This issue of Primary Care: Clinics in Office Practice features expert clinical reviews on Orthopedics which includes current information on . The Preparticipation Physical Examination, Exercise Prescription, Diagnosis and Treatment of Osteoarthritis, Evaluation and Treatment of Cervical Radiculopathy, Choosing the Right Diagnostic Imaging Modality in Musculoskeletal Diagnosis, Evaluation and Treatment of Musculoskeletal Chest Pain, Evaluation and Treatment of Rotator Cuff Pathology, Evaluation and Treatment of Sternoclavicular, Clavicular, and Acromioclavicular Injuries, Evaluation and Treatment of Upper Extremity Nerve Entrapment Syndromes, Complementary and Alternative Treatments in Musculoskeletal Medicine, Evaluation and Treatment of Biking and Running Injuries, Common Injections in Musculoskeletal Medicine, and Considerations in Footwear and Orthotics.

The #1 annually updated text in internal medicine!

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 practice

Written 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

For generations, doctors have been diagnosing babies with colic, offering little comfort and few solutions to worried, weary parents. But recent medical advances made through cutting-edge technology now reveal that many if not most cases of colic are actually caused by acid reflux. In this revolutionary book, Bryan Vartabedian, a noted pediatric gastroenterologist and the father of two babies with acid reflux, provides hands-on, practical advice about this hidden epidemic–and how to make your own baby happy again.

• 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.

Winner, Third Place, AJN Book of the Year Awards 2014, Advanced Practice Nursing

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
Vanderbilt University

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

The 5-Minute Clinical Consult Standard 2016, 24th Edition, provides rapid-access in a quick-reference print format. It delivers diagnosis, treatment, medications, follow-up, and associated factors for a broad range of diseases and conditions. Organized alphabetically by diagnosis, this best-selling clinical reference continues to present brief, bulleted information on disease topics in a consistent and reader-friendly three-column format. The 5-Minute Clinical Consult Standard 2016, 24th Edition provides: 650+ commonly encountered diseases and disorders 150+ Treatment and diagnostic algorithms ICD10 Codes Current evidence-based designations highlighted in each topic A revised and updated Health Maintenance section The Health Maintenance 1-page summaries, based on the US Preventive Services Task Force recommendations

Fracture Management for Primary Care provides the guidance you need to evaluate and treat common fractures, as well as identify uncommon fractures that should be referred to a specialist. Drs. M. Patrice Eiff and Robert Hatch emphasize the current best guidelines for imaging and treating fractures so that you can make accurate identifications and select appropriate treatment. Detailed descriptions and illustrations combined with evidence-based coverage give you the confidence you need to make the right decisions. Online access to procedural videos and patient handouts at expertconsult.com make this quick, practical resource even more convenient for primary care clinicians who manage fractures.Access the information you need, the way you need it with a template format for presenting each type of fracture.

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.

Swanson's Family Medicine Review efficiently summarizes all the latest know-how in primary care and family medicine practice, giving you the assistance you need to maximize your preparation for the ABFM exam. The case histories and review questions in this best-selling family medicine review book test your knowledge of the latest diagnostic methods, medications, and management techniques, ensuring you'll be fully prepared to land the best score. Study with Swanson's Family Medicine Review, the most effective review tool available! Confidently prepare for the American Board of Family Medicine (ABFM) exam with Swanson's Family Medicine Review!

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.

Now in its Sixth Edition, this popular, practical text presents all the information clinicians need to use the EKG in everyday practice and interpret hypertrophy and enlargement, arrhythmias, conduction blocks, pre-excitation syndromes, and myocardial infarction. It is an ideal reference for medical students in ICM courses, house officers, or anyone directly involved in patient care, whether student, teacher, or practitioner. The book includes more than 200 facsimiles of EKG strips and numerous clinical cases. This edition features new and updated clinical cases, more clinically oriented discussions of EKG findings, and expanded coverage of important topics such as the long QT syndrome and sudden cardiac death.

A companion Website will include the fully searchable text, an image bank, an interactive question bank, and an EKG image with explanation test bank.

Minor Emergencies gives you the practical how-tos you need to handle a wide range of non-life-threatening medical crises with speed and expertise. Completely updated with the latest equipment, devices, dosages, and techniques, this compact and portable medical reference book delivers fast, efficient guidance just when you need it. With Minor Emergencies on hand, you'll always be prepared!Find guidance at a glance with "What to Do" and "What NOT to Do" checklists.Effectively respond to medical crises at the point of care with Minor Emergencies!

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.

