This pocket introduction for first year clinical students starting clinical training on the ward provides basic information about how to talk to patients, take a medical history and how to start a clinical examination. The result of many years of clinical teaching experience at the University of Cambridge, this second edition is clearly thought out. With those first clinical encounters in mind, the text has been simplified to allow easy distinction of basic essential information from more detailed discussion. New clinical terms and issues have been included and the text further enlivened by clear line illustrations.
Part I. Clinical Clerking:: 1. Introduction; 2. Scheme for clinical clerking; Part II. The History:: 1. General; 2. Basic data; 3. Presenting complaint; 4. History of the presenting complaint; 5. Past medical history; 6. Family history; 7. Medication and allergy; 8. Personal and social history; 9. Minimal statement of personal and social history; Part III. Psychiatric History:: 1. Complaints; 2. History of presenting complaints; 3. Previous history; 4. Family history; 5. Personal history; 6. Mental state at interview; 7. Intellectual function; Part IV. Functional Enquiry:: 1. General; 2. Cardiovascular system; 3. Respiratory system; 4. Alimentary system; 5. Genito-urinary system; 6. Central nervous system; 7. Locomotor system; 8. Minimal statement of the functional enquiry; 9. Initial differential diagnosis; Part V. Physical Examination:: 1. Introduction; 2. General examination; 3. Examination of the cardiovascular system; 4. Examination of the respiratory system; 5. Examination of the alimentary system; 6. Examination of the nervous system; 7. Examination of the locomotor system; Part VI. Documentation of the Medical Record:: 1. Documentation of the medical record; 2. Problem orientated medical record; 3. Case illustration; Appendices.
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