Table of Contents
Part I. Symptoms Altered bowel habit
Bleeding in early pregnancy
Breast problems
A cardiac murmur Chest pain
Constipation
Convulsions in adults
Cough Deafness Delirium
Diarrhoea
Dizziness
Dyspepsia
Dyspnoea
Dysuria and other acute urinary symptoms in men
Dysuria, nocturia, frequency and urgency in women
Erectile dysfunction
Fatigue
Fertility problems
Haematuria
Haemoptysis
Headache
Heartburn
Insomnia
Intermittent claudication Lower urinary tract symptoms in men (LUTS)
A lump in the neck
Memory loss and dementia
Menorrhagia
Neck pain
Pain and tingling in the arm and hand
Pain in the face
Palpitations
A pigmented skin lesion
Pleuritic chest pain
Rectal bleeding
Rhinorrhoea
Sleepiness
The swollen leg
Syncope
Tinnitus
Tremor
Vaginal discharge Weight loss
This book has been prepared by professionals working in the UK and sets out the principles and practice of EBM in primary care diagnosis. Giving guidance on over 100 symptoms and disorders, the book illustrates the fundamental issues: that the value of a history, examination and investigation depends on the patient's prior probability of disease and on the setting and expertise of the doctor. Many chapters feature "red flags" - elements of the history or examination that should alert us to the possibility of serious disease, which are vital for general practice.