Ferri’s Clinical Advisor 2016 is simply the fastest, most effective way to access up-to-date diagnostic and treatment information on more than 700 common medical conditions. The popular "5 books in 1" format provides quick guidance on diseases and disorders, differential diagnoses, medical algorithms, laboratory tests, and clinical practice guidelines.An easy-to-use format with cross-references, outlines, bullets, tables, boxes, and algorithms to expedite your search

More than 200 lab tests help hone your skills in reviewing

normal values and interpreting results

Electronic access

to 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

Prepare for your ABFM boards - find your weak spots and eliminate them now! Handy in print and as an eBook, Bratton’s Family Medicine Board Review is the essential practice test for those facing the ABFM exams. Opening with the basic requirements of the ABFM Board certification process, it provides crucial background information on all three AFBM exams and their formats, describes a typical exam day, and offers excellent test-taking advice—taking the mystery out of the exam process.

In this quietly revolutionary work of social observation and medical philosophy, Booker Prize-winning writer John Berger and the photographer Jean Mohr train their gaze on an English country doctor and find a universal man--one who has taken it upon himself to recognize his patient's humanity when illness and the fear of death have made them unrecognizable to themselves. In the impoverished rural community in which he works, John Sassall tend the maimed, the dying, and the lonely. He is not only the dispenser of cures but the repository of memories. And as Berger and Mohr follow Sassall about his rounds, they produce a book whose careful detail broadens into a meditation on the value we assign a human life. First published thirty years ago, A Fortunate Man remains moving and deeply relevant--no other book has offered such a close and passionate investigation of the roles doctors play in their society.



"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

In comments that were unfortunately prescient, Dr. Doroghazi said in the first edition "the author feels we are currently experiencing a real estate bubble." And in anticipation of the credit crisis, he said "banks are far too lenient in their lending practices...the problem is that bankers are often not lending their own money...considering that a significant percentages of mortgages are sold to Fannie Mae (FNM) and Freddie Mac (FRE), the problem is now actually everyone’s." This new and expanded edition provides commonsense advice that all investors, physicians and non-physicians will find profitable in these difficult times. Learn about the power of thrift, the magnificence of compound interest, the malevolence of debt and the perniciousness of fees. See how to pay off the mortgage by age 45, fund your children’s education and retire at a reasonable age rather than continue to work because you must.

A fully-illustrated, note-packed volume of information, Dermatology: Illustrated Study Guide and Comprehensive Board Review fulfills a real need for a single study guide for the Dermatology Board Exam. Written by a previous Chief Resident of Dermatology at the University of Illinois at Chicago Medical Center, the text focuses on presenting comprehensive information in an easy-to-understand, easy-to-remember format. Tips, tricks, short lists, and tables fill every inch of this book—a must-have for any dermatology resident. Features: Acts as a concise go-to review book for the Dermatology Board Exam Hundreds of author notes pinpointing important information presented in an easy-to-read format Scores of mnemonics and memory tricks to mentally organize information Over 500 high-quality images placed parallel to the represented skin disorder Life after Boards—essential tips on coding and documentation

The #1 review book for the Family Medicine Board Examination – updated with a new full-color design!

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

Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults.

"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 2014

Effectively 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.

The electrocardiogram (ECG) is the ? rst test performed on most cardiac patients–one that helps make the ? rst part of the diagnosis and one that can frequently direct treatment decisions. Thus, for any phy- cian, a solid understanding of the ECG is critical. Learning the basics and subtleties of the ECG is a right of passage for all physicians and healthcare providers during their training. So, what would we want from a book on ECGs? Ideally, such a book would be comprehensive, yet concise, practically oriented, and explain pathophysiology and its application to practice. Dr. Khan has written such a book. Rapid ECG Interpretation is comprehensive, yet concise, and very practically oriented. More imp- tant, it takes a step-by-step approach, walking the reader through a thorough evaluation of the ECG. This, as many of us have been taught, is the “right” way to look at an ECG. This edition includes a new opening chapter that covers basic concepts. This quickly orients the reader to the physiology, anatomy, and geometry of the electrical system of the heart. After reviewing each component of the ECG, the next section describes the unique ECG patterns of speci? c cardiac conditions, including pulmonary embolism and long QT syndrome. This is f- lowed by a chapter with each of the arrhythmias. Finally, Dr. Khan includes an invaluable section—an ECG Board Review and Self- Assessment Quiz. With this, the reader can really see if the basic c- cepts and ECG fundamentals have been learned.

Evidence-Based Physical Diagnosis helps you choose the diagnostic approaches that have been proven most effective! Dr. Steven McGee puts the most current evidence at your fingertips, equipping you to easily select the best test for diagnosing a given condition and understand the diagnostic significance and accuracy of your findings. A remarkably easy-to-reference organization makes it simple to find the answers you need. Quickly review the history, pathogenesis, examination technique, and interpretation of physical findings for all areas of the body thanks to a very reader-friendly outline format, including more than 90 "EBM boxes" and accompanying "EBM ruler" illustrations.

