Hutchison's Clinical Methods
An Integrated Approach to Clinical Practice
- 25th Edition - February 24, 2022
- Imprint: Elsevier
- Editors: Michael Glynn, William M Drake
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 0 2 0 - 8 2 6 6 - 5
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 7 5 8 0 - 9
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 5 8 4 - 7
Sir Robert Hutchison first published his textbook on Clinical Methods in 1897 and this latest edition maintains its reputation as the go-to guide to learn the core skills every cli… Read more
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Request a sales quoteSir Robert Hutchison first published his textbook on Clinical Methods in 1897 and this latest edition maintains its reputation as the go-to guide to learn the core skills every clinician needs in their everyday practice.
Medical students and doctors in training will find essential guidance to taking a full history, examining a patient and interpreting the findings. They will learn the art of understanding, contextualising, communicating and explaining, with the doctor-patient relationship firmly at the centre of their practice. These skills remain essential for every doctor, in addition to modern investigative methods.
The book covers basic principles, different patient groups and all the main body systems. Each chapter includes relevant clinical methods and offers guidance for appropriate investigations. New methods and investigations are incorporated into established patterns of clinical practice to offer a fully integrated approach.
This award-winning textbook remains as relevant today as ever and will be treasured by doctors at all levels of training and practice as an outstanding source of learning and reference.
- All chapters carefully reviewed and updated to reflect modern practice
- Written by experts in their field and reviewed by an International Advisory Board – content is relevant to a wide international readership including in the Indian sub-continent, the Middle East and Africa
- Covers all the main body systems, including the core areas of respiratory, cardiological, gastrointestinal, neurological and locomotor systems
- Text organised by system and problem to aid navigation
- Chapters can be read individually, to avoid duplication and need for cross-referencing
- Tabulated information and diagrams for clarity and conciseness
- Tailored to student needs but suitable for doctors at all levels of training and practice
- Winner of multiple awards, including the BMA book awards
- New appendix describing the clinical features of COVID-19
- Includes the complete, downloadable eBook for easy access on your mobile device, anytime, anywhere
Medical students, Foundation and trainee doctors, MRCP candidates.
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface to the Twenty-fifth Edition
- Sir Robert Hutchison MD FRCP (1871–1960)
- Contributors
- International Advisory Board
- Acknowledgements
- Section 1. General patient assessment
- 1. Doctor and patient: General principles of history taking
- Introduction
- Setting the scene
- Emergency presentations
- History taking
- Analysing symptoms
- Conclusion
- 2. General patient examination and differential diagnosis
- Introduction
- General examination of a patient
- Putting it all together
- Neck (while sitting forward)
- Documentation and communication
- Presenting a case
- Summary
- 3. The next steps: Differential diagnosis and initial management
- Introduction
- Management plan
- Conclusion
- 4. Ethical considerations
- Introduction
- Autonomy
- Consent
- Confidentiality
- Resuscitation
- Other ethical problems
- Principles of medical ethics
- Section 2. Assessment in particular groups
- 5. Women
- Introduction
- Gynaecological history
- Gynaecological examination
- History relating to current pregnancy
- Obstetric examination
- Investigations in obstetrics and gynaecology
- Tests of fetal wellbeing
- 6. Children and adolescents
- Introduction
- Summary
- 7. Older people
- Introduction
- Presentation of disease in older people
- History
- Comprehensive geriatric assessment
- 8. Psychiatric assessment
- Introduction
- Preparation
- Circumstances of the interview
- 9. Patients presenting as emergencies
- Introduction
- The importance of clinical assessment
- Diagnosis versus resuscitation
- The pyrexial and septic patient
- The patient with chest pain
- The breathless patient
- The patient with hypotension or shock
- The patient with diminished consciousness
- The syncopal patient
