Macleod's Clinical Examination
- 15th Edition - April 11, 2023
- Imprint: Elsevier
- Editors: Anna R. Dover, J. Alastair Innes, Karen Fairhurst
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 4 7 7 0 - 4
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 4 7 7 1 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 4 7 7 2 - 8
Fifty years since it was first published and now fully revised, Macleod’s remains the textbook of choice for medical students, junior doctors, nurses and allied health practiti… Read more
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Request a sales quoteFifty years since it was first published and now fully revised, Macleod’s remains the textbook of choice for medical students, junior doctors, nurses and allied health practitioners who understand that excellence in clinical examination is integral to good practice.
The fifteenth edition will teach you how to take a history and carry out proficient clinical examination, in order to elicit the key clinical symptoms and signs of disease. It covers general principles, relevant history, examination and investigations for all the major body systems – and how to effectively apply these skills to specific clinical situations and prepare for assessment.
Macleod’s Clinical Examination is enhanced with 32 supplementary videos demonstrating key clinical examination routines described in the book, many new and revised for this edition in line with latest guidance and best practice.
- Primarily focused on the practical skills required by medical students and early career stage clinicians
- Explains the physical basis of clinical signs to aid understanding
- Introduces the formulation of a differential diagnosis
- Provides logical initial investigations for each body system
- Comes with access to the complete, fully searchable and downloadable eBook
Medical Students - training to be effective doctors. Junior doctors - studying for postgraduate examinations including MRCP (UK) PACES. Nurse practitioners - both in primary and secondary care involved in patient assessment and management. Paramedics and ambulance workers - required to know how to examine patients and take a history from them.
- Cover image
- Title page
- Table of Contents
- John Macleod (1915–2006)
- Copyright
- Preface
- Acknowledgements
- How to make the most of this book and associated multimedia
- Clinical examination videos
- Contributors
- Section-01. Principles of Clinical History and Examination
- 1. Managing clinical encounters with patients
- The clinical encounter
- Professional responsibilities
- Personal responsibilities
- 2. General aspects of history taking
- The importance of a clear history
- Gathering information
- Difficult situations
- 3. General aspects of examination
- General principles of physical examination
- Preparing for physical examination
- Sequence for performing a physical examination
- Initial observations
- Hands
- Skin
- Tongue
- Odours
- Body habitus and nutrition
- Lumps and lymph nodes
- Spot diagnoses
- Section-02. System-Based Examination
- 4. The cardiovascular system
- Heart
- The history
- The physical examination (Video 3)
- Interpretation of the findings
- Investigations
- Peripheral arterial system
- The history
- The physical examination
- Investigations
- Peripheral venous system
- The history
- The physical examination
- Investigations
- 5. The respiratory system
- Anatomy and physiology
- The history
- The physical examination
- Interpretation of the findings
- Investigations
- 6. The gastrointestinal system
- Anatomy and physiology
- The history
- The physical examination
- Investigations
- 7. The nervous system
- Anatomy and physiology
- The history
- The physical examination
- Cranial nerves
- Motor system (Videos 12 and 13Video 12Video 13)
- Sensory system
- Peripheral nerves (Video 16)
- Interpretation of the findings
- Investigations
- 8. The visual system
- Anatomy and physiology
- Patient history
- The physical examination (Video 17)
- Investigations
- Ophthalmic examination and COVID-19
- 9. The ear, nose and throat
- Ear
- The history
- The physical examination
- Investigations
- Nose and Sinuses
- Mouth, throat and neck
- The history
- The physical examination
- Investigations
- 10. The endocrine system
- The thyroid
- The history
- The physical examination
- The parathyroids
- The history
- The physical examination
- The pituitary
- The history
- The physical examination
- The adrenals
- The history
- The physical examination
- The gonads
- Diabetes
- The history
- The physical examination
- 11. The reproductive system
- Breast
- The history
- The physical examination
- Investigations
- Female reproductive system
- The history
- The physical examination
- Investigations
- Obstetric history and examination: the booking visit
- The history
- Investigations
- Routine antenatal check in later pregnancy
- The physical examination
- Investigations
- Male reproductive system
- The history
- The physical examination
- Investigations
- 12. The renal system
- Anatomy and physiology
- The history
- The physical examination
- Interpretation of the findings
- Investigations
- 13. The musculoskeletal system
- The history
- The physical examination
- Detailed examination of the musculoskeletal system
- Fractures, dislocations and trauma
- Investigations
- 14. The skin, hair and nails
- Anatomy and physiology
- The history
- The physical examination
- Investigations
- Section-03. Applying History and Examination Skills in Specific Situations
- 15. Babies and Children
- Babies
- The history
- The physical examination of newborns
- The physical examination of infants beyond the newborn period
- Older children
- The history
- The physical examination
- Child protection
- Remote consultation in paediatric practice
- 16. Patients with mental illness and learning disability
- The history
- The mental state examination
- The physical examination
- Collateral history
- Psychiatric rating scales
- Putting it all together: clinical vignettes
- 17. The frail patient
- The frail patient
- Assessment of the frail patient
- The history
- The physical examination
- Interpretation of the findings
- 18. The deteriorating patient
- Vital signs
- Early warning scores
- Initial assessment
- The ABCDE approach
- Point of care ultrasound
- Sepsis
- Ongoing management
- 19. The dying patient
- Assessing a dying patient
- Verifying and certifying death
- Looking after yourself and others
- Section-04. Putting History and Examination Skills to Use
- 20. Reaching and communicating a diagnosis
- Reaching a diagnosis
- Biopsychosocial model
- Approach to the patient with medically unexplained symptoms
- Communicating a diagnosis
- Shared decision-making
- Diagnostic and therapeutic uncertainty
- Documenting your findings
- Communicating with colleagues
- 21. Adapting skills for practice
- Adapting to different presentations
- Adapting to different working environments
- Adapting clinical skills over a career
- 22. Preparing for assessment
- General principles
- Methods of assessment
- Marking structures
- Approach to preparation
- Approach to assessment
- Putting it all together
- Index
- Edition: 15
- Published: April 11, 2023
- Imprint: Elsevier
- No. of pages: 464
- Language: English
- Paperback ISBN: 9780323847704
- Paperback ISBN: 9780323847711
- eBook ISBN: 9780323847728
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Anna R. Dover
Affiliations and expertise
Consultant in Diabetes, Endocrinology and General Medicine, Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh; Honorary Clinical Senior Lecturer, University of Edinburgh, UKJI
J. Alastair Innes
Affiliations and expertise
Consultant Physician, Respiratory Unit, Western General Hospital, Edinburgh; Honorary Reader in Respiratory Medicine, University of Edinburgh, UKKF
Karen Fairhurst
Affiliations and expertise
General Practice Principal, Mackenzie Medical Centre, Edinburgh; Clinical Senior Lecturer, Centre for Population Health Sciences, University of Edinburgh, UK