We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
• Recognize the seven signs of reflux in infancy.
• Discover the role of milk protein allergy–the other colic.
• Learn what, when, and how to feed an irritable baby and the best positions for sleep.
• Recognize the role of formula, breast milk, bottle systems, burping, and pacificers in your baby’s fussiness, and irritability.
• Understand when and why your baby may need testing for reflux.
Weigh the pros and cons of available treatment options.
Identify when a specialist is needed and where to find one.
Complete with inspiring real-life cases of colic solved, plus tips, sidebars, and illustrations, this essential guide provides real answers to a problem that has been upsetting babies–and parents–for years. Help and hope are at hand!
“This is the book for every parent whose young baby is a ‘bundle of misery,’ in pain, and hard to feed, and for that baby’s pediatrician, too.”
–Laura Nathanson, M.D., F.A.A.P., author of The Portable Pediatrician
“Great news for exhausted parents and for suffering babies! Colic Solved gets to the root of what is making many babies cry, and offers powerful, real-world solutions. This is a must-have book for desperate parents everywhere.”
–Alan Greene, MD, FAAP, author of From First Kicks to First Steps and founder of DrGreene.com
From the Trade Paperback edition.
Diagnose fractures accurately with the many high-quality images.
Clearly see the anatomic relationships of bones and joints through schematic illustrations.
Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment.
Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques.Access the fully searchable text online at expertconsult.com, along with video clips of reduction maneuvers and downloadable patient education and rehabilitation instruction handouts.
Accurately identify fractures using optimal imaging guidelines.
Apply splints and casts with confidence thanks to detailed descriptions and illustrations of technique.
Tap into the latest best practices through more evidence-based coverage and updated references.
Effectively manage emergency situations using guidelines for emergent referral, greater detail regarding methods for closed reductions for fractures and dislocations, and more.
Stay up-to-date in the area of treatment and management with enhanced discussions throughout.
Be familiar with the most current developments and information in family medicine with this all-around review of the specialty, ideal for nurses and PAs!Assess your mastery of the latest diagnostic methods and management techniques through hundreds of questions and dozens of cases, newly updated to reflect the most current developments in practice.
Browse the full text, review questions, images, and tips for passing the exam online at www.expertconsult.com.
Earn up to 89 hours of AMA Category 1 Physician's Recognition Award CME Credit online through Robert Wood Johnson Medical School.
Access the text clearly on any device with a new eReader-compatible design.
ìBoth editors have done a wonderful job in building upon the previous versions of this book to create an exceptionally comprehensive resource... Healthcare continues to evolve at an extremely fast pace and it is with excellent resources like this that primary care providers can continue to provide quality care." Score: 100, 5 stars--Doodyís Medical Reviews
Praise for the Second Edition:
"This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook."
-Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC
President, National ARNP Services, Inc.
"Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care."
-Anne Moore, APN; WHNP/ANP-BC; FAANP
This is a comprehensive family practice resource for primary care clinicians, providing current national practice guidelines for a high-quality standard of care for patients across the life span in outpatient settings. It includes individual care guidelines for adult, child, pregnant, and geriatric patients; health promotion and dietary information; procedure guidelines; national resources; and comprehensive patient teaching guides. This third edition includes updated national treatment guidelines throughout, including the most recent cardiology guidelines (JNC 8), seven new protocols, revised procedure guidelines a new chapter on pain management guidelines for patients with opioid addiction, and patient teaching sheets in print and PDF formats.
The guide includes 268 disorder guidelines organized by body system, presented in outline format for easy access. Each disorder includes definition, incidence, pathogenesis, predisposing factors, common complaints, signs/symptoms, subjective data, physical exam and diagnostic tests, differential diagnosis, plan of care including medications, and follow-up care. Of special note are highlighted "Practice Pointers" containing critical information and "Individual Considerations" at the end of each disorder that provide specialty care points for pediatric, pregnant, and geriatric populations.
This resource includes:151 Patient Teaching Guides 19 Procedure guidelines Routine health maintenance guidelines Appendices covering special diets, normal lab values, and dental issues
A companion Website will include the fully searchable text, an image bank, an interactive question bank, and an EKG image with explanation test bank.
