In this Article, we have shared a review and a free pdf download link (Google Drive) of Macleod’s Clinical Diagnosis 2nd Edition 2018 PDF.
Macleod’s Clinical Diagnosis demonstrates how to apply the core clinical skills learned from the companion textbook Macleod’s Clinical Examination to maximum advantage. Charting the course from routine work-up to diagnosis, this book presents a modern and realistic approach to clinical assessment and explains how to integrate information obtained from the history, examination, bedside tests and specialised investigations.
- The first section Principles of clinical assessment examines different approaches to diagnosis, reviews the fundamental elements necessary for accurate patient assessment, provides a helpful template for a ‘routine workup’ and describes how to adapt the assessment to fit the clinical context.
- The second core section of the book Assessment of common presenting problems contains a series of ‘diagnostic guides’ that lead the reader, step-by-step through the major presenting problems in medicine and surgery, explaining how to recognise red flag features, eliminate life-threatening conditions and generate a logical differential diagnosis.
- This book has been praised as an invaluable resource for senior medical students and junior doctors as they attempt to make the difficult transition from mastering basic clinical skills to assessing patients in the real world of clinical medicine
These, or similar platitudes, will be familiar to most students in clinical training. Many, however, notice a ‘disconnect’ between the importance ascribed to basic clinical skills during teaching and the apparent reliance on sophisticated investigations in the parallel world of clinical practice. Modern diagnostics have radically altered the face of medical practice; clinical training is still catching up. The author of Macleod’s Clinical Diagnosis 2nd Edition 2018 recognizes that teachers and textbooks frequently fall into the trap of eulogizing clinical assessment rather than explaining its actual role in contemporary diagnosis.
Yet we come to praise the clinical assessment, not to bury it The history may not, by itself, deliver the diagnosis in 90% of cases but it is essential in all cases to generate a logical differential diagnosis and to guide rational investigation and treatment. In many ‘developed’ countries, some so-called classical physical signs are rare and certain aspects of the clinical examination have been marginalized by novel imaging techniques and disease biomarkers.
Nevertheless, a focused clinical examination is critical to recognizing the sick patient, raising red flags identifying unsuspected problems and, in some cases, revealing signs that cannot be identified with tests (for example, the mental state examination). Macleod’s Clinical Diagnosis 2nd Edition 2018 fulfils this need. Our aim is to show you how to use your core clinical skills to maximum advantage. We offer a grounded and realistic approach to clinical diagnosis with no bias towards any particular element of the assessment.
Where appropriate, we acknowledge the limitations of the history and examination and direct you to the necessary investigation. The author also highlights those instances where the diagnosis is critically dependent on basic clinical assessment, thereby demonstrating its vital and enduring importance. Author wish you every success in your training and practice and hope that this Macleod’s Clinical Diagnosis 2nd Edition 2018 book provides at least some small measure of assistance.
- A unique book allowing a reader to apply the skills of clinical examination in the formulation of a differential diagnosis and placing a patient’s symptoms in context.
- Takes a problem-based approach to diagnostic reasoning, reflecting both modern medical and current educational practices.
- Builds on the clinical skills outlined in the companion Macleod’s Clinical Examination textbook.
Part 1 Principles of clinical assessment.
- What’s in a diagnosis?
- Assessing patients: a practical guide.
- The diagnostic process
Part 2 Assessment of common presenting problems.
- Abdominal pain.
- Breast lump
- Chest pain
- Coma and altered consciousness
- Confusion: delirium and dementia
- GI haemorrhage haemorrhage: haematemesis and rectal bleeding
- Joint swelling
- Leg swelling
- Limb weakness
- Low back pain
- Mobility problems: falls and immobility
- Nausea and vomiting
- Rash: acute generalised skin eruption
- Red eye
- Scrotal swelling
- Transient loss of consciousness: syncope and seizures
- Urinary incontinence
- Vaginal bleeding
- Weight loss.
Consultant Cardiologist, Royal Infirmary of Edinburgh; Honorary Clinical Senior Lecturer, University of Edinburgh, UK
Honorary Professor of Accident and Emergency Medicine and Surgery, University of Edinburgh, Edinburgh, UK
Consultant Physician, St. John’s Hospital, Livingston and Edinburgh Centre for Endocrinology and Diabetes, Edinburgh, UK.
Consultant and NRS Career Researcher Clinician in Emergency Medicine, Royal Infirmary of Edinburgh; Honorary Reader, University of Edinburgh, UK.
Specialist Registrar in General Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
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