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Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
This innovative introduction to patient encounters utilizes an evidence-based step-by-step process that teaches students how to evaluate, diagnose, and treat patients based on the clinical complaints they present. By applying this approach, students are able to make appropriate judgments about specific diseases and prescribe the most effective therapy. (Product description).
"This book is a tremendous asset for students and residents learning to develop their diagnostic skills. It can also be useful as a refresher for established clinicians when the more common diagnoses are not the cause of a patient's complaints." —Doody's Review An engaging case-based approach to learning the diagnostic process in internal medicine Doody's Core Titles for 2023! Symptom to Diagnosis, Fourth Edition teaches an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process clinicians will be able to recognize specific diseases and prescribe the most effective therapy. Each chapter is built around a common patient complaint that illustrates essential concepts and provides insight into the process by which the differential diagnosis is identified. As the case progresses, clinical reasoning is explained in detail. The differential diagnosis for that particular case is summarized in tables that highlight the clinical clues and important tests for the leading diagnostic hypothesis and alternative diagnostic hypotheses. As the chapter progresses, the pertinent diseases are reviewed. Just as in real life, the case unfolds in a stepwise fashion as tests are performed and diagnoses are confirmed or refuted. Completely updated to reflect the latest research in clinical medicine, this fourth edition is enhanced by algorithms, summary tables, questions that direct evaluation, and an examination of recently developed diagnostic tools and guidelines. Clinical pearls are featured in every chapter. Coverage for each disease includes: Textbook Presentation, Disease Highlights, Evidence-Based Diagnosis, and Treatment.
Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world. ME/CFS can cause significant impairment and disability. Despite substantial efforts by researchers to better understand ME/CFS, there is no known cause or effective treatment. Diagnosing the disease remains a challenge, and patients often struggle with their illness for years before an identification is made. Some health care providers have been skeptical about the serious physiological - rather than psychological - nature of the illness. Once diagnosed, patients often complain of receiving hostility from their health care provider as well as being subjected to treatment strategies that exacerbate their symptoms. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome proposes new diagnostic clinical criteria for ME/CFS and a new term for the illness - systemic exertion intolerance disease(SEID). According to this report, the term myalgic encephalomyelitis does not accurately describe this illness, and the term chronic fatigue syndrome can result in trivialization and stigmatization for patients afflicted with this illness. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness. This report lists the major symptoms of SEID and recommends a diagnostic process.One of the report's most important conclusions is that a thorough history, physical examination, and targeted work-up are necessary and often sufficient for diagnosis. The new criteria will allow a large percentage of undiagnosed patients to receive an accurate diagnosis and appropriate care. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome will be a valuable resource to promote the prompt diagnosis of patients with this complex, multisystem, and often devastating disorder; enhance public understanding; and provide a firm foundation for future improvements in diagnosis and treatment.
This volume provides a comprehensive and state-of-the-art text for health care professionals who are interested in the diagnosis and treatment of nausea and vomiting. Because the majority of causes of nausea and vomiting arise from disorders of the gastrointestinal system, the text emphasizes the GI system by organ from esophagus to colon. It also reviews how disorders of the abdominal wall, the endocrine system, and autonomic and central nervous systems can contribute to nausea and vomiting syndromes that can be difficult to diagnose. Various treatment modalities are presented and organized in terms of drug treatments, electrical stimulation devices, and dietary therapy and nutritional support. Furthermore, the book is enhanced by chapters on the pathophysiology of nausea, the pathophysiology of vomiting, the physiological changes in the brain during nausea and vomiting, and the psychological underpinnings of nausea and vomiting. And because many children are afflicted with unexplained nausea and vomiting, a chapter devoted to pediatric patients is also included. Written by authorities in the field, Nausea and Vomiting: Diagnosis and Treatment is a valuable resource that will help practitioners and healthcare providers consider specific diagnoses in treating the noxious and burdensome symptoms of nausea and vomiting.
Now in its fourth edition, this best-selling book is fully updated to address the ever increasing demands on healthcare professionals to deliver high-quality patient care. A multitude of factors impinge on healthcare delivery today, including an ageing population, more sophisticated medicines, high patient expectation and changing health service infrastructure. Time demands on primary care doctors have caused other models of service delivery to be adopted across the world, leading to ongoing changes in the traditional boundaries of care between doctors, nurses, and pharmacists. Certain medical tasks are now being performed by nurses and pharmacists, for example prescribing. Healthcare policies to encourage patients to manage their own health have led to more medicines becoming available over the counter, allowing community pharmacists to manage and treat a wide range of conditions. Further deregulation of medicines to treat acute illness from different therapeutic areas seems likely. Government policy now encourages chronic disease management as a self-care activity, and could well be the largest area for future growth of reclassification of medicines. Pharmacists, now more than ever before, need to be able to recognise the signs and symptoms, and use an evidence-based approach to treatment. Community Pharmacy is intended for all non-medical prescribers but especially for pharmacists, from undergraduate students to experienced practitioners. Key features - Guidance for arriving at a differential diagnosis - Practical prescribing tips - Trigger points for referral boxes - Other hints and tips boxes - Specific questions to ask boxes - Case studies - Self-assessment questions Consistent approach gives: - Anatomy overview - History taking and physical examination - Prevalence and epidemiology - Aetiology - Arriving at a differential diagnosis - Clinical features - Conditions to eliminate Likely causes Unlikely causes Very unlikely causes - Evidence base for OTC medicine - Practical prescribing and product selection - More on the examination of eyes, ears and mouth - New sections on future-proofing (vaccinations etc.) - New material covering inter-professional education for clinical skills. Now with a free accompanying e-book on StudentConsult which also gives additional material on: - evidence-based medicine - videos on physical examination - additional written case studies - more multiple-choice questions
Rare diseases collectively affect millions of Americans of all ages, but developing drugs and medical devices to prevent, diagnose, and treat these conditions is challenging. The Institute of Medicine (IOM) recommends implementing an integrated national strategy to promote rare diseases research and product development.
In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.
Fish Disease: Diagnosis and Treatment, Second Edition provides thorough, yet concise descriptions of viral, bacterial, fungal, parasitic and noninfectious diseases in an exhaustive number of fish species. Now in full color with over 500 images, the book is designed as a comprehensive guide to the identification and treatment of both common and rare problems encountered during the clinical work-up. Diseases are discussed following a systems-based approach to ensure a user-friendly and practical manual for identifying problems. Fish Disease: Diagnosis and Treatment, Second Edition is the must-have reference for any aquaculturists, aquatic biologists, or fish health specialists dealing with diagnosing or treating fish diseases.