Consult this title on your favorite e-reader with intuitive search tools and adjustable font sizes. Elsevier eBooks provide instant portable access to your entire library, no matter what device you're using or where you're located.
Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn.Get procedural sedation recommendations from Dr. Alfred Sacchetti, MD, FACEP.
More than 200 lab tests help hone your skills in reviewingnormal values and interpreting results
Electronic accessto additional algorithms, new images and tables, EBM boxes, patient teaching guides, and extra topics. Links between each section allow you to navigate easily from a selected topic to relevant associated material and back again
"In contemporary letters John Berger seems to me peerless; not since Lawrence has there been a writer who offers such attentiveness to the sensual world with responsiveness to the imperatives of conscience." --Susan Sontag
This may come as a surprise to you: eczema is one of the most treatable skin conditions known to man.
A big percentage of eczema sufferers feel that their skin condition will be bothering them forever - this is simply not true. When you know how to identify the triggers of eczema and how to remove these common triggers, the eczema actually heals on its own.
Here Are Three Good Reasons To Why You Can Start Curing Your Eczema Naturally Today
ONE: Eczema can be caused by both internal and external factors - examples of external factors include the use of detergents and even the weather.
TWO: Simple lifestyle changes can actually resolve your eczema.
THREE: Key changes in your diet can have an immense, beneficial effect on your eczema.
Here is something dermatologists don't want you to know: naturally remedying eczema is extremely simple. You just need to know what to do, and how to do it! Even if you're a total beginner and haven't got a clue where to start, you can start treating your eczema at home within the day!
There are essentially 3 main things you need to know about naturally curing eczema:
1. How to identify the actual symptoms of eczema and how to differentiate eczema from more serious skin conditions
2. How to identify the key triggers of eczema
3. How to remove the key triggers so that your eczema will resolve on its own
"Eczema No More" covers all of this, and a lot more. And when you read it, you'll be BLOWN AWAY with how simple it really is to naturally treat your eczema.
Here's just a taste of what you'll discover...
- How to identify the symptoms of eczema with these 3 simple techniques...
- 3 little known, yet simple ways to distinguish eczema from other skin conditions...
- 6 time tested and proven strategies for clearer and healthier skin - free from itching and soreness...
- Secret of expert skin care that few people ever know about...
- 3 proven steps to improve your skin care regimen at home...
- How to create the perfect environment for your skin during bathtime...
- 2 simple keys (that are right in front of your eyes) to avoid triggering an eczema outbreak...
- WARNING: 3 things you should never do when it comes to your own diet...
- How to cure eczema in children...
- You'll discover in just a few short minutes how to modify your daily diet for overall better skin...
- 7 everyday but often overlooked tips and tricks for improving your lifestlye so it won't exacerbate your eczema...
- And much more...
Vitamin D deficiency is the most common medical condition in the world. In America alone, over 200 million people lack sufficient levels of vitamin D and may consequently suffer from chronic health conditions, ranging from daily annoyances like fatigue and pain to life-threatening illnesses such as diabetes, heart disease, and cancer. But few people know why vitamin D is so important and what they can do to avoid the myriad ailments associated with deficiency, including heart disease, cancer, and osteoporosis.
There is no better person to demystify this vitamin and showcase its place in human health than author Michael F. Holick, M.D., Ph.D.-the father of modern vitamin D research. With more than three decades spent studying the relationship between vitamin D, limited sun exposure, and human well-being, Dr. Holick shares his findings on how combining the natural curative properties of the sun along with small lifestyle changes can help everyone to live a substantially healthier life.
Armed with a three-step plan incorporating safe amounts of sun exposure, the right supplementation, and eating foods rich in vitamin D, Dr. Holick provides prescriptive advice for anyone- from relatively healthy people to those suffering from chronic or even fatal diseases- on how to easily rebuild and maintain optimal levels of this essential hormone.
Rich with anecdotes and entertaining case studies, The Vitamin D Solution also presents research from around the world to serve as a wake-up call on this potentially lifesaving hormone for health.