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 Oxford Handbook of Tropical Medicine, fourth edition is the definitive resource for medical problems in tropical regions, and in low-resource settings. Comprehensive in scope, and concise in style, this portable guide ensures that you always have the vital information you need at your fingertips. Fully revised and updated for its fourth edition, it includes brand new chapters on humanitarian crises, poisoning and envenoming, nosocomial infections, and antibiotic resistance. The paediatric illness sections have been expanded, and website links have been fully updated and extended. With the clear, easy-reference style of the trusted Oxford Handbook format, written and reviewed by an international team of clinical experts, this is a truly global handbook and an essential resource. Make sure you never leave home without it!

Provide continuous, comprehensive care of patients throughout their lifetimes with this evidence-based guide Organized according to the developmental lifespan, beginning with childhood and adolescence and progressing through adulthood and senior years Evidence-based recommendations Conservative and pharmacologic therapies Complementary and alternative therapies when relevant Suggestions for collaborations with other healthcare providers Attention to the mental and behavioral health of patients as solitary as well as comorbid conditions Recognition of impact of illness on the family Patient education information End-of-life issues

AN EASY-TO-USE GUIDE TO THE DIAGNOSIS, TREATMENT, AND MANAGEMENT of the full range of clinical conditions seen in primary care

NEW CHAPTERS on prenatal care, tick-borne infections, diagnosis and management of tuberculosis, HIV diagnosis and management, and PTSD/TBI

Great for USMLE Step 3 review, board certification, and maintenance or recertification

Essential for primary care trainees, practicing physicians, advanced practice nurses, and physician assistants

Rely on Rosen's Emergency Medicine for the latest answers on every facet of emergency medicine practice. For decades, this medical reference book has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority - to help you put the latest and best knowledge to work for your patients in the ER.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices.Practice confidently with easily actionable, dependable guidance on the entire breadth of emergency medicine topics.Get expert guidance on how to approach specific clinical presentations in the ER. The "Cardinal Presentations Section" provides quick and easy reference to differential diagnosis and directed testing for fever in the adult patient; dizziness and vertigo; chest pain; and over 20 other frequently seen presentations in the emergency department. Effectively apply the newest emergency medicine techniques and approaches, including evidence-based therapies for shock; high-cost imaging; evaluation and resuscitation of the trauma patient; cardiovascular emergencies; evaluation and risk stratification for transient ischemic attack (TIA) patients; and much more. Locate the answers you need quickly thanks to a user-friendly, full-color design, complete with more illustrations than ever before.Access the complete contents on the go from your laptop or mobile device at Expert Consult, fully searchable, with links to PubMed.

Essential Medical Facts presents selected literature-based information clinicians need to know to provide informed patient care and avoid medical misadventures. Facts that can help make us better and safer clinicians include knowing the usefulness of palmar crease pallor in detecting anemia (not reliable), antibiotics that can cause a false positive opiate urine drug screen (fluoroquinolones), and an occasional early clue to testicular cancer (gynecomastia). Of course, keeping up to date on current medical knowledge and being curious about the implications of published research conclusions not only help assure superior clinical performance; they also bolster the preparation for board examinations. Robert B. Taylor, MD is the author and editor of more than two dozen medical books and several hundred published articles, as well a veteran of both rural private practice and chairmanship of a medical school clinical department. Essential Medical Facts is written for clinicians in all specialties, at all stages of professional life. It is a “must have” book for students, residents and practicing physicians, as well as nurse practitioners and physician assistants actively involved in clinical diagnosis and management of disease.

"Developing a comprehensive differential diagnosis for a specific complaint is a daunting task even for experienced advanced practice nurses. This user-friendly clinical guide provides a strategy or standard format for working through this complex task. It is a wonderful tool for both student and new advanced practice nurses... 5 stars." -- Kathleen M. Woodruff, DNP, Doody's Book Reviews

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

Ideal for any on-call professional, resident, or medical student, this best-selling reference covers the common problems you’ll encounter while on call in the hospital. On Call Principles and Protocols, 6th Edition, by Drs. Shane A. Marshall and John Ruedy, fits perfectly in your pocket, ready to provide key information in time-sensitive, challenging situations. You’ll gain speed, skill, and knowledge with every call - from diagnosing a difficult or life-threatening situation to prescribing the right medication.Highlights medications, doses, and critical information in a second color for fast reference.

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 Cleveland Clinic Manual of Headache Therapy is a hands-on, practical guide to diagnosis, work-up, and treatment of common headache disorders. Each chapter is written by a Cleveland Clinic Headache Center care provider. The book uses an evidence-based approach to sift through the wealth of available data and identify the most appropriate treatments. This manual is aimed at practicing neurologists and pain specialists, fellows and residents, and also primary care physicians. The Cleveland Clinic Manual is the most trusted source on this ever expanding and developing topic.

