The first edition of Harrison’s Principles of Internal Medicine was
published more than half a century ago. Over the decades, this textbook
has evolved to reflect the continuing advances in the field of
internal medicine and to meet the growing information base required
of medical students and clinical practitioners. The users of this sixteenth
edition of Harrison’s will not even have to open the volume to
see that it marks a transition point in the book’s history. The new cover
is only the most obvious indication of a new direction for Harrison’s.
With this revised and expanded edition of First Aid for the® Internal Medicine
Boards, we hope to provide residents and clinicians with the most useful and
up-to-date preparation guide for the American Board of Internal Medicine
(ABIM) certification and recertification exams.
(BQ) Part 2 book "Essentials for the Canadian medical licensing exam - Review and prep for MCCQE part I" presents the following contents: Hematology, neurology, obstetrics and gynecology, oncology, ophthalmology, orthopedics and rheumatology, psychiatry, pulmonary medicine, urology.
This book arose because of the huge amounts of clinical material that pass through
the Singapore General Hospital, the largest tertiary care hospital in Singapore. A
significant proportion of our patients come to us for a second opinion from the
neighboring countries. Often they come to consult us for an abnormality on a
chest radiograph. Pulmonary Medicine is largely based on the strong foundation of
the plain chest radiograph. Indeed, chest radiography is the single most common
investigation carried out in hospital practice.
Tham khảo sách 'chronic obstructive pulmonary disease – current concepts and practice edited by kian-chung ong', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả
Improvements in healthcare delivery in recent years are rooted in the continued industry-wide investment
in information technology and the expanding role of medical informatics. Endeavors to combine
medical science and technology have resulted in a growing knowledge base of techniques and applications
for healthcare delivery and information management in support of patient care, research and education.
The idea when we started was to collect the core Emergency Medicine
information and present it in an abbreviated, succinct manner, useful to
housestaff and medical students. As we progressed it became obvious that
the very breadth of the specialty prevented any one person from accomplishing
this task. It also became obvious that our specialty had advanced past the
point where succinctness was possible. We peeled, boiled and pared, and
came up with this. We hope you find it useful.
Mayo Clinic Images in Internal Medicine: Self-Assessment for Board
Exam Review was begun in 1998 as an adjunct to a presentation
for the Mayo Internal Medicine Board Review Course. Images
were presented in random order with brief case scenarios. The
reader was encouraged to consider the cases before turning the
page to read a few learning points about each image. That first
book contained 38 cases and 57 images from 6 contributors.
Year by year the work was expanded until now the current
book has 173 cases with 287 images from 28 contributors....
Care of the critically ill patient is truly multisystem
management of highly complex patients who
typically have numerous acute physiological derangements
superimposed upon underlying medical ailments.
Historically, the majority of patients admitted to intensive
care units (particularly medical ICUs) have respiratory
failure requiring mechanical ventilation, often along
with other acute and chronic pulmonary problems.
Harrison's Internal Medicine Part 2. Cardinal Manifestations and Presentation of Diseases Section 6. Alterations in Gastrointestinal
Function Chapter 33. Dyspnea and Pulmonary Edema
Dyspnea The American Thoracic Society defines dyspnea as a "subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity. The experience derives from interactions among multiple physiological, psychological, social, and environmental factors, and may induce secondary physiological and behavioral responses.
Lewis Thomas, in his semi-autobiographical book The Youngest Science:
Notes of a Medicine-Watcher, reminisced about his father, an internist in the
early twentieth century who would sit by his patient, holding his hand while
nature affected the cure. There was little else he could offer. Now, after
almost 100 years, we have crossed vast frontiers in medicine, from hormones
to the immune system to unlocking the promise of genomics. We have
relegated diseases such as erythroblastosis to the history books and transformed
AIDS from a death sentence to a chronic illness.
Integration: Efferent-Reafferent Mismatch A discrepancy or mismatch between the feed-forward message to the ventilatory muscles and the feedback from receptors that monitor the response of the ventilatory pump increases the intensity of dyspnea. This is particularly important when there is a mechanical derangement of the ventilatory pump, such as in asthma or chronic obstructive pulmonary disease (COPD).
Approach to the Patient: Dyspnea (Fig. 33-3) In obtaining a history, the patient should be asked to describe in his/her own words what the discomfort feels like, as well as the effect of position, infections, and environmental stimuli on the dyspnea. Orthopnea is a common indicator of congestive heart failure, mechanical impairment of the diaphragm associated with obesity, or asthma triggered by esophageal reflux. Nocturnal dyspnea suggests congestive heart failure or asthma.
Distinguishing Cardiovascular from Respiratory System Dyspnea If a patient has evidence of both pulmonary and cardiac disease, a cardiopulmonary exercise test should be carried out to determine which system is responsible for the exercise limitation. If, at peak exercise, the patient achieves predicted maximal ventilation, demonstrates an increase in dead space or hypoxemia (oxygen saturation below 90%), or develops bronchospasm, the respiratory system is probably the cause of the problem.
Distinguishing Cardiogenic from Noncardiogenic Pulmonary Edema
The history is essential for assessing the likelihood of underlying cardiac disease as well as for identification of one of the conditions associated with noncardiogenic pulmonary edema.
The physical examination in cardiogenic pulmonary edema is notable for evidence of increased intracardiac pressures (S3 gallop, elevated jugular venous pulse, peripheral edema), and rales and/or wheezes on auscultation of the chest.
Medicine: PreTest® Self-Assessment and Review, Tenth Edition, is intended to
provide medical students, as well as house officers and physicians, with a
convenient tool for assessing and improving their knowledge of medicine.
The 500 questions in this book are similar in format and complexity to
those included in Step 2 of the United States Medical Licensing Examination
(USMLE). They may also be a useful study tool for Step 3.
The need to efficiently deliver and process information in the healthcare and biomedical sectors is a
primary concern among practitioners, researchers, and patients alike. Medical informatics—a field that
has emerged at the intersection of information technology and medicine—has transformed modern
healthcare and created new, more pervasive methods for access to information, records, and even medical
IN the year 1883 a legacy of eighty thousand dollars was left to the President and Fellows of Yale College in
the city of New Haven, to be held in trust, as a gift from her children, in memory of their beloved and honored
mother, Mrs. Hepsa Ely Silliman.
On this foundation Yale College was requested and directed to establish an annual course of lectures designed
to illustrate the presence and providence, the wisdom and goodness of God, as manifested in the natural and
moral world. These were to be designated as the Mrs. Hepsa Ely Silliman Memorial Lectures. It was the belief
of the testator...