The renowned Family Practice Examination and Board Review is now Graber and Wilbur’s Family Medicine Examination & Board Review, the perfect way to prepare for the primary and recertification exam in family medicine and for licensure exams. This engagingly written study guide has been completely updated with a new full-color design and is enhanced by powerful new learning aids, including 50 additional questions to the already comprehensive final exam, and chapter-ending clinical pearls that consolidate high-yield information. You will also, of course, find the humor, wit, and approachable tone that have brought the book legions of enthusiastic – and appreciative – fans.
New to this edition!Full color layout Clinical pearls at the end of each chapter to highlight key takeaways 50 brand new final exam questions Numbered cases for easy reference
Outstanding features from the previous edition:More than 350 progressive case studies that reflect the realities of clinical practice and prepare you for your exams 29 chapters based on body system and elements of patient care A comprehensive final exam (nearly 200 questions) with answers referenced to pages in the book Detailed answer explanations that describe not only why an answer is correct, but why the other answers are wrong Comprehensive coverage of ALL topics on the boards and recertifying exam Super-effective learning aids such as Quick Quizzes, Helpful Tips, learning objectives, clinical pearls, and more Color photographs of conditions most easily diagnosed by appearance An outstanding refresher for primary care physicians, physician assistants, and nurse practitioners
"Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real". Reviewed by: Dr Harry Brown, July 2014Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need.Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout.Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter.Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.
Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine.
See exactly which studies document the significance of various findings thanks to thousands of up-to-date references.Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions.
Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion.
Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables.
Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.
The Miracle Ball Method book offers proven, effective healing ina fully illustrated book of exercises and techniques for pain and stress relief using inflatable Miracle Balls (sold separately).
The Method. This revolutionary program uses controlled breathing, two squishy balls, and simple exercises of rolling and rotating to heal everything from a bad knee to a stressed-out back. The key is to let gravity do all the work.
The Balls. Take two—they're small. Made out of a durable, yielding, nontoxic PVC, the balls are sized to tuck under strategic parts of your body, including back, neck, head, knees, hip, and elbow. Like magnets, they draw out pain and tension.
Elaine Petrone. After suffering a career-ending, potentially crippling injury to her back and right leg, a young dancer named Elaine Petrone turned to everyone from orthopedists to yogis to heal her injuries. Nothing worked—until she developed her own program of therapy. Elaine's simple program and the classes she teaches in the Miracle Ball Method have helped thousands of people conquer pain, stress, and injury.
Establishing a differential diagnosis can be challenging even for expert advanced practice nurses (APRNs), let alone students. This easy-access clinical guide to commonly seen symptoms, written for APRN students and new practitioners, describes step by step how to obtain a reliable patient history and choose the appropriate directed physical exam for the presenting problem, followed by how to use this patient history and physical exam findings to form a differential diagnosis. Unfolding case scenarios provided for each symptom further demonstrate a sound process for formulating a differential diagnosis that the APRN can use throughout clinical practice.
The book features 38 of the most commonly presented symptoms, each of which includes exam findings and differential diagnosis. It describes diagnostic tests with a guide to when they should be ordered (or delayed) based on clinical findings, and common management plans for diagnostic testing. It discusses the correct approach to diagnostic reasoning including determining the focused assessment, choosing the appropriate assessment tests or lab tests, and critically thinking through the assessment and diagnostic data to arrive at an appropriate diagnosis. A unique feature of the guide is its provision of a Case Study History (presenting directed questions and patient responses), Physical Exam Findings, a Differential Diagnosis Table (clearly comparing potential diagnostic choices based on symptoms), a Diagnostic Examination Table (including estimated costs and codes), and a Case Study Summary, to further clarify strategies for arriving at the correct diagnosis.
Key Features:Helps students and novice nurses obtain directed problem-focused history and examination for common patient symptoms Demonstrates a step-by-step approach to building clinical decision-making skills Offers quick access to common differential diagnoses, requisite diagnostic tests, and clinical decision making Uses unfolding case scenarios for each symptom to illustrate the clinical decision-making, diagnostic process Includes unique tables that help to clarify strategies for diagnostic decision making
Features a logical, highly templated format so you can locate critical information quickly.
Covers essential topics such as Approach to Diagnosis and Management of On-Call Problems; Documentation; Assessment and Management of Volume Status; and HIV, HBV, HCV, Influenza, and the House Officer.