The CDA book provides clear and easy to use guidance to implement the standard, with numerous examples covering many of the nuances of the standard. Readers can learn not only how to implement healthcare IT using the CDA standard, but to "speak" in the language of the standard, and to understand its idioms.

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

Chronic fatigue syndrome (CFS) remains one of the most controversial illnesses, both in terms of its causes, and the best ways to treat the illness. For years, sufferers have had to deal with scepticism from their families, employers, and even health care professionals. The vast amount of conflicting advice that has been published up to now has served only to confuse sufferers, and professionals, even more. Chronic Fatigue Syndrome: The Facts presents a compassionate guide to this illness, providing sufferers and their families, with practical advice, based solely on scientific evidence. It is unique in being written by both a sufferer and a physician, both of whom have had extensive experience of talking to, and helping, patients. Included in the book is a detailed guide to self-help, written from a patient's perspective, but evidence-based. The book also deals with a number of special issues, advising on how to choose therapies and therapists, and how to deal with CFS in children. The book additionally includes an overview of the history of the illness, looking at the nature and causes of CFS, and the opportunities for the future. The book will be invaluable for sufferers from CFS, their friends and families, and the numerous health professionals who come into contact with sufferers from this illness.

VisualDx: Essential Pediatric Dermatology is the first of a series of printed companions to the VisualDx online decision support system. The book enables the clinician to read the fundamentals of common and serious pediatric skin diseases on the printed page, then search the online system to answer a clinical question at the point of care. Like the VisualDx online system, the book is organized by symptoms and other visual clues. Searching in this fashion will lead to precise, targeted, and patient-specific differential diagnoses. More than 500 full-color illustrations show variations of pediatric skin disorders in children of all skin colors.

ADHD in Adults: A Practical Guide to Evaluation and Management is the product of a unique collaboration of international specialists. This volume offers easy-to-read guidance, and includes checklists, rating scales and treatment planning tools. It was designed for a broad audience of caregivers working in diverse settings, including psychiatrists, social workers, primary care physicians, nurse specialists and psychologists.

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.

Principles and Practice of Pediatric Sleep Medicine, 2nd Edition, written by preeminent sleep medicine experts Drs. Sheldon, Kryger, Ferber, and Gozal, is the most comprehensive source for diagnosing and managing sleep disorders in children. Newly updated and now in full color throughout, this medical reference book is internationally recognized as the definitive resource for any health practitioner who treats children, providing absolute guidance on virtually all of the sleep-associated problems encountered in pediatric patients.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Organized format separates coverage into Normal and Abnormal sleep for quick access to the key information you need.Abundantly referenced chapters help you to investigate topics further. Equips you with a complete understanding of both medical and psychiatric sleep disorders.New and expanded chapters regarding sleep related breathing disorders; parasomnias; differential diagnosis of pediatric sleep disorders; hypersomnia; school start times and implications; and the evaluation and management of circadian rhythm disturbances. Extensive coverage on obstructive sleep apnea, diagnosis and treatment; evaluation and management of sleepy children; evaluation and management of circadian rhythm abnormalities; and pharmacology.

Includes nearly 2,500 case-based questions and answer rationales, newly updated to reflect the most current developments in practice. Chapter Summaries offer a quick review of the concepts—great for last-minute exam preparation.Open-ended Clinical Case Management Problems in each chapter provide additional opportunities for articulating your understanding of key topics.Features the most current information on concussion management, palliative care, pain management, and more.Allows you to earn up to 75 CME Credits online through Rutgers Robert Wood Johnson Medical School.

"Basics of Oncology" provides an easily understood and general overview of the basic medical, scientific and clinical aspects of cancer. Causes, pathology, clinical features, diagnostic investigations, treatments and outcomes are all carefully explained and discussed, both for cancers in general and for the common cancers in individual countries. The reader will thereby be provided with an understanding of how and why people develop cancer, how the body reacts to cancer, what can be done to prevent the disease, and how the various cancers are best diagnosed and treated. The book will serve as a sound basis for the more detailed or specific studies that may be needed in different areas of practice and in different countries. It will be invaluable for students of medicine, nurse oncologists, students of medical sciences and other health professionals in all parts of the world.

Fully updated from cover to cover, incorporating over 200 new studies on the evidence-based approach to diagnosis, the 4th Edition of Evidence-Based Physical Diagnosis remains your go-to resource for guidance on interpreting physical signs, enabling you to determine the most appropriate physical finding to confirm a diagnosis. Internationally renowned author Dr. Steven McGee puts the most current evidence at your fingertips, allowing you to quickly compare all physical signs for a given diagnosis, understand their significance, and then select the most accurate ones.Includes a unique evidence-based calculator online that enables you to easily determine probability using likelihood ratios.

