Macleod’s Clinical Examination 12th Edition PDF

Macleod's Clinical Examination 12th Edition pdf

Download Macleod’s Clinical Examination 12th Edition – Macleod’s Clinical Examination aims to assist clinicians develop the consultation skills required to elicit a clear history, and the practical 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 – Key Features

  • The first part of the book 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.
  • The second part documents the relevant history, examination and investigations for all the major body systems.
  • The third part illustrates the application of these skills to specific clinical situations.
  • The final part covers preparation for assessments of clinical skills and the use of these skills in everyday practice.
  • The book has accompanying videos demonstrating many of the key clinical examination routines as set out in the book.

Macleod’s Clinical Examination – PROFESSIONAL OBLIGATIONS

Your professional obligations, the expectations placed upon you by the public, the law and your
colleagues, start on your first day as a student and continue throughout your working life. You have
demonstrated considerable intellect and application to get into and through Medical School, but
there is more to being a good clinician than intellectual and technical proficiency. While some
individuals have greater ‘natural’ technical ability, particularly where spatial awareness and
manipulation are required, to an extent these things can be taught. Fundamentally, however, a good
clinician is someone who is interested in people. The qualities that patients look for in a doctor
( Box 1 .1 ) may appear obvious, but should underpin all your clinical contacts.

One way to reconcile these expectations with your inexperience and incomplete knowledge or
skills is to put yourself in the situation of the patient and/or their relatives. Consider how you would
wish to be cared for in their situation, acknowledging that you are different and your preferences
may not be theirs. Most doctors have their approach to, and care of, patients radically altered by
their own experiences as a patient or a relative. Some of this process is empathy – where you
respond in a way that demonstrates that you have made the connection between the patient’s
emotion and its cause. Doctors, nurses and everyone involved in healthcare have a profound
influence on how patients experience illness and their sense of dignity. When you are dealing with
patients, always preserve their dignity by observing the following:

Macleod’s Clinical Examination – Table of Contents

Section 1: Principles of clinical history and examination

  • Managing clinical encounters with patients
  • General aspects of history taking
  • The value of initial observations

Section 2: System based examination 

  • The cardiovascular system
  • The respiratory system
  • The gastrointestinal system
  • The nervous system
  • The visual system
  • The ear, nose & throat
  • The endocrine system
  • The reproductive system
  • The renal system
  • The musculoskeletal system
  • The skin, hair and nails

Section 3: Applying history and examination skills in specific situations 

  • Babies and Children
  • Patients with mental illness and learning disability
  • The frail elderly
  • Examining the deteriorating patient
  • History and examination towards the end of life

Section 4: Putting History and Examination skills to Use  

  • Preparing for assessments of clinical skills
  • Preparing for practice


No. of pages: 400Language: EnglishCopyright: © Elsevier 2019Published: 11th June 2018Imprint: ElsevierPaperback ISBN: 9780702069932Paperback ISBN: 9780702069925eBook ISBN: 9780702069918eBook ISBN: 9780702069901

About the Editor

J. Alastair Innes

Affiliations and Expertise

Consultant Physician, Respiratory Unit, Western General Hospital, Edinburgh; Honorary Reader in Respiratory Medicine, University of Edinburgh, UK.

Anna Dover

Affiliations and Expertise

Consultant in Diabetes, Endocrinology and General Medicine, Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh; Honorary Clinical Senior Lecturer, University of Edinburgh, UK.

Karen Fairhurst

Affiliations and Expertise

General Practice Principal, Mackenzie Medical Centre, Edinburgh; Clinical Senior Lecturer, Centre for Population Health Sciences, University of Edinburgh, UK.

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