Medicina interna

Thoroughly updated and now in full color, the Sixth Edition of this comprehensive manual covers over 550 signs and symptoms. This title includes more than 300 of the most important signs and symptoms that are organized alphabetically. Each entry includes a description, emergency interventions (where appropriate), history and physical examination, causes, associated signs and symptoms, special considerations, pediatric pointers, geriatric pointers, and patient counseling. It includes over 500 illustrations, tables, and flowcharts. Appendices describe 250 less familiar signs and symptoms and provide English/Spanish translations of common signs and symptoms. This edition includes signs and symptoms of important emerging diseases.

The Oxford Textbook of Medicine is the definitive textbook of medicine: the trusted and ultimate reference. It is the only textbook to give a global account of modern medical practice. Written by world experts, its emphasis is on giving practical guidance on clinical management and the prevention of disease.

Fully adapted for the UK market by two paramedic lecturers and a team of highly-specialised contributors, "Sanders' Paramedic Textbook" gives you everything you want in a paramedic textbook and more! Packed with valuable support materials this textbook is a comprehensive learning tool for both first time and refresher paramedic students containing everything in one convenient volume.

"Mosby's Guide to Physical Examination" is a comprehensive textbook of physical examination, history-taking, and health assessment with a unique emphasis on differential diagnosis and variations across the lifespan. The book conveys a uniquely compassionate, patient-centered approach to physical examination with a strong evidence-based foundation.

Be prepared in any clinical setting with this portable, full-color, illustrated guide. Key information includes differential diagnosis tips, pediatric variations, sample documentation, and other helpful assessment data for quick reference. Separate chapters cover age-specific exams for infants, children, and adolescents, the healthy female evaluation, and reporting and documenting findings.

The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination-from the fundamentals to the most advanced levels. Written in an artful storytelling style, the book describes methods in step-by-step detail, with clinical pearls, vignettes, practical clinical experience, personal history, explanations of the physiologic significance of findings, and extensive discussions of evidence-based medicine. Highlights of this new edition include - 'Points to Remember' boxes with three or four bullets per chapter; more than 300 questions with answers and discussion; revisions based on new material from journals (especially "JAMA", "New England Journal of Medicine", "Mayo Clinic Proceedings", and "Annals of Internal Medicine"); CME conferences, especially the weekly grand rounds at Carondelet St. Joseph's Hospital; specialty conferences pertaining to orthopedics and neurology; and cases that recently came up in practice. It includes more than 120 additional references, some new and some old classics newly discovered by the author; expanded discussion of evidence-based medicine, both its appropriate usage and pitfalls, with additional information on sensitivity, specificity, and other features of various findings from recent studies and review articles; insights on the development of expertise have been added; expanded discussion of sleep apnea, blast injury, 'minor' head trauma, and cervical spine involvement in rheumatoid arthritis; new findings pertaining to transplantation-related graft-versus-host problems, AIDS and the adverse effects of therapy, drug abuse, especially methamphetamine, and egg donation; and additional maneuvers include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation. It also includes: additional information on dementia, hysteria, missed aneurysms, pulmonary embolism, evaluation of dehydration/malnutrition, and compressions - only cardiopulmonary resuscitation; updated and substantially simplified discussion of carotid stenosis and indications for carotid endarterectomy; more historical tidbits, for example, on the development of thermometry; and companion website with fully searchable text and 300-question online test bank. Even with all of today's sophisticated laboratory and imaging technology, a skillfully performed patient interview and physical examination can be a quicker and more cost-effective route to an accurate diagnosis. The Fourth Edition of "Sapira's Art and Science of Bedside Diagnosis" is your guide to gaining the most reliable information from your patients, developing a differential diagnosis and an efficient diagnostic strategy.