- The patient with seizures
- The patient with delirium (acute confusion)
- The patient with acute headache
- The acutely weak patient
- The patient with acute abdominal pain
- The patient with haematemesis and/or melaena
- Summary
- 10. Patients with a fever
- Introduction
- Approach to a patient with a fever—causes of fever
- Examination
- Investigations for infectious causes of fever
- 11. Patients in pain
- Introduction
- Definition
- Classification of pain
- Mechanisms of pain
- The patient in pain
- Treatment strategies
- Conclusion
- Section 3. Basic systems
- 12. Respiratory system
- Introduction
- The history
- The examination
- Other investigations
- 13. Cardiovascular system
- Introduction
- The cardiac history
- The cardiac examination
- The electrocardiogram
- Clinical applications of ECG
- The chest X-ray
- Echocardiography
- Stress echocardiography
- Doppler echocardiography
- Cardiovascular radionuclide imaging
- Cardiac catheterization
- Pathology laboratory support
- 14. Gastrointestinal system
- General principles
- Anatomy of the GI tract
- Diseases of the GI tract
- Investigations: (see Box 14.10)
- 15. Locomotor system
- Introduction
- General assessment: the ‘GALS’ locomotor screen
- Screening history
- Screening examination
- Children
- Recording the results
- Specific locomotor history
- Words
- Intensity
- Location
- Duration
- Aggravating/alleviating factors
- Chronic pain syndromes
- Joint disease
- Non-inflammatory joint disease
- Inflammatory joint disease
- Distribution of joint disease
- Recurrent attacks of joint pain
- Episodic joint pain
- Flitting or migratory joint pains
- Inflammatory connective tissue diseases
- Soft tissue symptoms
- The bones
- Examination
- The bones
- Fractures
- The joints
- Tendon sheath crepitus
- Joint crepitus
- Range of movement
- Extra-articular features of joint disease
- Examination of individual joints
- The spine
- The shoulder
- The elbow
- The forearm
- The wrist
- The fingers
- The thumb (carpometacarpal joint)
- The hand
- The hip
- The knee
- The ankle
- The foot
- The gait
- Hypermobility
- Work-related musculoskeletal disorders
- Investigations in rheumatic diseases
- Tests in support of inflammatory disease
- Diagnostic tests
- Radiological examination
- 16. Nervous system
- Introduction
- The neurological history
- The neurological examination
- Cranial nerve examination
- Speech
- Motor system
- Cerebellar system
- Movement disorders
- Sensation
- Posture and gait
- Patterns of motor and sensory signs
- Cognitive function
- Localizing the neurological lesion
- Investigations
- 17. Renal and urology system
- Introduction
- The diagnostic process in nephrology and urology
- The history
- Renal and urological syndromes
- Physical signs in renal and urological disease
- Laboratory assessment and imaging of the kidneys and urinary tract
- 18. Sexually transmitted infections
- Introduction
- Preparation
- History
- Presenting complaint
- The sexual history
- The sexual health screen (SHS) and STI history
- Risk assessment for BBV
- Special groups
- Genital examination
- General examination
- Testing
- HIV infection
- 19. Endocrine and metabolic disorders
- Introduction
- The endocrine history
- The examination
- Investigation
- Diabetes mellitus
- Presenting symptoms of diabetes
- Symptoms of complications of diabetes
- Hypoglycaemia
- Examination of the diabetic patient
- Investigation
- Lipid disorders
- 20. Skin, nails and hair
- Introduction
- History
- Examination
- Cutaneous manifestations of internal disease
- Special techniques in examination of the skin
- 21. Eyes
- Introduction
- History
- Examination
- Eyelid, lacrimal and orbital assessment
- Examination of the eye in children
- Imaging
- Special examination techniques
- 22. Ear, nose and throat
- Introduction
- The ear
- The nose and paranasal sinuses
- The throat
- Appendix. SARS-CoV-2 and the COVID-19 pandemic
- Index
- Edition: 25
- Published: February 24, 2022
- Imprint: Elsevier
- No. of pages: 532
- Language: English
- Paperback ISBN: 9780702082665
- Paperback ISBN: 9780323775809
- eBook ISBN: 9780323775847
MG
Michael Glynn
Affiliations and expertise
Consultant Physician, Gastroenterologist and Hepatologist, Barts Health NHS Trust; Honorary Senior Lecturer, Barts and the London School of Medicine and Dentistry; Former National Clinical Director for GI and Liver Diseases, NHS EnglandWD
William M Drake
Affiliations and expertise
Consultant Physician/Reader in Medicine, Department of Endocrinology, St Bartholomew's Hospital, London, UK