | ||
| Precipitating and aggravating factors | 405 | ||
| Ameliorating factors | 406 | ||
| Physical findings | 406 | ||
| Diagnostic studies | 407 | ||
| Less common diagnostic considerations | 407 | ||
| Selected References | 411 | ||
| Chapter 35: Voiding Disorders and Incontinence | 412 | ||
| Nature of patient | 413 | ||
| Nature of symptoms | 413 | ||
| Associated symptoms | 414 | ||
| Precipitating and aggravating factors | 415 | ||
| Ameliorating factors | 415 | ||
| Physical findings | 416 | ||
| Diagnostic studies | 416 | ||
| Less common diagnostic considerations | 419 | ||
| Selected References | 419 | ||
| Chapter 36: Weight Gain and Weight Loss | 421 | ||
| Weight gain | 421 | ||
| Nature of Patient | 421 | ||
| Nature of Symptoms | 422 | ||
| Associated Symptoms and Ameliorating Factors | 422 | ||
| Precipitating and Aggravating Factors | 423 | ||
| Physical Findings | 423 | ||
| Diagnostic Studies | 423 | ||
| Less Common Diagnostic Considerations | 424 | ||
| Weight loss | 424 | ||
| Selected References | 430 | ||
| Index | 431 |