Critical Diagnostic Thinking in Respiratory Care : A Case-Based Approach

by Stoller, Bakow & Longworth

• ISBN13: 9780721685489
• ISBN10: 072168548X
• Format: Paperback
• Copyright: 2001-10-15
• Publisher: Saunders

Summary

This case-based approach to decision-making in respiratory care offers a thorough introduction to the processes involved in developing critical diagnostic thinking, followed by realistic scenarios that allow readers to put critical thinking skills into practice. Readers learn how to use information from the patient's history and physical examination to arrive at a differential diagnosis. The book presents cases typical of outpatient, inpatient non-ICU, and ICU clinical settings. Each chapter begins with a clinical vignette that poses an important respiratory problem, accompanied by a description of the patient's history and physical examination, and reviews the common and uncommon causes of the patient's symptoms. Using specific features of the patient's history and physical examination, the reader must analyze the likelihood of a specific cause of the symptom. Critical Diagnostic Thinking in Respiratory Care lays the foundation for clinical practice, taking the reader beyond theory and into the real world of patient care.

Table of Contents

PART I BACKGROUND
An Introduction to Critical Diagnostic Thinking	3	(38)
David Shelledy
James K. Stoller
The Importance of Critical Thinking and Problem Solving	4	(4)
Identifying the Clinical Problem: Patient History and Physical Examination	8	(7)
Formulation and Evaluation of Hypotheses	15	(10)
Laboratory Evaluation	25	(10)
Assessment of the Effect of Therapy	35	(1)
Pitfalls and Common Mistakes	35	(2)
Summary	37	(4)
PART II COMMON PRESENTATIONS IN THE OUTPATIENT SETTING
Chronic Cough	41	(8)
James K. Stoller
The Clinical Problem	41	(8)
Recurrent Episodes of Purulent Phlegm	49	(8)
Raed A. Dweik
The Clinical Problem	49	(8)
Progressive Exertional Dyspnea	57	(8)
Loutfi S. Aboussouan
The Clinical Problem	57	(8)
Chronic Exertional Dyspnea	65	(14)
Sanjay A. Patel
Frank C. Sciurba
The Clinical Problem	65	(12)
Summary	77	(2)
Fatigue-Associated Daytime Sleepiness	79	(8)
Patrick J. Strollo, Jr.
The Clinical Problem	79	(8)
Solitary Pulmonary Nodule	87	(12)
Albert L. Rafanan
Atul C. Mehta
The Clinical Problem	87	(12)
Hemoptysis	99	(6)
Robert Gerber
Raed A. Dweik
The Clinical Problem	99	(6)
Digital Clubbing	105	(10)
Sunder Sandur
The Clinical Problem	105	(10)
Bilateral Pleural Effusions	115	(12)
Howard Christie
The Clinical Problem	115	(12)
Unilateral Right-Sided Pleural Effusion	127	(10)
Howard Christie
The Clinical Problem	127	(10)
Platypnea	137	(8)
Paul A. Lange
The Clinical Problem	137	(8)
Chronic Hypercapnia	145	(8)
Lynn T. Tanoue
The Clinical Problem	145	(8)
Community-Acquired Pneumonia	153	(14)
David L. Longworth
The Clinical Problem	153	(14)
Pleuritic Chest Pain	167	(10)
Bipin D. Sarodia
James K. Stoller
The Clinical Problem	167	(10)
Non-Pleuritic Chest Pain	177	(10)
Gary W. Falk
The Clinical Problem	177	(10)
Upper Lobe Pulmonary Infiltrate	187	(8)
Laurence A. Smolley
The Clinical Problem	187	(8)
Wheezing	195	(6)
Mani S. Kavuru
The Clinical Problem	195	(6)
Stridor	201	(10)
Tareq Jamil
Loutfi S. Aboussouan
The Clinical Problem	201	(10)
Cavitary Pulmonary Infiltrate	211	(20)
David L. Longworth
The Clinical Problem	211	(20)
Bilateral Hilar Adenopathy	231	(8)
John E. Heffner
The Clinical Problem	231	(8)
PART III COMMON PROBLEMS IN THE NON-ICU PATIENT
Pulmonary Infiltrate	239	(14)
David L. Longworth
The Clinical Problem	239	(14)
Acute Hypoxemia	253	(14)
Lucy Kester
Douglas Orens
Edward Hoisington
James K. Stoller
The Clinical Problem	253	(14)
Hypercapnic Respiratory Failure	267	(6)
Lawrence Goldstein
The Clinical Problem	267	(6)
Atelectasis	273	(6)
Eric D. Bakow
The Clinical Problem	273	(6)
Pre-Operative Evaluation	279	(10)
Brian M. Legere
Alejandro C. Arroliga
The Clinical Problem	279	(6)
Summary	285	(4)
PART IV COMMON PROBLEMS IN THE ICU ADULT
The Difficult-to-Wean Patient	289	(10)
Richard D. Branson
The Clinical Problem	289	(10)
The Weak Patient	299	(10)
Alison G. Morris
Fran Whalen
Michael A. DeVita
The Clinical Problem	299	(10)
Ventilator Dys-Synchrony	309	(10)
Neil R. MacIntyre
The Clinical Problem	309	(7)
Summary	316	(3)
Hypotension with Mechanical Ventilation	319	(12)
Irawan Susanto
The Clinical Problem	319	(12)
Immediate Reintubation	331	(8)
Douglas Orens
Edward Hoisington
Lucy Kester
James K. Stoller
The Clinical Problem	331	(8)
Subcutaneous Emphysema	339	(6)
Edgar Delgado
The Clinical Problem	339	(4)
Summary	343	(2)
The Patient with the Bubbling Chest Tube	345	(12)
R. Wayne Lawson
The Clinical Problem	345	(12)
Refractory Hypoxemia	357	(10)
Sandra G. Adams
Jay I. Peters
The Clinical Problem	357	(9)
Summary	366	(1)
The Patient with a High Peak Airway Pressure	367	(6)
Edgar Delgado
The Clinical Problem	367	(5)
Summary	372	(1)
Ventilator-Associated Pneumonia	373
David L. Longworth
The Clinical Problem	373