Evidence-based Diagnosis in Primary Care: Practical Solutions to Common Problems

British Medical Association Book Awards 2009 - First Prize Winner, Primary Care Category Evidence-Based Diagnosis in Primary Care provides guidance on diagnosis in general practice, from the patient's first presentation with a symptom to the final establishment of a diagnosis or referral for further investigation. The book is divided into two parts: . Symptoms; which details the steps necessary to reach a provisional diagnosis when a patient presents; and . Disorders; in which the more detailed assessment of that initial diagnosis is described. This is the first book to be written about diagnosis in primary care that attempts to base its guidance on the research evidence. Enough information is provided on each symptom, or condition, to decide on the pre-test probability of each possible disorder, and how the symptoms, signs and investigations alter those probabilities to allow a conclusion to be reached about the most likely diagnosis. Evidence-Based Diagnosis in Primary Care also explains the principles of evidence-based diagnosis - with special emphasis on the issues raised by attempting an evidence-based approach in primary care - and clearly demonstrates the power, and the difficulties, of an evidence-based approach. Many chapters also feature 'red flags' - elements of the history or examination that should alert the practitioner to the possibility of serious disease, which is vital for general practice.

• Covers 44 common presentations and 34 common disorders including many of the most difficult clinical situations general practitioners face.
• Focuses on symptoms notorious for their diagnostic difficulty (e.g dizziness, fatigue) and disorders that are always in the GP's mind because of their seriousness (e.g. acute coronary syndrome, meningitis, deep vein thrombosis).
• The research evidence is presented in sufficient detail for the reader to understand its value and its limitations.
• The chapters are illustrated by examples that show the GP at work, illustrating how the evidence can be applied or that the evidence is unable to help with the situation posed.
• Much of the research quoted in the book is international in flavour, especially from the USA, Canada, and the rest of Europe, as well as the UK.
• Linked to the new edition of Practical General Practice by the same editor