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.

Complete, yet concise, Medicine: A Competency-Based Companion provides the core information you need to think like an experienced clinician during your medical rotation. This handy, pocket-sized medical reference book hones in on the must-know differential diagnoses of the common medical presentations and guides you through the most up-to-date and effective approaches to treatment, equipping you to excel. Take it with you! A portable, pocket-sized format places high-yield core information essential to internal medicine rotations right in your lab coat.

Assess your progress with activities to promote retention and application of knowledge, including online access to your own competency-based portfolio tools and competency-specific learning modules (Vertical Reads).

Master ACGME Core Competencies to integrate evidence-based medicine, continual self-assessment, and cognizance of interpersonal skills into your daily routine.

Understand and assimilate critical concepts more easily with "Speaking Intelligently" and "Clinical Thinking" features in clinical chapters to help you see the "big picture."

Quickly access the most common and must-know internal medicine signs/symptoms and disorders, conveniently organized by presentation.

Grasp and retain vital information more easily thanks to "Teaching Visuals"—an interactive teaching device designed to reinforce visual concepts.

Perform a more in-depth review of internal medicine topics with "Clinical Entities" that are referenced to Andreoli and Carpenter’s Cecil Essentials of Medicine, 8th edition.

Access the full contents online at www.studentconsult.com where you'll find the complete text and illustrations, "Integration Links" to bonus content in other Student Consult titles, an interactive community center with a wealth of additional resources, self-assessment competency log, vertical reads and much more!

This practical, how-to book clearly and succinctly takes the reader through six proven "success steps" for implementing lean in any healthcare environment: 1. Create physician flow 2. Support physician value-added time 3. Visually communicate patient status 4. Standardize everyone's work 5. Lay out the clinic for minimal motion 6. Change the care delivery model Why go through such a transformation? Because it works. Tell a doctor that he can see the same number of patients, offering the same high quality and personal care, and have an extra 90 minutes at the end of his clinic day -- and that means something. Tell the staff that they can look forward to actually ending on time, with satisfied patients, no backlog, and having focused their attention completely on quality patient care -- and they will listen. These Lean principles and success steps work in clinics ranging from orthopedics to neurology to cardiac care -- the specialty doesn't matter. They work in small practices and large hospital settings. Lean methodology provides the tools to address the frustrations patients and doctors alike experience in the clinic process. Included throughout the book is a case study showing the lean transformation undertaken at the Orthopedic Center at Children's Hospital of Wisconsin, with numerous quotes and insights from those actually involved. This transformation resulted in patient wait times being reduced by more than 70 percent, the clinic being able to see 25 percent more patients in less space, patient satisfaction scores sometimes reaching 100 percent, and staff satisfaction scores improving by more than 25 percent.

his fourth volume in the highly regarded Cosmetic Procedures series provides step-by-step instruction for treating sun-damaged skin and other common aesthetic complaints using laser and light technologies. From equipment and patient selection to combining laser treatments with other cosmetic procedures for enhanced outcomes, this illustrated reference offers valuable procedural guidance regardless of your experience level. A Practical Guide to Laser Procedures delivers information essential for achieving high patient satisfaction and successfully performing cosmetic laser treatments. Look at all you’ll discover... Quickly gain skill and confidence in the treatment of sun-damaged skin, wrinkles, pigmented and vascular lesions, hair and tattoo removal. Full-color design and illustrations boost understanding of each procedure. Photographs of clinical endpoints clearly show what changes to look for on the skin with laser treatments. Step-by-step instructions guide you through each procedure to rapidly acquire skill. Detailed coverage of relevant anatomy, indications and contraindications, patient selection, procedure preparation, treatment techniques and practical tips, before and after treatment photographs, and areas to be avoided to help improve outcomes and minimize complication risks.

The understanding of pain has undergone extraordinary development over the last 25 years. Half of all medical visits are initiated because of pain. The need for all clinicians and trainees to have a foundational knowledge of pain has become more critically important than ever. Not surprisingly, most books on pain medicine are almost all written by "pain management doctors," physicians who've trained in "pain medicine" and devote their lives to treating pain. However, the burden of pain extends to all doctors, not just those who treat it every day. Managing Pain: Essentials of Diagnosis and Treatment offers a fundamental guide on the diagnosis and therapy of frequently encountered pain conditions for non-pain physicians and clinicians. Written using easily-accessible language, this book first reviews the basics of opioids and other therapies, including psychotherapy and complementary modalities. The second part of the book presents clinically-relevant cases chosen to reflect those conditions most frequently encountered by primary care providers. Edited by world-renowned experts in pain medicine, with many chapters written by non-pain physicians who are experts in their respective specialties, Managing Pain: Essentials of Diagnosis and Treatment is a useful guide for the non-pain-trained healthcare provider who is on the frontlines treating chronic pain.

