By Sanjay Saint MD MPH
Collage of California, San Francisco. sensible reference of crucial info within the significant scientific specialties, for citizens and scholars getting ready for forums. Concise presentation with mnemonics and algorithms. define layout. Softcover. sixteen U.S. members. DNLM: inner drugs - outlines.
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Extra resources for Saint-Frances Guide to Inpatient Medicine (Saint-Frances Guide Series)
Qxd 8/29/08 1:04 PM Page 19 COMPREHENSIVE ASSESSMENT OF THE ADULT Be sure to wash your hands before and after examining the patient. This will show your concern for the patient’s welfare and display your awareness of a critical component of patient safety. Antimicrobial fast-drying soaps are often within easy reach. Change your white coat frequently, because cuffs can become damp and smudged. ● Universal precautions: Universal precautions are a set of guidelines designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and other blood-borne pathogens when providing first aid or health care.
Select the most specific and critical findings to support your hypothesis. If the patient reports “the worst headache of her life,” nausea, and vomiting, for example, and you ﬁnd a change in mental status, papilledema, and meningismus, build your hypothesis around elevated intracranial pressure rather than gastrointestinal disorders. Although other symptoms are useful diagnostically, they are much less speciﬁc. 2. Using your inferences about the structures and processes involved, match your findings against all the conditions you know that can produce them.
Using your inferences about the structures and processes involved, match your findings against all the conditions you know that can produce them. For example, you can match your patient’s papilledema with a list of conditions affecting intracranial pressure. qxd 8/29/08 1:05 PM Page 29 ASSESSMENT AND PLAN: THE PROCESS OF CLINICAL REASONING CLINICAL REASONING: DEVELOPING HYPOTHESES ABOUT PATIENT PROBLEMS (CONTINUED) the various infectious, vascular, metabolic, or neoplastic conditions that might produce this clinical picture.