Includes 6 online-only chapters at no additional cost! Go to: www.AccessMedicine.com/CMDT
The book that puts the latest research where it belongs . . . into your practiceWritten by clinicians renowned in their respective fields, CMDT offers the most current insight into symptoms, signs, epidemiology, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest medical advances, prevention strategies, and cost-effective treatments.
Features and content critical to clinical practice: Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care The only text with an annual review of advances in HIV treatment Specific disease prevention information Drug treatment tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms Recent references with PMID numbers Six online-only chapters available at no additional cost Full-color photographs and illustrations
NEW TO THIS EDITION: New chapter on Sports Medicine & Outpatient Orthopedics Extensive revision of medical and surgical conditions of pregnancy Updated coverage of evaluating fertility in women, immunization requirements, and the use and safety of nonsteroidal and anti-inflammatory drugs Extensive revision of Kidney Disease chapter New topics include snoring a selection of common musculoskeletal problems such as subacromial impingement syndrome, rotator cuff tear, anterior cruciate ligament and meniscus injuries, patellofemoral pain syndrome, and inversion and eversion ankle sprains New online-only chapter on Women’s Health Issues S.I. units used throughout
Visit CMDT2012.com or join the conversation at #CMDT
• 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.
the drama of the front lines.”
-Richard Danzig, former secretary of the navy
The first major bioterror event in the United States-the anthrax attacks in October 2001-was a clarion call for scientists who work with “hot” agents to find ways of protecting civilian populations against biological weapons. In The Demon in the Freezer, his first nonfiction book since The Hot Zone, a #1 New York Times bestseller, Richard Preston takes us into the heart of Usamriid, the United States Army Medical Research Institute of Infectious Diseases at Fort Detrick, Maryland, once the headquarters of the U.S. biological weapons program and now the epicenter of national biodefense.
Peter Jahrling, the top scientist at Usamriid, a wry virologist who cut his teeth on Ebola, one of the world’s most lethal emerging viruses, has ORCON security clearance that gives him access to top secret information on bioweapons. His most urgent priority is to develop a drug that will take on smallpox-and win. Eradicated from the planet in 1979 in one of the great triumphs of modern science, the smallpox virus now resides, officially, in only two high-security freezers-at the Centers for Disease Control in Atlanta and in Siberia, at a Russian virology institute called Vector. But the demon in the freezer has been set loose. It is almost certain that illegal stocks are in the possession of hostile states, including Iraq and North Korea. Jahrling is haunted by the thought that biologists in secret labs are using genetic engineering to create a new superpox virus, a smallpox resistant to all vaccines.
Usamriid went into a state of Delta Alert on September 11 and activated its emergency response teams when the first anthrax letters were opened in New York and Washington, D.C. Preston reports, in unprecedented detail, on the government’s response to the attacks and takes us into the ongoing FBI investigation. His story is based on interviews with top-level FBI agents and with Dr. Steven Hatfill.
Jahrling is leading a team of scientists doing controversial experiments with live smallpox virus at CDC. Preston takes us into the lab where Jahrling is reawakening smallpox and explains, with cool and devastating precision, what may be at stake if his last bold experiment fails.
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
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.
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.
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.
• Increased emphasis on patient communication, especially in the general practice setting
• Two new authors join the team bringing additional expertise to the Pocket Guide
Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice.
Take advantage of todays 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 todays 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).
The text addresses all systems of the body and their related common conditions, with clear, accessible directions outlining how a practitioner can understand health from a naturopathic perspective and apply naturopathic medicines to treat patients individually. These treatments include herbal medicine, nutritional medicine and lifestyle recommendations. All chapters are structured by system and then by condition, so readers are easily able to navigate the content by chapter and heading structure. The content is designed for naturopathic practitioners and students (both undergraduate and postgraduate levels) and for medical and allied health professionals with an interest in integrative naturopathic medicine.detailed coverage of naturopathic treatments provides readers with a solid understanding of the major therapeutic modalities used within naturopathic medicineeach system is reviewed from both naturopathic and mainstream medical perspectives to correlate the variations and synergies of treatmentonly clinically efficacious and evidence-based treatments have been includedinformation is rigorously researched (over 7500 references) from both traditional texts and recent research papersthe content skilfully bridges traditional practice and EBM to support confident practitioners within the current health care system
Prominent endocrinologists are gathered to detail current research and treatment in this metabolic disorder, affecting a growing population. The chapters are comprehensive, providing cutting edge knowledge on pathogenesis, manifestations, diagnosis and treatment of PCOS. Each chapter will be concise concluding with cogent practice points.
The variety of medical issues presenting in PCOS patients result in late referrals or in- appropriate advice. This title will be a tool in a further understanding of the metabolic and genetic basis of PCOS, while providing management strategies.
Now in its sixth edition, John Murtagh’s General Practice is the result of John Murtagh’s vast experience as a rural and urban general practitioner and a highly regarded educator.
This new edition is further enhanced by the contributions of Dr Jill Rosenblatt, who adds an additional level of authority to this respected title.
John Murtagh’s General Practice sixth edition has been thoroughly revised and updated with a new chapter dedicated to cardiovascular along with key updates to the Child and adolescent health and Male health chapters.
Every brain begins as a female brain. It only becomes male eight weeks after conception, when excess testosterone shrinks the communications center, reduces the hearing cortex, and makes the part of the brain that processes sex twice as large.