The Oxford Handbook of Clinical Immunology and Allergy is a unique, practical and clinically relevant guide for clinicians and laboratory staff to assist with the diagnosis and management of immunological/allergic disease, and the correct selection and interpretation of immunological tests. Now fully updated for the third edition, the handbook has been expanded to include the latest developments, drugs, diagnostic tests, and therapy options in the field.With concise, bullet-point coverage of the entire breadth of immunological and allergic disease, this handbook has been specially written to ensure the information you need is always at your fingertips. The first section covers clinical diseases, giving guidance on test selection and interpretation for both diagnosis and monitoring. The second section covers diagnostic tests, summarizing the methodology and pros and cons of each. Expertly written, reviewed by specialists, and fully up-to-date,you can be sure that the Oxford Handbook of Clinical Immunology and Allergy provides all the vital information you will need to assist you in effective practice.

Practical – puts key information in clinical contextPortable – fits easily into your bagIntegrated – referenced back to Neale’s Disorders of the Foot 8E so the two work together

This handy, well illustrated guide covers all aspects of patient examination. Carry this practical text with you so you can review the questions you should include as part of your history taking, the examination techniques you should use for different body systems and the presenting signs of common disorders. The new fourth edition includes over 130 colour illustrations as well as text boxes to aid revision and help in daily clinical duties.The history-taking and examination coverage will be invaluable to students faced with real-life patients for the first time by highlighting the most things to rememberThe signs & symptoms sections describe the most important diseases associated with each body systemThe various icon boxes highlight and summarise information on a range of issues relevant to history and examination: the elderly, emergency situations, Questions to Ask, etcColour photographs depict the clinical manifestations as they present in real-life and ‘real-life’ examination techniquesColour diagrams clarify examination technique

• Fully updated in line with the accompanying textbook Clinical Examination
• Increased emphasis on patient communication, especially in the general practice setting
• Two new authors join the team bringing additional expertise to the Pocket Guide

  Clinical Cases for General Practice Exams 3rd Edition assists candidates preparing for the Australian general practice clinical examination an exam which all doctors must pass to practice as a General Practitioner in Australia. This third edition maintains the role-play style of the successful previous editions where students use a variety of case studies to practice their clinical examination skills. All cases from the previous edition have been revised and updated and 16 new cases have been added. New cases cover the following topics: aged care; child health; dermatology; gastroenterology; multicultural health; musculoskeletal medicine; palliative care; professional practice; respiratory medicine; sexual health; travel medicine and women’s health.All cases include instructions for both the exam candidate and the patient with suggested approaches as well as up-to-date references and further readings. The format is ideal for students international medical graduates and general practice training programs. Clinical Cases for General Practice Exams 3rd Edition is a well-regarded resource for all GP Registrars studying for their RACGP Fellowship exams which are a mandatory requirement to be able to practice without supervision in Australia. 

Edited by Robert E. Rakel, MD and David P. Rakel, MD, Textbook of Family Medicine remains your #1 choice for complete guidance on the principles of family medicine, primary care in the community, and all aspects of clinical practice. Ideal for both residents and practicing physicians, it includes evidence-based, practical information to optimize your patient care and prepare you for the ABFM exam. The full-color format features a clean, quick-reference layout that makes it easy for you to put information to work immediately in your practice. You can also access the complete contents online at www.expertconsult.com, plus 30 videos of common office procedures, additional chapters on timely topics, and figures, tables, and photographs that supplement the text.Prepare for success on the ABFM exam with complete coverage of all aspects of family medicine.

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.

Healing the Wounds is the most revealing book ever written by a doctor about his own profession. In it, David Hilfiker breaks the code of silence surrounding the everyday practice of medicine and gives is a dramatically different personal account of how the family doctors gets by in a world of spiraling information and high anxiety. Drawing on his years of rural and urban experience, Dr. Hilfiker lets us all know what it really feels like to be a doctor. What do you do when you make a serious medical mistake? Is it enjoyable to play God? What do you say to a patient who wants reassurance when the essence of diagnosis is uncertainty? What about money? What happens when a patient is taking forever, your waiting room is full, and you want to get home?
 
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).

Clinical Naturopathic Medicine is a foundation clinical text integrating the holistic traditional principles of naturopathic philosophy with the scientific rigour of evidence-based medicine (EBM) to support contemporary practices and principles.

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

Diagnosis and Management of Polycystic Ovary Syndrome is a comprehensive clinical reference work for primary care physicians, internists, general endocrinologists, obstetricians, gynecologists and students. PCOS is a common but frequently misdiagnosed disease. Many symptoms can be alleviated by early intervention and effective management.

