Every medical student must be able to take an accurate history and perform a physical examination. This third edition of History and Clinical Examination at a Glance provides a concise, highly illustrated companion which will help you develop these critical skills as you practice on the wards. This book is the perfect guide for medical, and health science students and junior doctors, as an ideal resource for clinical attachments, last minute revision, or whenever a refresher is needed.

Jonathan Gleadle is Professor of Medicine at Flinders University and Consultant Nephrologist at Flinders Medical Centre, Adelaide, South Australia. He was formerly University Lecturer in Nephrology and General Medicine at Oxford University.

Preface	p. 7
List of abbreviations	p. 9
Communication skills
Fundamental communication skills	p. 10
Communicating information	p. 12
Communicating bad news	p. 14
Communicating with relatives	p. 16
Cultural differences	p. 18
Exploring sensitive issues	p. 20
History and examination in clinical exams	p. 22
Taking a history
Relationship with patient	p. 24
History of presenting complaint	p. 26
Past medical history, drugs and allergies	p. 28
Family and social history	p. 30
Functional enquiry	p. 31
History and examination of the systems
Is the patient ill?	p. 32
Principles of examination	p. 34
The cardiovascular system	p. 36
The respiratory system	p. 40
The gastrointestinal system	p. 42
The male genitourinary system	p. 44
Gynaecological history and examination	p. 46
Breast examination	p. 48
Obstetric history and examination	p. 49
The nervous system	p. 50
The musculoskeletal system	p. 54
Skin	p. 56
The visual system	p. 58
Examination of the ears, nose, mouth, throat, thyroid and neck	p. 60
Examination of urine	p. 61
The psychiatric assessment	p. 62
Examination of the legs	p. 65
General examination	p. 66
Presenting a history and examination	p. 68
Presentations
Chest pain	p. 70
Abdominal pain	p. 72
Headache	p. 74
Vomiting, diarrhoea and change in bowel habit	p. 76
Gastrointestinal haemorrhage	p. 79
Indigestion and dysphagia	p. 80
Weight loss	p. 82
Fatigue	p. 84
The unconscious patient	p. 86
The intensive care unit patient	p. 88
Back pain	p. 90
Hypertension	p. 92
Swollen legs	p. 94
Jaundice	p. 95
Postoperative fever	p. 96
Suspected meningitis	p. 97
Anaemia	p. 98
Lymphadenopathy	p. 100
Cough	p. 101
Confusion	p. 102
Lump	p. 104
Breast lump	p. 105
Palpitations/arrhythmias	p. 106
Joint problems	p. 107
Red eye	p. 108
Dizziness	p. 109
Breathlessness	p. 110
Dysuria and haematuria	p. 112
Attempted suicide	p. 114
Immunosuppressed patients	p. 116
Diagnosing death	p. 117
Shock	p. 118
Trauma	p. 120
Alcohol-related problems	p. 122
Collapse	p. 124
Conditions Cardiovascular
Myocardial infarction and angina	p. 126
Hypovolaemia	p. 128
Heart failure	p. 130
Mitral stenosis	p. 132
Mitral regurgitation	p. 133
Aortic stenosis	p. 134
Aortic regurgitation	p. 136
Tricuspid regurgitation	p. 138
Pulmonary stenosis	p. 139
Congenital heart disease	p. 140
Aortic dissection	p. 142
Aortic aneurysm	p. 144
Infective endocarditis	p. 146
Pulmonary embolism and deep vein thrombosis	p. 148
Prosthetic cardiac valves	p. 150
Peripheral vascular disease	p. 151
Endocrine/metabolic	p. 83
Diabetes mellitus	p. 152
Hypothyroidism and hyperthyroidism	p. 154
Addison's disease and Cushing's syndrome	p. 156
Hypopituitarism	p. 157
Acromegaly	p. 158
Nephrology and urology	p. 88
Renal failure	p. 160
Polycystic kidney disease	p. 162
Nephrotic syndrome	p. 163
Urinary symptoms	p. 164
Testicular lumps	p. 166
Gastrointestinal	p. 93
Chronic liver disease	p. 168
Infl ammatory bowel disease	p. 170
Splenomegaly/hepatosplenomegaly	p. 171
Acute abdomen	p. 172
Pancreatitis	p. 174
Abdominal mass	p. 176
Appendicitis	p. 177
Respiratory	p. 100
Asthma	p. 178
Pneumonia	p. 180
Pleural effusion	p. 181
Fibrosing alveolitis, bronchiectasis, cystic fibrosis and sarcoidosis	p. 182
Carcinoma of the lung	p. 184
Chronic obstructive pulmonary disease	p. 186
Pneumothorax	p. 188
Tuberculosis	p. 189
Neurology	p. 108
Stroke	p. 190
Parkinson's disease	p. 192
Motor neurone disease	p. 193
Multiple sclerosis	p. 194
Peripheral neuropathy	p. 196
Carpal tunnel syndrome	p. 197
Myotonic dystrophy and muscular dystrophy	p. 198
Myasthenia gravis	p. 200
Cerebellar disorders	p. 201
Dementia	p. 202
Musculoskeletal	p. 118
Rheumatoid arthritis	p. 204
Osteoarthritis and osteoporosis	p. 206
Gout and Paget's disease	p. 208
Ankylosing spondylitis	p. 209
Other	p. 122
Systemic lupus erythematosus and vasculitis	p. 210
Malignant disease	p. 212
Scleroderma	p. 213
AIDS and HIV	p. 214
Appendix: A self-assessment framework of communication skills in history and examination	p. 216
Index	p. 217
Table of Contents provided by Publisher. All Rights Reserved.

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