7th Edition by Joyce E. Dains, Linda Ciofu Baumann & Pamela Scheibel |
Complete Chapters | ISBN 9780323832069
,TABLE OF CONTENTS
PART I — AN INTRODUCTION TO CLINICAL REASONING
1. Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis
2. Evidence-Based Clinical Practice Guidelines
3. Contemporary Approaches in Primary Care Settings
PART II — COMMON SYMPTOMS IN PRIMARY CARE
4. Abdominal Pain
5. Affective Changes
6. Amenorrhea
7. Breast Lumps and Nipple Discharge
8. Breast Pain
9. Chest Pain
10. Confusion in Older Adults
11. Constipation
12. Cough
13. Diarrhea
14. Dizziness
15. Dyspnea
16. Earache
17. Fatigue
18. Fever
19. Genitourinary Problems in Patients With a Penis or Prostate Gland
20. Headache
21. Heartburn and Indigestion
22. Hoarseness
23. Limb Pain: Lower Extremity
24. Limb Pain: Upper Extremity
25. Low Back Pain
26. Nasal Symptoms and Sinus Congestion
, 27. Palpitations
28. Penile Discharge
29. Rashes and Skin Lesions
30. Rectal Pain, Itching, and Bleeding
31. Red Eye
32. Scrotal Pain and Masses
33. Sleep Problems
34. Sore Throat
35. Syncope
36. Urinary Incontinence
37. Urinary Problems in Patients With a Vagina and Associated Anatomical Structures
38. Vaginal Bleeding
39. Vaginal Discharge and Itching
40. Vision Loss
41. Unintentional Weight Loss or Gain
PART III — POPULATION-CENTERED CARE
42. Care of Transgender and Gender-Diverse Patients
43. Veterans' Health
PART IV — DIAGNOSTIC IMAGING
44. Abdominal X-Ray
45. Chest X-Ray
PART I — AN INTRODUCTION TO CLINICAL REASONING
CHAPTER 1 — Clinical Reasoning, Evidence-Based Practice, and Symptom
Analysis
1. What is the primary purpose of clinical reasoning?
A. Memorize diagnoses
B. Integrate patient information to reach an appropriate diagnosis
C. Order every available test
, D. Avoid differential diagnoses
Answer: B.
Rationale: Clinical reasoning integrates history, examination, risk factors, and
evidence to formulate and test diagnostic hypotheses.
2. Which component is most important when establishing a chief concern?
A. Provider's diagnosis
B. Patient's primary reason for seeking care
C. Laboratory results
D. Medication list
Answer: B.
Rationale: The chief concern should reflect the patient's presenting problem in
their own terms.
3. A differential diagnosis is best described as:
A. The final diagnosis
B. A list of possible explanations for a presentation
C. A treatment plan
D. A laboratory panel
Answer: B.
Rationale: Differential diagnosis organizes plausible conditions that could explain
the patient's findings.
4. Which finding represents a red flag?
A. Mild intermittent headache
B. Stable chronic back discomfort
C. Sudden neurologic deficit
D. Occasional heartburn
Answer: C.
Rationale: Sudden neurologic deficits can indicate an acute serious condition
requiring urgent evaluation.
5. Bayesian reasoning primarily involves:
A. Ignoring disease prevalence
B. Updating diagnostic probability using new information
C. Treating all diagnoses equally
D. Avoiding diagnostic testing