Nonostante i grandi progressi della tecnologia, la valutazione del paziente continua a basarsi sulle indicazioni dell'anamnesi e sull'esame obiettivo, che forniscono ancora i risultati diagnostici migliori, senza considerare il rapporto tra costo e benefici - cioè la relazione che si instaura con il paziente. Dovrebbero essere sempre queste indicazioni ad indirizzare la tecnologia, e non dovrebbe avvenire il contrario. Il Manuale di segni e sintomi, quarta edizione, è un tesoro di suggerimenti e di promemoria per il clinico. Esso fornisce una descrizione completa dei disturbi dei pazienti, da quelli più comuni a quelli più insoliti, associati agli esami diagnostici di routine e specifici. Descrive nei dettagli i reperti dell'esame obiettivo e chiarisce i meccanismi di esecuzione degli esami, anche di quelli usati raramente. I segni ed i sintomi sono ordinati alfabeticamente per essere facilmente trovati, e l'anamnesi raccolta è collegata ai dati essenziali dell'esame obiettivo.

L'adozione di abbreviazioni utilizzando le lettere iniziali degli elementi principali (acronimi) di un termine composto ha caratterizzato la recente terminologia medica al pari di altre discipline a carattere tecnico-scientifico. L'elenco riportato nel presente dizionario non ha la pretesa di essere esaustivo, ma solo quella di poter essere in qualche modo di supporto a quanti si trovano nella condizione di confrontare un acronimo memorizzato con quello riportato in questo volume. Molti acronimi possono essere collegati a più significati sia nella terminologia italiana che anglosassone e diventa, quindi, importante estrapolare il giusto abbinamento tenendo conto della materia medico-scientifica che si sta esaminando. A tale scopo è stato realizzato questo utile e pratico manuale che riporta l'elenco, in ordine alfabetico, di tutte le abbreviazioni di uso ricorrente, per un rapido collegamento dell'acronimo inserito in un testo di medicina oppure per una più rapida ricerca dello stesso.

Dare risposta e conforto a ogni assistito pone il medico di medicina generale davanti a un annoso dilemma: tentare di risolvere il quesito proposto o indirizzare la persona malata a uno specialista qualificato. Nel primo caso vi sarà il rischio di non curare al meglio la persona bisognosa di cure, nel secondo vi sarà il rischio di ricoprire soltanto una carica burocratica. Conoscere tutta la medicina è impossibile. Quello che è doveroso fare è tentare di orientarsi nel migliore dei modi ogni qualvolta un quesito clinico viene proposto. Da questo imperativo l'idea di pubblicare questo testo che non ha la pretesa di spiegare la Patologia Medica nella sua interezza, ma di essere di aiuto nel lavoro di ogni giorno. Un volume che aiuti il medico di medicina generale nello svolgimento della propria attività clinica e che lo faciliti nella diagnosi e nella terapia delle più frequenti patologie che giungono alla sua attenzione.

Essential Evidence-Based Medicine teaches the principles of research study methodology and design so that the reader can become better at critically analysing scientific and clinical studies. It describes the basic elements needed to understand biostatistics and epidemiology as applied to health care studies, and how to become a more discriminating reader of the medical literature by adopting the skills of critical appraisal. This new edition is extensively edited and updated, and includes two entirely new chapters on critical appraisal of qualitative research and communicating risks and evidence to patients. The text is geared towards the new learner, and assumes little clinical experience, starting with the basic principles of critical appraisal. A CD-ROM accompanies the book to enable students to test their learning through a series of questions, with answers provided. This is an ideal introductory text for medical students, health sciences students and a wide range of other healthcare professionals.

"Learning Clinical Reasoning" uses a case-based approach to teach students the basics of clinical reasoning. The first section explains the chief components of the clinical reasoning process, such as generating and refining diagnostic hypotheses, using and interpreting diagnostic tests, assembling a working diagnosis, therapeutic decision making, and examining and applying evidence, and also includes a discussion of cognitive errors. The second section contains 69 cases in which clinicians 'think out loud' about diagnostic and therapeutic dilemmas, and the authors critique these clinicians' reasoning. This edition has thirty new cases from the "New England Journal of Medicine" and other sources and expanded discussions of evidence-based medicine, clinical practice guidelines, and cognitive errors.