
Talley and O'Connor's Clinical Examination - 2-Volume Set
- 9th Edition - September 28, 2021
- Imprint: Elsevier
- Authors: Nicholas J. Talley, Simon O’Connor
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 2 9 5 - 4 4 2 4 - 5
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 9 2 6 - 0
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 9 2 5 - 3
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 9 2 4 - 6
Talley and O’Connor’s Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice. The text takes an evidenc… Read more

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Request a sales quoteTalley and O’Connor’s Clinical Examination addresses the core principles and clinical skills that underpin diagnosis for safe, effective medical practice.
The text takes an evidence-based, patient-centric approach to conducting a clinical examination. In Volume 1, readers follow a logical framework ordered by body system, covering history taking, clinical examination and correlation between physical signs and disease for each system. Volume 2 focuses on medical specialties.
Originally written by Nicholas J Talley and Simon O’Connor during their registrar years, this book is uniquely targeted to students undertaking their MD or MBBS and is fully updated with the latest clinical data, including specially commissioned research.
- OSCE-based scenario videos and multiple-choice questions to assist with examination preparation
- Imaging library and ECG case studies for deep understanding
- History questions suggesting urgent or important diagnosis specially marked
- Differential diagnosis tables to support history taking
- Evidence-based medicine references throughout
- An eBook included in all print purchases
- Cover Image
- Title Page
- Copyright
- Table of Contents
- Foreword
- Preface
- Clinical methods: an historical perspective
- The Hippocratic oath
- VOLUME ONE
- Section 1 The general principles of history taking and physical examination
- Chapter 1 The general principles of history taking
- Bedside manner and establishing rapport
- Obtaining the history
- Introductory questions
- Presenting (principal) symptom
- History of the presenting illness
- Drug and treatment history
- Past history
- Social history
- Family history
- Systems review
- Skills in history taking
- References
- Chapter 2 Taking the history: advanced history taking
- Taking a good history
- The differential diagnosis
- Fundamental considerations when taking the history
- Personal history taking
- Cross-cultural history taking
- Communication
- The ‘uncooperative' or ‘difficult' patient
- Self-harming and münchhausen syndrome
- History taking for the maintenance of good health
- The elderly patient
- Patient confidentiality
- Evidence-based history taking and differential diagnosis
- The clinical assessment
- Breaking bad news
- Concluding the consultation
- References
- Chapter 3 The general principles of physical examination
- Clinical examination
- How to start
- First impressions
- Weight, body habitus and posture
- Hydration
- The hands and nails
- Temperature
- Smell
- Preparing the patient for examination
- Advanced concepts: evidence-based clinical examination
- Introduction to the osce (see Introduction to the OSCE video at Student Consult)
- References
- Section 2 The cardiovascular system
- Chapter 4 The cardiovascular history
- Presenting symptoms
- Risk factors for coronary artery disease
- Drug and treatment history
- Past history
- Social history
- Family history
- References
- Chapter 5 The cardiac examination
- Examination anatomy
- Positioning the patient
- General appearance
- Hands
- Arterial pulse
- Blood pressure
- Face
- Neck
- Praecordium
- The back
- The abdomen and legs
- References
- Chapter 6 The limb examination and peripheral vascular disease
- Examination anatomy
- Peripheral vascular disease
- Acute arterial occlusion
- Deep venous thrombosis
- Varicose veins
- Chronic venous disease
- References
- Chapter 7 Correlation of physical signs disease and cardiovascular disease
- Cardiac failure
- Chest pain
- Pericardial disease
- Systemic hypertension
- Pulmonary hypertension
- Innocent murmurs
- Valve diseases of the left heart
- Valve diseases of the right heart
- Cardiomyopathy
- Acyanotic congenital heart disease
- Cyanotic congenital heart disease
- ‘Grown-up' congenital heart disease
- References
- Chapter 8 A summary of the cardiovascular examination and extending the cardiovascular examination
- Extending the cardiovascular physical examination
- Reference
- Section 3 The respiratory system
- Chapter 9 The respiratory history
- Presenting symptoms
- Other presenting symptoms
- Current treatment
- Past history