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.

John Murtagh’s General Practice is widely recognised as the gold standard reference and most influential publication for general practice and primary health care, both for doctors already established in practice and those starting out in their careers.

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.

Hailed by professional journals and esteemed by primary care physicians, Bronchial Asthma: A Guide for Practical Understanding and Treatment, Sixth Edition, has been fully updated to help physicians face the challenge of diagnosis and management in every variety of patient subpopulation.

The population is aging rapidly, even faster than demographers envisioned two decades ago. Longevity, especially for women, has nearly doubled, since the beg- ning of the twentieth century, now approaching 85. People over 80 are the fastest growing segment in the aging epidemic. Remarkably every day now 1,000 Ame- cans will celebrate their 100th birthday! Today, many 70-year-old persons, who have aged successfully, have about the same degree of health and vigor as people 50 years old, a generation ago. Despite these gains, it is an inescapable truism that increasing age is associated with increasing physiologic losses, which negatively affect the quality of life. P- sons in their eighties and nineties may be taking as many as 10 different medicines daily to control and moderate age-dependent disorders such as arthritis, diabetes, hypertension, heart disease, Alzheimer’s. Textbooks of geriatric medicine recognize and give each of these the space they deserve. By contrast, age-associated cutaneous disorders are given short shrift in geriatric texts. Skin disorders, when mentioned at all, are inadequately presented. This do- grading of cutaneous disorders occurs despite the ndings of national health surveys which showed that people over 70 years of age had at least one skin disorder w- thy of medical attention. Startlingly, the same rigorously conducted epidemiologic survey showed that the number and diversity of skin problems increased proporti- ately with advancing age. Some older persons had as many as 10 problems which were deemed to be worthy of medical attention.

Cardiac Drug Therapy: 7th Edition updates and revises the sixth edition in several respects. The new edition includes six new chapters that deal with ongoing controversies regarding the use of several widely used drugs. These chapters include the betablocker controversies, ACE inhibitor controversies, calcium antagonist controversies, hypertension controversies, heart failure controversies, and Statin controversies.

With portable, hand-carried ultrasound devices being more frequently implemented in medicine today, Point-of-Care Ultrasound will be a welcome resource for any physician or health care practitioner looking to further their knowledge and skills in point-of-care ultrasound. This comprehensive, portable handbook offers an easy-access format that provides comprehensive, non-specialty-specific guidance on this ever-evolving technology.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Access all the facts with focused chapters covering a diverse range of topics, as well as case-based examples that include ultrasound scans.Understand the pearls and pitfalls of point-of-care ultrasound through contributions from experts at more than 30 institutions. View techniques more clearly than ever before. Illustrations and photos include transducer position, cross-sectional anatomy, ultrasound cross sections, and ultrasound images.

El libro habla de cómo compaginar ser clínico y científico al mismo tiempo. Ellibro lo explica desde una determinada manera de entender la dedicación a lamedicina y a la ciencia. Dela difícil y a veces imposible convivencia de la lógica científica y de la lógica clínica y del apasionante empeño de ser ambas cosas a la vez en el contexto laboral y cultural de nuestras instituciones públicas. El libro habla de medicina y de ciencia, pero también de la historia personal del autor, médico de un gran hospital del Sur de España, Jefe del servicio de Endocrinología y nutrición, director de un grupo de investigación en elque conviven biólogos y médicos, farmacéuticos y enfermeras, psicólogos y pedagosos.INDICE RESUMIDO: El médico y el científico. La práctica clínica. La investigación en medicina clínica. ┐Es la clínica una ciencia? Algunos ejemplos. Unfinal entrópico. Diez propuestas para el tercer milenio.

After headache, vertigo and dizziness is the second most common complaint of patients. Vertigo is not a disease entity, but rather an unspecific syndrome consisting of various disorders with different causes. Most syndromes of vertigo can only be correctly diagnosed by means of a careful medical history and physical examination of the patient. The majority of these cases have a benign cause, a favorable natural course, and a positive response to therapy.

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.

For every physician that interprets ECGs, there is great need to understand a vast amount of information regarding the technique. That the basics of the technique have changed little over the last 100 years means that there is a huge amount of subtle detail that must be learnt to enable its effective use as a diagnostic test. The ECG technique is critical for deciding upon further diagnostic procedures and therapeutic interventions (notably coronary angiography, PTCA, stenting, coronary artery bypass grafting, pacemaker insertion, ablation, electroconversion etc). Without attaining the skills to practice the ECG procedure and knowledge of its diagnostic value - skills often overlooked during medical training - physicians will be unlikely to use it to the benefit of their patients.

