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Tables of Contents for Diagnostic Reasoning
Chapter/Section Title
Page #
Page Count
PART ONE CLINICAL DATA
1
82
Clinical Decision-Making in Primary Care
3
8
Jean Nagelkerk
Case Management
3
1
Clinical Judgment
4
1
Diagnostic Reasoning
5
6
Documenting the Health History and Physical Examination
11
24
Jean Nagelkerk
Christy Smolenski
Cultural Care
11
3
Developmental Stages Across the Lifespan
14
1
Childhood Develpmental Milestones
15
1
Family Assessment
16
6
The History Format
22
1
The Physical Examination
23
1
Diagnoses and Therapeutic Plan of Care
23
1
Documentation
24
11
Diagnostic Tests
35
29
Carol Patton
Key Variables to Consider When Ordering Diagnostic Tests
35
2
Laboratory Data
37
1
Fluid and Electrolytes
38
1
Serum Osmolarity
38
1
Blood Components
38
1
Purpose of Obtaining Serum Osmolarity and Electrolytes
39
1
Sodium
40
1
Potassium
40
1
Chloride
41
1
Magnesium
42
1
Phosphate/Phosphorus
42
1
Calcium
43
1
Complete Blood Count (CBC)
44
1
White Blood Cells (WBCs)
45
7
Renal Function: BUN and Creatinine
52
1
Urinalysis
52
2
Thyroid Profile
54
1
Fasting Blood Glucose
55
1
Hemoglobin A1c
55
1
Micro-Albuminuria
56
1
Erythrocyte Sedimentation Rate (ESR)
56
1
Lipid Profile
56
1
Liver Profile
57
1
Albumin
57
1
Alkaline Phosphatase (AP)
58
1
Bilirubin
58
1
Hyperbilirubinemia
59
1
Serum Aminotransferases
59
1
PT, PTT, INR, and Platelets
60
1
Rheumatoid Panel
61
1
H-Pylori (Helicobacter pylori)
62
1
Lipase
62
1
Amylase
62
2
Diagnostic Imaging
64
19
Carol Patton
Imaging Studies
64
4
Decision-Making for Plain Films
68
1
General Concepts Related to Radiologic Imaging
69
14
PART TWO CASE ANALYSIS
83
236
Special Senses
85
19
Jean Nagelkerk
Ear Pain
85
3
Red Eye
88
5
Blurred Vision
93
3
Dizziness (Vertigo)
96
5
Optional Exercise
101
3
Respiratory Disorders
104
17
Jean Nagelkerk
Sore Throat
104
3
Sinus Congestion and Pressure
107
6
Cough and Chest Congestion
113
6
Optional Exercise
119
2
Cardiovascular Disorders
121
21
Ruth Ann Brintnall
Physical Examination
121
3
Chest Pain
124
10
Shortness of Breath
134
5
Optional Exercise
139
3
Gastrointestinal Disorders
142
22
Jean Nagelkerk
Lower Abdominal Pain with Diarrhea
142
7
Heartburn
149
4
Bloody Stools
153
4
Jaundice
157
5
Optional Exercise
162
2
Blood Dyscrasias
164
13
Ruth Ann Brintnall
Fatigue
164
5
Weakness and Fatigue
169
2
Profound Fatigue, Swollen Glands
171
4
Optional Exercise
175
2
Urogenital Disorders
177
19
Jean Nagelkerk
Burning on Urination
177
5
Incontinence
182
3
Urinary Hesitance and Decreased Urine Stream
185
5
Scrotal Pain
190
1
Optional Exercise
191
5
Women's Health
196
18
Jean Nagelkerk
Pelvic Pain
196
6
Breast Mass
202
4
Prolonged, Heavy Menses
206
4
Optional Exercise
210
4
Dermatological Disorders
214
19
Katherine Barbee
Acne
214
7
Brown Patches on Face
221
5
Sores on Nose and Around Mouth
226
4
Optional Exercise
230
3
Neurological Disorders
233
21
Jean Nagelkerk
Headache
233
8
Memory Loss
241
5
Unilateral Weakness and Numbness
246
6
Optional Exercise
252
2
Musculoskeletal Disorders
254
23
Jean Nagelkerk
Low Back Pain
254
12
Morning Stiffness in the Fingers and Back
266
6
Pain and Numbness in Right Wrist
272
3
Optional Exercise
275
2
Psychiatric Disorders
277
25
Penny Hinkle
Acute Epigastric Pain
277
8
Anxiety, Excessive Worry, and Thoughts of Suicide
285
7
Social Isolation, Poor School Performance, and Impulsivity
292
7
Optional Exercise
299
3
Endocrine Disorders
302
17
Jean Nagelkerk
Ruth Ann Brintnall
Wendy Muma
Blurred Vision, Increased Thirst, and Fatigue
302
9
Fatigue, Weight Gain, and Hair Loss
311
4
Optional Exercise
315
4
PART THREE COMPLEMENTARY THERAPIES
319
28
Integrating Complementary Therapies into Practice
321
13
Roxana Huebscher
Definitions of NAC
321
1
Importance of NAC and Rationale for Its Use
322
1
NAC Therapies Management for the NP
323
11
Common Herbal Therapies
334
13
Kathryn Niemeyer
The Clinical Use of Herbs
334
1
The Situation Today
335
1
How Herbs Differ From Pharmaceuticals
335
1
Research on Herbal Medicines
336
1
Medicinal Herb Dosing
337
1
Precautions With Herbal Medicines
337
1
Choosing Medicinal Herbs
338
3
Non-Herbal Dietary Supplements
341
1
Wildcrafting and Organic
341
1
Spiritual Connection
341
1
Issues Relating to Herbal Use in Clinical Practice
341
1
Herb Categories
342
1
Major Plant Constituents
343
1
Medicinal Herbs and Children
343
1
Delivery of Herbs
344
3
PART FOUR APPENDIXES
347
29
Appendix A Common Supportive Herbs
349
12
Kathryn Niemeyer
Appendix B Assessment Aids
361
5
Jean Nagelkerk
Appendix C Additional Case Studies
366
7
Case A: Facial Numbness
366
1
Jean Nagelkerk
Christy Smolenski
Case B: Open Wound
367
1
Kim Gillow
Case C: Abdominal Pain and Tenderness
368
1
Mary Moran Barr
Case D: Fever and Flu-Like Symptoms
369
2
Melanie Ranta
Case E: Pelvic Pain and Dysmenorrhea
371
2
Michelle Elmendorf
Appendix D Key to Abbreviations
373
3
Jean Nagelkerk
Index
376