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Clinical approach 

Clinical approach
Chapter:
Clinical approach
Author(s):

Rob Forsyth

and Richard Newton

DOI:
10.1093/med/9780198784449.003.0001
Page of

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date: 17 August 2019

This chapter addresses consultation management and clinical method. It describes how to put families at ease and enable them to get all they hope from the encounter. It suggests an approach and language to use in difficult situations: the dying child, giving bad news, and bereavement. It offers guidance on clinical examination of central and peripheral nervous systems in newborn and older children. A real-world approach to quick neurological examinations is given. It encourages a synthesis of historical and clinical findings into a differential diagnosis, first siting the lesion, then defining the cause. This promotes the formulation of efficient and effective investigation and treatment plans as the essence of the clinical process.

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