医学书籍－－临床方法，病史、体检和实验诊断（Clinical Methods: The History, Physical, and Laboratory Examinations 3rd ed.）

Herausgeber

Clinical Methods: The History, Physical, and Laboratory Examinations

本书的目的是为您指路，或者说“听我说，看我做”，可使您成为一个熟练的临床操作员和数据分析大师。

本书为第三版，充实了临床的反馈意见，包括使用过前二个版本的学生的、临床医师的。这些变化强化了该书的实用性有助于达到临床实习目的。这个成果来自本书的最新的应用技术和实验数据。

本书有17个章节。

第1章为引言。描述的是临床方法的延革过程，给读者一个整体印象，有关临床方法学的优良传统。可以强化现有的书本知识，激发学习的兴趣。这一章的剩余部分所描述的一般方法可应用于后面的所有的章节：临床检查、面谈、体格检查、处理实验室事务、分析临床数据并由此作出治疗方案。

后面的15个章节依人体的系统分别叙述，每一章节包括历史数据、体格检查、实验室检查等一个对患者全面评估。

技术：指的是外在的收集数据方法，常表现为逐步进行的方式。

基础科学：一些相关的信息，表现为一种理性和可理解的方式与临床学科紧密相联的的基础知识。

临床差异性：临床上常暗示为异常的发现。

jerrydoctor:这本书的内容对临床医师实在是太有用了。我介绍给大家。

Butterworth

图标是不是似曾相识。本书原是1990年这家德国出版的第一版，现为第三版。该出版社现已并入Elsevier (UK)

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Preface
Author: Walker, H.K.; Hall, W.D.; Hurst, J.W.

The goal of this book is to "be your guide" and say "see here and see there" as the reader becomes skilled in the techniques and analysis of clinical data. This third edition of Clinical Methods has undergone substantial revision based upon feedback from students and other users of the first two editions. These changes enhance the usefulness of the book and help us to achieve our goal of providing clinicians and students with the best current knowledge of the techniques of collecting and using clinical data.

The book is composed of seventeen sections. Each begins with a drawing by Leon Schlossberg of a great physician who made seminal contributions to the discipline covered. A biographical sketch by Charles Stewart Roberts delineates the contributions and gives insight into the character and personality of these eminent physicians.

The first section is the Introduction. Chapter 1, "The Origins of the History and Physical Examination", describes the historical evolution of clinical methods. The purpose is to give the reader insight into the rich heritage of clinical methods, to reinforce knowledge presented in the text, and to excite the desire to emulate. The remainder of the first section presents general techniques applicable to all aspects of the clinical examination: interviewing, the physical examination, approach to the laboratory, analyzing clinical data, and decision making.

The next fifteen sections are organized by body system. Each section contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. There are some exceptions: examination of the cerebrospinal fluid and determination of arterial blood gases are certainly not performed routinely. These selected nonroutine topics are performed with enough frequency to merit inclusion. Each section begins with an illustrated overview that encompasses the history and physical related to that body system. The instruments required and sequence of the examination are outlined. Data collection is presented in an integrated fashion so that a beginning student acquires a coherent picture of how to examine the particular organ system. Each chapter in this part of the book, with a few exceptions, contains four divisions:

Definition: A succinct description of the information sought

Technique: Explicit directions for collecting the data, often given in stepwise fashion
Basic science: Relevant information is presented with emphasis on binding clinical and basic science together in a rational and intelligible fashion
Clinical significance: The clinical implications of abnormal findings

The purpose is to provide the student and clinician with the techniques for examining each body system as well as an understanding of the underlying basic science and the clinical implications of abnormal data.

The final section deals with special patient groups: the young, the adolescent, the well adult, the elderly, the traveler, the infected patient, the difficult patient, and the patient from another culture.

The editors wish to thank Grover Hogan and the Department of Medical Illustration at the Woodruff Medical Center of Emory University School of Medicine, Mildred Perry and Linda Garr Markwell of the Health Sciences Center Library of Emory University, Nancy Megley of Butterworths, and our secretaries: Joann Holland, Marlis McDowell, Marian Thorpe, and Carol Miller. Their support, encouragement, and help made this book possible.