- Occupational history
- Social history
- Family history
- References
- Chapter 10 The respiratory examination
- Examination anatomy
- Positioning the patient
- General appearance
- Hands
- Face
- Trachea
- Chest
- The heart
- The abdomen
- Other
- References
- Chapter 11 Correlation of physical signs and respiratory disease
- Respiratory distress: respiratory failure
- Consolidation (lobar pneumonia)
- Atelectasis (collapse)
- Pleural effusion
- Pneumothorax
- Tension pneumothorax
- Bronchiectasis
- Bronchial asthma
- Chronic obstructive pulmonary disease (COPD)
- Chronic bronchitis
- Interstitial lung disease (ILD)
- Tuberculosis (TB)
- Mediastinal compression
- Carcinoma of the lung
- Sarcoidosis
- Pulmonary embolism (PE)
- References
- Chapter 12 A summary of the respiratory examination and extending the respiratory examination
- Extending the respiratory physical examination
- References
- Section 4 The gastrointestinal system
- Chapter 13 The gastrointestinal history
- Presenting symptoms
- Treatment
- Past history
- Social history
- Family history
- References
- Chapter 14 The gastrointestinal examination
- Examination anatomy
- Positioning the patient
- General appearance
- Hands
- Arms
- Face
- Bilateral
- Neck and chest
- Abdomen
- Hepatomegaly
- Hernias
- Rectal examination
- Other
- Examination of the gastrointestinal contents
- Urinalysis
- References
- Chapter 15 Correlation of physical signs and gastrointestinal disease
- Examination of the acute abdomen
- Liver disease
- Portal hypertension
- Hepatic encephalopathy
- Dysphagia
- Gastrointestinal bleeding
- Inflammatory bowel disease
- Malabsorption and nutritional status
- References
- Chapter 16 A summary of the gastrointestinal examination and extending the gastrointestinal examination
- Extending the gastrointestinal examination
- Imaging the gastrointestinal system
- Section 5 The genitourinary system
- Chapter 17 The genitourinary history
- Presenting symptoms
- Menstrual and sexual history
- Treatment
- Past history
- Social history
- Family history
- References
- Chapter 18 The genitourinary examination
- Examination anatomy
- The examination
- General appearance
- Hands
- Arms
- Face
- Neck
- Chest
- The abdominal examination
- The back
- Legs
- Blood pressure
- Fundi
- Male genitalia
- References
- Chapter 19 A summary of the examination of chronic kidney disease and extending the genitourinary examination
- Extending the genitourinary examination
- Reference
- Section 6 The haematological system
- Chapter 20 The haematological history
- Haematological disorders
- Presenting symptoms
- Treatment history to ask about
- Past history
- Social history
- Family history
- Chapter 21 The haematological examination
- Examination anatomy
- General appearance
- Hands
- Epitrochlear nodes
- Axillary nodes
- Face
- Cervical and supraclavicular nodes
- Bone tenderness
- The abdominal examination
- Inguinal nodes
- Legs
- Fundi
- References
- Chapter 22 A summary of the haematological examination and extending the haematological examination
- Extending the haematological physical examination
- Section 7 The rheumatological system
- Chapter 23 The rheumatological history
- Presenting symptoms
- Treatment history
- Recent and past history
- Social history
- Family history
- References
- Chapter 24 The rheumatological examination
- Examination anatomy
- Principles of joint examination
- Assessment of individual joints
- References
- Chapter 25 Correlation of physical signs with rheumatological and musculoskeletal disease
- Rheumatoid arthritis
- Seronegative spondyloarthritides
- Gouty arthritis
- Calcium pyrophosphate arthritis (pseudogout)
- Calcium hydroxyapatite arthritis
- Osteoarthritis
- Systemic lupus erythematosus
- Systemic sclerosis (scleroderma and CREST)
- Mixed connective tissue disease (MCTD)
- Rheumatic fever
- The vasculitides
- Soft-tissue rheumatism
- Nerve entrapment syndromes
- References
- Chapter 26 A summary of the rheumatological examination and extending the rheumatological examination
- Extending the rheumatological system examination
- References
- Section 8 The endocrine system
- Chapter 27 The endocrine history
- Presenting symptoms
- Risk factors for diabetes (metabolic syndrome)
- Past history and treatment
- Social history
- Family history
- References
- Chapter 28 The endocrine examination
- The thyroid
- The pituitary
- The adrenals
- References
- Chapter 29 Correlation of physical signs and endocrine disease
- Diabetes mellitus
- Calcium metabolism
- Osteoporosis and osteomalacia
- Syndromes associated with short stature
- Hirsutism
- Gynaecomastia
- Paget's disease
- References
- Chapter 30 A summary of the endocrine examination and extending the endocrine examination
