Advanced Assessment Interpreting Findings and

Formulating Differential Diagnoses, 5th Edition

Visit the link below to download the full version of this book:

https://medipdf.com/product/advanced-assessment-interpreting-findings-and-formul
ating-differential-diagnoses-5th-edition/

Click Download Now

performing and interpreting assessments, recognizing the range of
conditions that can be indicated by specific findings. Once in
practice, we believe that the text will aid individualized assessment
and narrowing of differential diagnosis.
The book consists of three parts. Part I provides a summary
discussion of assessment and some matters related to clinical
decision making. In addition to discussing the behaviors involved in
arriving at a definitive diagnosis, each chapter in Part I and in
subsequent sections covers some pitfalls that clinicians often
experience and the types of evidence-based resources that are
available to assist in the diagnostic process.
This edition introduces a unique chapter on issues related to
integrating laboratory and imaging studies into clinical decision-
making. Knowledge regarding selecting, ordering, and interpreting
diagnostic studies are critical skills for clinicians.
This section also includes a chapter on conducting a genetic
assessment. This component of health assessment has great
potential, with recent advances in the information and technology
related to genetics and genomics. It is critical that clinicians be able
to address the potential of hereditary diseases and genetic variations
that may affect their patients. This chapter, like the one on clinical
decision-making, is relevant to the content of all subsequent
chapters.
Part II serves as the core of the book and addresses assessment
and diagnosis using a system and body region approach. Each
chapter in this part begins with an overview of the comprehensive
history and physical examination of a specific system, as well as a
discussion of common diagnostic studies. The remainder of the
chapter is then categorized by chief complaints commonly
associated with that system. For each complaint, there is a
description of the focused assessment relative to that complaint,
followed by a list of the conditions that should be considered in the
differential diagnosis, along with the symptoms, signs, or diagnostic
findings that would support each condition.
Figures within chapters are provided to better depict examination
techniques or expected findings. This edition introduces a number of
diagnostic algorithms to assist in the differential diagnosis and also
includes a number of additional complaints and conditions in several
differential diagnosis sections.
Finally, Part III addresses the assessment and diagnosis of
specific populations, such as those at either extreme of age (young
and old) and pregnant women. This section also includes content on
the assessment of transgender individuals and of persons with
physical disabilities, placing a heavy emphasis on the assessments
that allow clinicians to evaluate the special and cultural needs of
individuals in the populations addressed in these chapters.
To aid the reader, we have tried to follow a consistent format in the
presentation of content so that information can be readily located.
This format is admittedly grounded on the sequence we have found
successful as we presented this content to our students. However,
we have a great appreciation for the expertise of the contributors in
this edited work, and some of the content they recommended could
not consistently fit our “formula.” We hope that the organization of
this text will be helpful to all readers.

REFERENCE
National Academies of Science. (2015). Consensus Study Report: Improving diagnosis in
health care. Retrieved February 4, 2022, from
https://www.nap.edu/catalog/21794/improving-diagnosis-in-health-care
 Acknowledgments

We want to express our sincere appreciation for the support and

assistance provided by so many in the development of this book.
Their contributions have made the work much richer.
Particular mention goes to all at F.A. Davis for their enthusiasm,
support, and patience throughout the history of this text. Special
thanks to F.A. Davis staff; Susan Rhyner, publisher; Sean West,
Content Project Manager; Cathy Carroll, eProject Manager; and
Carolyn O’Brien, Design Manager.
We are immensely grateful to the contributors to this edition, who
shared their expertise and knowledge to enhance the content. They
were a pleasure to work with. We also acknowledge those who
contributed content to an earlier edition: JoEllen Wynne, Quanetta
Edwards, Saundra Turner, Randolph Rasch, Karen Koozer-Olson,
Diane Mueller, Phillip Rupp, Patricia Hentz, Casey Jones, Charon
Pierson, Christine Aramburu Alegra, and Susan Havel. In addition to
the contributors, we also want to thank the many reviewers of this
and previous editions for their timely and thoughtful feedback.

Personal Acknowledgments from Laurie

Grubbs
Most of all, I would like to thank my friend and coauthor, Mary Jo, for
providing the impetus to write this book—an often talked about
aspiration that became a reality—and to F.A. Davis for their
enthusiasm, support, and patience during the process for each
edition.
I would also like to thank my children, Jennifer and Ashley, for their
support and for being themselves—intelligent, talented, beautiful
daughters.
Personal Acknowledgments from Mary Jo
Goolsby
I whole-heartedly express thanks to my dear friend and colleague,
Laurie. After serving together as faculty for several years, I have had
the pleasure and honor or working with Laurie for almost 20 years on
this project.
Above all else, I also thank my husband, H. G. Goolsby. He
continues to offer constant support and encouragement, without
which this and other professional achievements would not have been
possible.
 Contributors

Sara F. Barber, MSN, APRN-BC

Pediatric Nurse Practitioner, Psychiatric/Mental Health Nurse
Practitioner
Capital City Psychiatry
Tallahassee, Florida

James T. Blackwell, DNP, FNP-BC

Nurse Practitioner
WG (Bill) Hefner VA Medical Center
Charlotte, NC

Lisa Byrd APRN, PhD, FNP-BC, GNP-BC, Gerontologist

Nurse Practitioner
Devoted Medical Group
Tampa, Florida
Assistant Professor
University of South Alabama
Mobile, Alabama