Louann Brizendine, M.D. is a pioneering neuropsychiatrist who brings together the latest findings to show how the unique structure of the female brain determines how women think, what they value, how they communicate, and whom they’ll love. Brizendine reveals the neurological explanations behind why
• A woman remembers fights that a man insists never happened
• A teen girl is so obsessed with her looks and talking on the phone
• Thoughts about sex enter a woman’s brain once every couple of days but enter a man’s brain about once every minute
• A woman knows what people are feeling, while a man can’t spot an emotion unless somebody cries or threatens bodily harm
• A woman over 50 is more likely to initiate divorce than a man
Women will come away from this book knowing that they have a lean, mean communicating machine. Men will develop a serious case of brain envy.
This short and concise, clinically-oriented book is for physicians of different specializations who treat patients with vertigo including neurologists and ENT specialists. Easy-to-use, it has an overview of the most important syndromes of vertigo, each with explanatory clinical descriptions and illustrations.
Target market: Physicians of different specializations who treat patients with vertigo including neurologists, neurootologic specialists, neuroophthalmology, otolaryngology, head and neck surgery, ophthalmology and ENT specialists, and general medicine practitioners.
Unique! A collaborative perspective, reflecting the key roles of NPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care.
A consistent format from chapter to chapters facilitates learning and clinical reference value.
Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans.
Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary.
Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility.
Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting.
Complementary and alternative therapies are addressed where supported by solid research evidence.
Access key information on the most common on-call problems and approaches with consistent, templated coverage of what to do from the initial phone call, "Elevator Thoughts," how to immediately identify major threats to life, and what to do at the bedside.
Learn the questions you should ask to assess the urgency of each situation, and master the ideal approach to diagnose and manage patients, communicate with colleagues and families, and avoid common mistakes for every call.
Understand the major threats to life you must consider before arriving at bedside.
Find information quickly with an easy-to-read format, color highlighting of medications and other critical information, and a unique layout designed for fast reference.
Keep this portable guide right where you need it - in your pocket when youre on call. Confidently assess and manage common on-call problems with comprehensive updates throughout this edition.
Learn how best to handle life-threatening issues regarding stroke in a brand-new chapter.
Quickly access a detailed, updated and expanded formulary of commonly used medications.
updated and streamlined for today’s students and clinicians
The only place you can get ALL the great content found in the two print volumes AND the acclaimed DVD in one convenient resource!
Through six decades, no resource has matched the authority, esteemed scholarship, and scientific rigor of Harrison’s Principles of Internal Medicine. Capturing the countless advances and developments across the full span of medicine, the new 19th edition of Harrison’s provides a complete update of essential content related to disease pathogenesis, clinical trials, current diagnostic methods and imaging approaches, evidence-based practice guidelines, and established and newly approved treatment methods.
Here are just a few of the outstanding features of the new Nineteenth Edition:Content is practically organized around two basic themes: education and clinical practice The teaching and learning sections cover foundational principles, cardinal manifestations of disease and approach to differential diagnosis; the content devoted to clinical practice focuses on disease pathogenesis and treatment NEW chapters on important topics such as Men’s Health, The Impact of Global Warming on Infectious Diseases, Fatigue, and many more Critical updates in management and therapeutics in Hepatitis, Coronary Artery Disease, Ebola Virus Disease, Multiple Sclerosis, Diabetes, Hypertension, Deep Vein Thrombosis and Pulmonary Embolism, Acute and Chronic Kidney Disease, Inflammatory Bowel Disease, Lipoprotein Disorders, HIV and AIDS, and more. Increased number of the popular Harrison’s clinical algorithms; clinically relevant radiographic examples spanning hundreds of diseases; clinical-pathological images in full color; crystal clear, full color drawings and illustrations and helpful tables and summary lists that make clinical application of the content faster than ever Outstanding multi-media resources including practical videos demonstrating essential bedside procedures, physical examination techniques, endoscopic findings, cardiovascular findings, are available for easy download
Supporting the renowned coverage are supplemental resources that reflect and assist modern medical practice: more than 1,000 full-color photographs to aid visual recognition skills, hundreds of state-of-the-art radiographs, from plain film to 3D CT to PET Scans; beautiful illustrations that bring applied anatomy and processes to life; the renowned Harrison’s patient-care algorithms, essential summary tables, and practical demonstrative videos. In addition, several digital atlases highlight noninvasive imaging, percutaneous revascularization, gastrointestinal endoscopy, diagnosis and management of vasculitis, and numerous other issues commonly encountered in clinical practice.
Acclaim for Harrison’s:
“Covering nearly every possible topic in the field of medicine, the book begins with a phenomenal overview of clinical medicine, discussing important topics such as global medicine, decision-making in clinical practice, the concepts of disease screening and prevention, as well as the importance of medical disorders in specific groups (e.g. women, surgical patients, end of life). The extensive chapters that follow focus on a symptom-based presentation of disease and then illness organized by organ system. Numerous tables, graphs, and figures add further clarity to the text."
...Written by experts in the field, this book is updated with the latest advances in pathophysiology and treatment. It is organized in a way that makes reading from beginning to end a logical journey, yet each chapter can stand alone as a quick reference on a particular topic. “
Doody’s Review Service reviewing the previous edition of Harrison’s