Delivers consistent, easy-to-follow coverage of the most common on-call problems and approaches, including what to do from the initial phone call, "Elevator Thoughts," how to immediately identify major threats to life, what to do at the bedside, and how to avoid common mistakes for every call.Provides updated content and references, as well as a revised drug formulary, keeping you on the cutting edge of current, evidence-based information.
Laser Dermatology: Pearls and Problems is different from other laser dermatology books. Each of the five chapters begins by highlighting key points and essential concepts, then focuses on the pearls and problems for each area – based on the author’s vast experience in the field of laser dermatology. Dr. Goldberg addresses:Vascular Lasers Laser Hair Removal Pigmented Lesions, Tattoos, and Disorders of Hypopigmentation Ablative Lasers and Devices Non-Ablative Photorejuvenation and Skin Remodeling
Dr. Goldberg goes beyond the standard “before and after” approach to use actual images to demonstrate the pearls and pitfalls discussed in the text.
The authors are highly acclaimed clinicians, investigators and educators. They offer step-by-step guidance for implementation of best practices, drawing from clinical research and their experience treating thousands of patients. They cover diagnosis, treatment planning, and state-of-the-art application of pharmacology, psychotherapy, skill-building, family system and environmental interventions – for both simple and complex cases. The scales and worksheets in this Guide were developed to efficiently facilitate assessment and management.
The Editor is an international leader in the field from the Clinical and Research Program in Adult ADHD at Massachusetts General Hospital (MGH) and Harvard Medical School, which has made pioneering and highly cited contributions to the understanding of ADHD.
This Guide is a definitive, indispensable resource for all health providers who wish to optimize their approach to adult patients with ADHD.
Features a reader-friendly outline format, including dozens of "EBM boxes" and accompanying "EBM ruler" illustrations.
Provides new evidence on the scientific value of many physical findings, including Cheyne-Stokes respirations, subclavian stenosis, fever of unknown origin, porto-pulmonary hypertension, localization of stroke, and many more.NEW Key Teaching Points at the beginning of every chapter, ideal for teachers of bedside medicine.
Skim the Top 100 Secrets chapter and Key Points boxes for a fast overview of the secrets you must know for success on the boards and in practice.
Enjoy faster, easier review and master the top issues in dermatology with mnemonics, lists, quick-reference tables, and an informal tone that sets this review book apart from the rest.Hone your diagnostic skills with more than 500 superb full-color images throughout.
View photos in a new, expanded size for optimal visual reference.
Gain a clearer understanding of neurocutaneous melanocytosis with an entirely new section on this topic.
Access key information faster than ever with eight new tables and more than 90 new figures.
Stay current with thorough updates to both text and references in all chapters, and Web Resources added to the bibliography.
The handbook begins with a series of historical vignettes of pioneers from the last two centuries. It also presents the fundamentals of physics and biology as applied to photomedicine. It next examines conditions and diseases caused by light, including skin cancer, dermatoses, and immunosuppression.
The remainder of the book focuses on the most important clinical therapeutic applications of different kinds of light that vary in both wavelength and intensity. The book discusses ultraviolet phototherapy for skin diseases and infections and presents the basic science of photodynamic therapy and its use in cancer therapy and other medical specialties. It then covers mechanistic studies and clinical applications of low-level laser (light) therapy as well as the use of high power or surgical laser therapy in specialties, such as dentistry and dermatology. The book concludes with a collection of miscellaneous types of phototherapy.
See how to perform a variety of key procedures demonstrating endovenous radiofrequency closure, CoolTouch endovenous ablation, cross polarization visualization, PPG digital measuring, sclerotherapy of the lateral venous system showing reflux, foam sclerotherapy, telangiectatic matting, ambulatory phlebectomy, and draining of intravascular coagulum.
Apply the best practices and global perspectives from a newly reorganized team of U.S.-based and international authors and contributors.
Access the complete contents from any computer at www.expertconsult.com, complete with the full text and entire image bank.
