Designed for those who use history and physical examination skills in the clinical setting, this practical resource takes readers to the 'next step' of health assessment - beyond basic history and physical examination and into a diagnostic reasoning process. Accessible and concise, it focuses the physical examination around a specific chief complaint rather than a diagnosis or disease entity. Each chapter is organized in five major areas - Diagnostic Reasoning - Focused History; Key Questions; Diagnostic Reasoning - Focused Physical Examination; Laboratory and Diagnostic Studies; and Differential Diagnosis - making it easier to accurately diagnose the majority of patients seen in practice today. Key Questions are provided as a resource for the questions that should be asked next. Summary Differential Diagnosis tables provide a quick reference to important information.The consistent organization of content makes the book easier to read. A general bibliography list appears at the end of the book. Content has been reorganized to list each chapter as a separate presenting problem. New chapters have been added on Vision Loss, Syncope, Breast Pain, Sleep Problems, and Fatigue. A new section on musculoskeletal problems in children has been added. A special icon indicates pediatric information. Key references are included in each chapter.