- The endocrine examination: a suggested method
- Extending the endocrine physical examination
- Section 9 The nervous system
- Chapter 31 The neurological history
- Starting off
- Presenting symptoms
- Past health
- Medication history
- Social history
- Family history
- References
- Chapter 32 The neurological examination: general signs and the cranial nerves
- A preamble regarding the neurological examination
- Examination anatomy
- General signs
- The cranial nerves
- Examination of the face
- References
- Chapter 33 The neurological examination: speech and higher centres
- Speech
- The cerebral hemispheres
- References
- Chapter 34 The neurological examination: the peripheral nervous system
- Limbs and trunk
- References
- Chapter 35 Correlation of physical signs and neurological syndromes and disease
- Upper motor neurone lesions
- Lower motor neurone lesions
- Motor neurone disease
- Peripheral neuropathy
- Guillain–barré syndrome (acute inflammatory polyradiculoneuropathy)
- Multiple sclerosis
- Thickened peripheral nerves
- Spinal cord compression
- Important spinal cord syndromes
- Myopathy
- Dystrophia myotonica
- Myasthenia gravis
- The cerebellum
- Parkinson's disease
- Other extrapyramidal movement disorders (dyskinesia)
- The unconscious patient
- References
- Chapter 36 A summary of the neurological examination and extending the neurological examination
- Extending the neurological examination
- Diagnostic testing
- VOLUME TWO
- Section 10 Paediatric and neonatal history and examination
- Chapter 37 The paediatric history and examination
- Principles of paediatric history taking and examination
- Paediatric history taking
- General physical examination
- Adolescent history and examination
- Physical examination for suspected child abuse (see Text box 37.6)
- References
- Chapter 38 The neonatal history and examination
- The history
- The physical examination
- References
- Section 11 Women's health history and examination
- Chapter 39 The obstetric history and examination
- The obstetric history
- Early pregnancy symptoms
- Minor symptoms in pregnancy
- Major symptoms in pregnancy
- History
- Examination anatomy
- Examination
- References
- Chapter 40 The gynaecological history and examination
- History
- Examination
- References
- Chapter 41 The breasts: history and examination
- Examination anatomy
- History
- Examination
- Evaluation of a breast lump
- References
- Section 12 Specialty system history and examination
- Chapter 42 The eyes, ears, nose and throat
- Eyes
- Ears
- Nose and sinuses
- Mouth and throat
- Common investigations
- References
- Chapter 43 The skin and lumps
- Examination anatomy
- Dermatological history
- General principles of physical examination of the skin
- How to approach the clinical diagnosis of a lump
- Correlation of physical signs and skin disease
- The nails
- References
- Chapter 44 The older person assessment
- History taking in older persons: special considerations
- Physical examination in older persons: special considerations
- References
- Chapter 45 Approaching infectious diseases
- Pyrexia of unknown origin
- HIV infection and AIDS
- References
- Section 13 Mental health history and examination
- Chapter 46 The mental health history and mental state examination
- The history
- Obtaining the history
- The mental state examination
- The diagnosis
- Examples of important psychiatric illnesses
- References
- Section 14 Acute care and end of life
- Chapter 47 The acutely ill patient
- Initial assessment
- Level of consciousness
- Delirium
- Further examination
- References
- Chapter 48 The pre-anaesthetic medical evaluation (PAME)
- The history
- The examination
- Chapter 49 Assessment of death
- Assessment
- Informing relatives
- Completing the death certificate
- Postmortem
- Organ donation
- Section 15 Adult history taking and examination in the wards and clinics
- Chapter 50 Writing and presenting the adult history and physical examination
- History
- Physical examination (PE)
- Provisional diagnosis
- Problem list and plans
- Continuation notes
- Presentation1
- Reference
- Chapter 51 A suggested method for a rapid screening adult physical examination
- Hands and arms
- Face
- Front of the neck
- Chest
- Back of the chest and neck
- Abdomen
- Legs
- Neurological examination
- Completing the examination
- Index
- Edition: 9
- Published: September 28, 2021
- Imprint: Elsevier
- Language: English
- Paperback ISBN: 9780729544245
- eBook ISBN: 9780729589260
- eBook ISBN: 9780729589253
- eBook ISBN: 9780729589246
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Nicholas J. Talley
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