Macleod's Clinical Examination15th Edition 2024
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Edited by :
Anna R Dover
MB ChB, PhD, FRCP, SFHEA
Consultant in Diabetes, Endocrinology and General Medicine
Edinburgh Centre for Endocrinology and Diabetes
Royal Infirmary of Edinburgh; Honorary Senior Clinical Lecturer
University of Edinburgh, UK
J Alastair Innes
MB ChB, PhD, FRCPE
Consultant Physician (retired), Respiratory Unit
Western General Hospital, Edinburgh
Honorary Reader in Respiratory Medicine
University of Edinburgh, UK
Karen Fairhurst
MB BS, PhD
Senior Lecturer, Centre for Population Health Sciences
University of Edinburgh, UK
Illustrations by Robert Britton
Ethan Danielson
and Wendy Beth Jackelow
Pages: 441
- Language: English
- Format: PDF
- Size : 80.2 MB
Preface
espite the wealth of diagnostic tools available to the modern
clinician, the acquisition of information by direct interaction with
the patient through history taking and clinical examination remains the bedrock of clinical practice. An expertly performed
history and examination of a patient allow the clinician to reach a
differential diagnosis whilst ensuring the patient and their concerns remain central to the process, and avoids potential harm
from unnecessary or unjustified tests.
This book aims to assist clinicians in developing the consultation skills required to elicit a clear history and the practical
examination skills needed to detect clinical signs of disease.
Where possible, the physical basis of clinical signs is explained to
aid understanding.
Formulation of a differential diagnosis from
the information gained is introduced, and the logical initial investigations are included for each system. Macleod’s Clinical
Examination is designed to be used in conjunction with more
detailed texts on pathophysiology, differential diagnosis and
clinical medicine. It is closely integrated with Davidson’s Principles and Practice of Medicine and is best read in conjunction
with that text.
In this edition, the contents have been updated and diversified
by a team of existing and new authors, with the aim of creating
an accessible and user-friendly text relevant to clinical practice in
the 21st century.
Section 1 addresses the general principles of good interaction
with patients, from the basics of taking a history and examining,
to the use of pattern recognition to identify spot diagnoses.
Section 2 deals with symptoms and signs in specific systems
and Section 3 illustrates the application of these skills to specific
clinical situations.
Section 4 covers the formulation of a diagnosis, the tailored adaptation of clinical skills for everyday practice and preparation for assessments of these skills.
We hope that if young clinicians are encouraged to adopt and
adapt these history and examination skills, not only will they serve
their patients well as diagnosticians, but also they will continue to
develop clinical examination techniques and a better understanding of their mechanisms and diagnostic use.
The 15th edition of Macleod’s Clinical Examination is accompanied by an expanded set of clinical videos, including eight
entirely new topics, which are available in the Elsevier eBooksþ
library.
Acknowledgements
The editors would like to acknowledge the many distinguished
previous editors whose guiding hands have crafted Macleod’s
Clinical Examination over the years into the key resource it has
become for clinicians across the globe. Working to update and
enhance this book, we are constantly aware of, and grateful for,
this unique heritage of clinical skills teaching.
The editors also offer grateful thanks for the input of all previous editions’ contributors, without whom this new edition
would not have been possible. In particular, we are indebted to
those former authors who step down with the arrival of this 15th
edition: Anthony Bateman, Ivan Brenkel, Gareth Clegg, Nick
Mills, Janet Skinner, James Tiernan and Oliver Young.
We are thankful to the following clinicians from varied professional groups who undertook detailed reviews of the 14th edition
and provided us with a wealth of ideas to implement in this new
edition: Sunil Bhandari, Iain Hathorn, Ian Lee, Caroline Nicholson,
Nathan Oliver and Claire Robertson. Thanks also to the many
other students and educators who have provided invaluable
feedback on Macleod’s via the Student Consult registrant’s
survey.
Finally, we express our gratitude to the following individuals
who helped to create the videos supporting the book. Some
created the original videos, others helped us recently to create a
series of new videos to augment the range of techniques
covered in this particular edition: Omar Ali, Abby Cooke, Eleanor
Davidson, Ahmed Eissa, Anas Gomati, Rosemary Hackney, Iain
Hennessey, Shiying Hey, Sadiq Jeeyavudeen, Alan Japp,
Rachael Lamb, Nick Morley, Dan Pugh, Deepa Rangar, Amy
Robb, Colin Robertson, Jenni Wales, Ben Waterson, and the
Medical Photography Service, NHS Lothian.