• Increased emphasis on patient communication, especially in the general practice setting
• Two new authors join the team bringing additional expertise to the Pocket Guide
Generations of clinicians, skin biologists, residents, and educators have acclaimed Fitzpatrick’s as the most authoritative and complete guide to dermatologic basic sciences, histopathology, diagnosis, and treatment. Edition after edition, it reflects the latest insights into skin diseases and skin biology—and their practical relevance to general internal medicine—while covering the scientific foundations of the specialty.
This classic yet cutting-edge text is supported by the expert insights of more than 500 internationally respected contributors, and it covers everything dermatologists need to know about skin, dermatologic signs of underlying disease, and the management of all skin diseases, including acne, skin cancer, and psoriasis.
FEATURESMore than 3000 full-color photographs DVD with image bank includes downloadable figures from the text New illustration style makes difficult concepts easier to understand Therapeutic ladders with first, second, and third line therapies New or thoroughly revised chapters on Psoriasis; Skin disease in immunosuppressed patients; Epidermal stem cells; Hair growth disorders; Neonatal, pediatric, and adolescent dermatology; Radiotherapy; Immunobiologicals and cytokines; Lasers for rejuvenation Expanded medical and surgical therapeutics sections guide you through all treatment options
Cosmetic Dermatology offers complete coverage of the latest, most effective skin care agents and procedures. Spanning the entire spectrum of cosmetic dermatology, it takes you through the most current medications, cosmeceuticals, and procedures. Presented in full color, the book is firmly grounded in an evidence-based, clinically-relevant approach--making it perfect for use in everyday practice.
FEATURES:Guidance on the efficacy of over-the-counter and prescription skin care products Step-by-step review of must-know procedures A focus on the newest drugs and topical agents NEW! Expanded insights into laser treatments, varicose veins, and cosmeceuticals NEW! More full-color clinical images in every chapter... 450 in all! NEW! Significant revisions in every chapter to help you keep pace with the many fast-breaking developments in the specialty
- Inflammatory conditions (including contact dermatitis, alopecia, erythema multiforme, pemphigus, bullous pemphigoid, porphyria, pruritus, psoriasis, rosacea, seborrhea, urticaria, xerosis, and more)
- Infections (fungus, herpes simplex and zoster, scabies, lice, and warts)
- Skin signs in systemic disease (skin tags, cutaneous metastases, xanthomas)
- Regional dermatoses (intertrigo, leg ulcers, pressure sores)
- Benign tumors (chondrodermatitis, cysts, ganglion, fibrous papule, seborrheic keratoses, lentigines, and benign vascular lesions)
- Pre-malignant and malignant tumors (actinic keratoses, angiosarcoma, basal cell carcinoma, dermatofibroma and dermatofibrosarcoma protuberans, intraepidermal neoplasia, Kaposi's sarcoma, keratoacanthoma, lentigo maligna, cutaneous lymphoma, Mycosis fiungoides, melanoma, nevi and moles, and squamous cell carcinoma)
Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice.
Take advantage of today’s most useful online resources with a convenient list of outstanding clinical websites.
Quickly spot "Best Evidence Recommendations" with special boxes located throughout the text.
Glean helpful tips on diagnosis and therapy from "Key Points" boxes found on every page.Access the complete contents and illustrations online at www.expertconsult.com - fully searchable – plus additional figures, tables, and photographs online, as well as online-only chapters that cover topics such as prescribing nutritional supplements and botanicals.
View 30 videos online covering common office procedures such as vasectomy, the proper use of today’s diabetic equipment, and endometrial biopsy.
Gain a new understanding of the patient-centered medical home and how to achieve this status in outpatient clinics.
Make the most effective care decisions with help from "Evidence vs. Harm" icons that guide you through key treatments of common medical conditions.
Dr. Hilfiker uses incidents from his own practice to examine many of the kinds of behavior for which doctors are criticized—aloofness, authoritarianism, lack of caring, and money. With compassion for doctor and patient alike, he shows how the stresses of medical practice lead to a climate of misunderstanding and hostility in which the goal of healing is the first casualty.
Never before have we heard the voice of the doctor ever American is most likely to meet—the family doctor—telling the often painful truths of medical practice. A book for the medical community and the lay person alike, Healing the Wounds is a powerful exploration of what frustrates doctors (and infuriates patients) and what might be done about it).