Maria Colandrea, NP-C, CORLN, CCRN, FAANP

Clinical Consulting Faculty, Duke University
Durham, North Carolina
Nurse Practitioner
Durham Veterans Affairs Medical Center
Cary, North Carolina

Leslie L. Davis, PhD, RN, ANP-BC, FAANP, FACC, FAHA,

FPCNA
Associate Professor
University of North Carolina at Chapel Hill
School of Nursing

Janatha S. Grant, DNP, CRNP, FNP-BC

Nurse Practitioner, Division of Maternal & Fetal Medicine
The University of Alabama at Birmingham
Birmingham, Alabama

Aimee C. Holland DNP, CRNP, WHNP-BC, NP-C, FAANP

Associate Professor and Assistant Dean for Graduate Clinical
Education
University of Alabama at Birmingham
Birmingham, AL

Anna R. Jessup, DNP, APRN, FNP-C

Assistant Professor and Nursing Program Director
South University
Round Rock, TX

Michelle Lajiness, APRN, FNP-BC

Nurse Practitioner
University of Toledo Medical Center
Department of Urology
Toledo, Ohio

Karen D. Lipford, PMHNP-C, FNP, EdD, DNP

Teaching Faculty, Florida State University, College of Nursing
Tallahassee, FL
Psychiatric Nurse Practitioner, Florida Therapy Services, Inc.
Chattahoochee, FL

Ann Maradiegue, PhD, RN, FNP-BC, FAANP

Consultant, Genetics Education and Patient Advocacy
Washington, DC

Vanessa Pomarico-Denino, Ed.D, APRN, FNP-BC, FAANP

Lead Clinician, Diversity, Inclusion & Diversity
Northeast Internal Medical Group
Hamden, CT
Part-time Clinical Assistant Professor
Quinnipiac University School of Nursing
North Haven, CDT

Susanne Quallich, PhD, ANP-BC, NP-C, CUNP, FAANP

Andrology Nurse Practitioner
Division of Andrology and Microsurgery
Department of Urology
University of Michigan Health System
Ann Arbor, Michigan

Diane Seibert, PhD, RN, ANP, WHNP-BC, FAANP

Professor
Associate Dean for Academic Affairs
Daniel K. Inouye Graduate School of Nursing
Uniformed Services University
Bethesda, Maryland

Kelley Stallworth Borella, DNP, MSN, WHNP-BC

Assistant Professor, Co-Specialty Track Coordinator
University of Alabama at Birmingham
Birmingham, Alabama

Ashton T. Strachan, DNP, FNP-C, WHNP-BC

Nurse Practitioner
Georgia Institute of Technology
Atlanta, GA
Adjunct Faculty
University of Alabama at Birmingham
Birmingham, AL

Brandy Tanner, DNP, WHNP-BC

Lead APP
UAB OB Complications Clinic
Birmingham, Alabama

Karen J. Whitt, PhD, AGN-BC, FNP-C, FAANP

Associate Professor
George Washington University School of Nursing
Washington, DC

Michael E. Zychowicz, DNP, ONP, ANP, FAAN, FAANP

Professor; Lead Faculty Orthopedic NP Specialty
Co-Director, Duke-Durham VA Primary Care Residency
Duke University
Durham, NC
 Reviewers

Margaret Rose Benz, MSN(R), APRN, ANP-BC, FAANP

Assistant Professor
Trudy Busch Valentine, Saint Louis University School of Nursing
Saint Louis, MO

Jordon D. Bosse, PhD, RN

Assistant Professor
Northeastern University, School of Nursing Boston, MS

Angie Thomure, MPH, MSN, APRN-CRN

Nurse Practitioner
Cincinatti, OH

MaryAnn Troiano, DNP, APN-C

Associate Professor
Monmouth University
West Long Branch, NJ
 Contents

Preface
Acknowledgments
Contributors
Reviewers

Part I The Art of Assessment and Clinical Decision

Making
Chapter 1. Clinical Decision Making: Assessment and
Differential Diagnosis
Chapter 2. Diagnostic Studies
Chapter 3. Genomic Assessment: Interpreting Findings and
Formulating Differential Diagnoses

Part II Advanced Assessment and Differential Diagnosis

by Body Regions and Systems
Chapter 4. Skin
Chapter 5. Head, Face, and Neck
Chapter 6. The Eye
Chapter 7. Ear, Nose, Mouth, and Throat
Chapter 8. Cardiac and Peripheral Vascular Systems
Chapter 9. Respiratory System
Chapter 10. Breasts
Chapter 11. Abdomen
Chapter 12. Genitourinary System
Chapter 13. Male Reproductive System
 Chapter 14. Female Reproductive System
Chapter 15. Musculoskeletal System
Chapter 16. Neurological System
Chapter 17. Nonspecific Complaints
Chapter 18. Psychiatric Mental Health

Part III Assessment and Differential Diagnosis in Special

Patient Populations
Chapter 19. Pediatric Patients
Chapter 20. Pregnant Patients
Chapter 21. Assessment of the Transgender or Gender-
Diverse Adult
Chapter 22. Older Patients
Chapter 23. Persons With Disabilities

Symptoms Index
Index
 PART

The Art of Assessment and

Clinical Decision Making