For over a decade, MetaWorks was a pioneer in both the science and business of Evidence-based Medicine. Travels with Shubh is a co-founder's memoir of the MetaWorks journey, as told through a series of vignettes anchored in the personal mantras of one unusual change agent who was integral to its success. The MetaWorks story vividly illustrates the highs and lows of a healthcare start-up, while at the same time providing a unique glimpse into the ongoing evolution of healthcare analytics and the business of medicine.

Fully revised and updated to include the most up-to-date guidelines, references and resources, this new edition of the bestselling Oxford Handbook of Midwifery provides a concise and logical approach to midwifery practice in all its varied care settings. Giving a complete picture of the role of the midwife, the handbook reflects the mother's journey through conception, pregnancy and birth to the final postnatal examination of mother and baby. This new edition includes recent advances in midwifery practice including developments in antenatal care, labour, postnatal care and infant feeding. The content is systematically structured to enable quick navigation and ensure the relevant information is at your fingertips whenever you need it. The handbook covers the vast majority of situations encountered in the many broad and varied settings of midwifery practice, from the normal, low-risk care of the mother and neonate, through to the more complex areas of working alongside obstetric or paediatric colleagues in high-risk pregnancy and birth situations. It provides all the information you will need to assist you when participating in complex care with confidence. With a wealth of references, recommendations, and guidance from the authors' many years of experience this handbook will help you achieve the best possible results for your patients. The fundamentals of midwifery are divided into seven main sections, covering antenatal care; normal labour and birth; complicated labour and birth; postnatal care; family planning; care of the newborn; and infant feeding. It also gives information rarely covered in standard midwifery texts, including sexual health, complementary therapies, common blood values, investigations, and midwifery emergencies. Key interventions are laid out as algorithms to aid quick assimilation of the crucial facts. Written by practising midwives, and checked by subject experts, you can trust this handbook to have the latest and best information you need. Presented in concise and easily readable style, the book is laid out with clear headings, and key facts listed in bullet points. Pocket-sized, with sturdy plastic covers, the Oxford Handbook of Midwifery is a unique and invaluable companion for students, practising midwives, educators, and anyone who needs to understand the challenging and rewarding work of midwifery.

Over the last century the ECG has been used by clinicians to make major clinical decisions with regard to electric pacing, the use of thrombolytic drugs in acute myocardial infarction and the timing of surgery. In conjunction with a chest X-ray and the echocardiogram it is a fundamental part of the initial investigation of a patient with suspected heart disease. These electrical squiggles have always been difficult for students to understand. In part the problem has been that the formatting of the ECG has only become standard in the last two decades. Some important books have not provided the full twelve-lead ECG. On occasion the interpretation of the ECG has been related to complex explanations of the shapes of the electrical signals. For the practising physician much of the interpretation is a matter of pattern recognition.

Despite its direct effect on a patient’s health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.

Infertility is defned as the inability to conceive after having unprotected intercourse for a year. Infertility is increasing worldwide and has various causes both in the male and the female partner. Immune reactions to sperm can contribute up to 2–30% of infertility. The sperm has both autoantigenic as well as isoantigenic potential, and is thus capable of p- ducing antisperm antibodies (ASAs) and sperm-reactive T cells in both infertile men and women. Also, over 75% vasectomized men produce autoantibodies to sperm that can cause a problem in regaining fertility even after successful re-anastomosis in vasovasostomy. Early claims regarding the incidence and involvement of ASAs in involuntary human infertility were probably overemphasized because of unreliable techniques and naivety concerning the complexity of the immune response and antigenic nature of the sperm cell. These factors, the lack of well-designed and controlled experimental studies, and the dearth of effective therapeutic modalities resulted in the confusion of the occurrence and importance of ASAs in human infertility. Consequently, evaluation of infertile couples for ASAs and their possible role in infertility was not considered a signifcant proposition. The development of more accurate assays and the discovery of mucosal immunity capable of responses independent of systemic immunity have caused inclusion of sperm cells and genital tract secretions in the analysis of ASAs.

Fully revised to reflect the new changes to the GP contract and the GP curriculum, this fourth edition of the best-selling Oxford Handbook of General Practice is a practical guide to all aspects of general practice; from vital clinical information, to valuable practical guidance from experienced GPs. This is the essential guide for all those working in general practice. Comprehensively covering everything a doctor needs to work in, or manage a GP practice, this handbook ensures readers are always up-to-date with the latest guidelines, the most recent protocols, and cutting-edge clinical information. With concise, bullet-point information the chapters are now colour-coded to ensure the reader can find vital emergency or clinical information without delay. With new full colour photographs added to the chapters on dermatology and ophthalmology. Fully illustrated, and packed with even more figures, diagrams, management boxes, and tables to improve ease-of-reference, the reader will always have the vital information they need at their fingertips.