The Fourth Edition of this textbook teaches the artful science of the patient interview and the physical examination. Chapters are filled with clinical pearls, vignettes, step-by-step methods, and explanations of the physiologic significance of findings. New features include "Points to Remember", over 300 questions with answers and discussion, over 120 additional references, and expanded discussions of the usage and pitfalls of evidence-based medicine. Other highlights include expanded and updated discussions of sleep apnea, "minor" head trauma, cervical spine involvement in rheumatoid arthritis, transplantation-related problems, adverse effects of AIDS therapy, and more. A companion Website includes fully searchable text and a 300-question test bank.

Against the backdrop of unprecedented concern for the future of health care, this i Very Short Introduction/i surveys the history of medicine from classical times to the present. Focussing on the key turning points in the history of Western medicine - such as the advent of hospitals and the rise of experimental medicine - but also offering reflections on alternative traditions such as Chinese medicine, Bill Bynum offers insights into medicine's past, while at the same time engaging with contemporary issues, discoveries, and controversies.

The mechanization of medicine has submerged, its humanism. The physician no longer ministers to a distinctive person but concern himself with a particular malfunctioning organ. The distressed patient is frequently forgotten or relegated to the background. A thought process is essential for discussing and understanding a symptom. This book, for the first time brings the doctor to the bedside of the patient for history, clinical examination, investigation, and finally the diagnosis. This book discusses the art of medicine in a simple dialogue style- between the patient and the doctor- and shows through bedside teaching, the treatment of an illness or a disease, rather than the patient. This illustrated volume containing twenty case studies sensitizes the reader to look a patient holistically, not just the body, but mind and emotions too. This unique volume teaches medicinal science as an art of healing, where modern medicine is not just restricted to science and technology.

Principles of Translational Science in Medicine: From Bench to Bedside, Second Edition, provides an update on major achievements in the translation of research into medically relevant results and therapeutics. The book presents a thorough discussion of biomarkers, early human trials, and networking models, and includes institutional and industrial support systems. It also covers algorithms that have influenced all major areas of biomedical research in recent years, resulting in an increasing numbers of new chemical/biological entities (NCEs or NBEs) as shown in FDA statistics. The book is ideal for use as a guide for biomedical scientists to establish a systematic approach to translational medicine. - Provides an in-depth description of novel tools for the assessment of translatability of trials to balance risk and improve projects at any given stage of product development - New chapters deal with translational issues in the fastest growing population (the elderly), case studies, translatability assessment tools, and advances in nanotherapies - Details IPR issues of translation, especially for public-private-partnerships - Contains contributions from world leaders in translational medicine, including the former NIH director and authorities from various European regulatory institutions

Concise, portable, and user-friendly, The Washington Manual of Bedside Procedures focuses on the essential information you need for the preparation, performance, and aftercare of invasive bedside procedures. This practical reference presents brief, logical approaches to invasive procedures commonly performed by most housestaff, with an emphasis on internal medicine and surgery. Using a colorful, step-by-step approach, it provides a clear view of the challenges faced by residents, interns, and medical students, plus offers practical solutions and expert guidance – all in one convenient and easily accessible source. Offers step-by-step guidance on the indications, contraindications, technique, and potential complications of a variety of invasive bedside procedures. Includes comprehensive coverage of central venous cannulation, radial arterial line placement, endotracheal intubation, lumbar puncture, abdominal paracentesis, thoracentesis, and knee arthrocentesis, as well as universal protocols and precautions. Provides commentary on the safety and contraindications of the procedures based on the latest evidence-based data. Discusses the use, potential benefits, and technique of ultrasound guidance for certain procedures, as well as fluid analysis, where appropriate.

Designed to help the physician who is considering a nonclinical career, Leaving the Bedside offers guidelines to help assess professional and personal strengths in preparation for making an informed career change. Its three major sections -- Considering Change, Nonclinical Career Opportunities for Physicians, and Taking the Next Step -- provide valuable guidelines for finding satisfying work outside the clinical setting.

Essential reading for beginning and experienced clinicians alike, Sapira's Art & Science of Bedside Diagnosis, Fifth Edition, discusses the patient interview and the physical examination in an engaging, storytelling style. Tried and true methods are described in step-by-step detail, and include clinical pearls, vignettes, practical clinical experiences, personal history, explanations of the physiologic significance of findings, and extensive discussions of evidence-based medicine. It’s a useful guide for learning and reinforcing effective bedside diagnosis techniques at all levels and stages of clinical practice.

David Rothman gives us a brilliant, finely etched study of medical practice today. Beginning in the mid-1960s, the practice of medicine in the United States underwent a most remarkable--and thoroughly controversial--transformation. The discretion that the profession once enjoyed has been increasingly circumscribed, and now an almost bewildering number of parties and procedures participate in medical decision making. Well into the post-World War II period, decisions at the bedside were the almost exclusive concern of the individual physician, even when they raised fundamental ethical and social issues. It was mainly doctors who wrote and read about the morality of withholding a course of antibiotics and letting pneumonia serve as the old man's best friend, of considering a newborn with grave birth defects a "stillbirth" thus sparing the parents the agony of choice and the burden of care, of experimenting on the institutionalized the retarded to learn more about hepatitis, or of giving one patient and not another access to the iron lung when the machine was in short supply. Moreover, it was usually the individual physician who decided these matters without formal discussions with patients, their families, or even with colleagues, and certainly without drawing the attention of journalists, judges, or professional philosophers. The impact of the invasion of outsiders into medical decision-making, most generally framed, was to make the invisible visible. Outsiders to medicine--that is, lawyers, judges, legislators, and academics--have penetrated its every nook and cranny, in the process giving medicine exceptional prominence on the public agenda and making it the subject of popular discourse. The glare of the spotlight transformed medical decision making, shaping not merely the external conditions under which medicine would be practiced (something that the state, through the regulation of licensure, had always done), but the very substance of medical pract

This book teaches readers the clinical skills residents in neurology have to acquire in the course of their training, and approaches neurology like a doctor approaches a patient: first there is a chapter on how to perform an efficient neurological history according to neuroanatomical key features, then a chapter on the bedside examination, followed by chapters on differential diagnosis, diagnostic procedures and lastly, the treatment. Neurology at the Bedside aims to provide readers with a personal clinical mentor. It takes them by the hand and guides them through the whole patient encounter from the history to the treatment, at each step pointing out what is essential and what is not. Extensive differential diagnostic flow charts and detailed treatment suggestions make it a perfect coat pocket reference for the wards. In addition, more than 50 unique case histories cover the entire spectrum of the field. Neurology at the Bedside is written for neurologists in training: residents as well as senior house officers. Also medical students, general practitioners and others with an interest in neurology will find invaluable information here that is difficult to look up in traditional textbooks or online references.