Modern Colposcopy, 3rd Edition, has been updated to include the 2012 American Cancer Society/ASCCP/American Society for Clinical Pathology (ACS/ASCCP/ASCP) primary cervical screening guidelines and the new 2012/2013 ASCCP updated guidelines for the management of abnormal cervical cytology and cervical precancer. The first two editions of this book were published by the American Society for Colposcopy and Cervical Pathology (ASCCP). This product is considered the standard of colposcopy and has the reputation of being the bestselling educational teaching module for the physician, resident, or advanced practice clinician who wishes to bridge the gap between the obvious need for increased early detection of cervical, vaginal, and vulvar disease and the intensive education required for colposcopy. Modern Colposcopy, 3rd Edition, provides an education about the lower genital tract through the use of colposcopy. This includes the disciplines of pathology, cytology, cytogenetics, preventive medicine, basic research, gynecologic oncology, and endocrinology which are relevant to the understanding of the pathophysiology of the disease processes of the lower genital tract. Features Include: Updated Consensus Guidelines on the Management of Women with Abnormal Cervical Cancer Screening Tests and Cancer Precursors are now available in this edition 1,815 color images Complete coverage of HPV related diseases, colposcopy and related topics Chapters added on adolescents and the expanding field of anal screening, diagnosis of anal HPV related precancer and cancer through high resolution anoscopy and treatment of anal and perianal neoplastic disease Companion website that includes fully searchable text, including the new ACS/ASCCP/ASCP updated guidelines

Patient-Centered Medicine: A Human Experience emphasizes the health professional's role in caring for patients as unique individuals by focusing on the patients' psychological and social realities as well as their biological needs. The book concerns itself with caring for the whole patient, and outlines the basic principles involved in developing a biopsychosocial approach to medical practice. This is a volume of guidelines that will help medical students and clinicians develop and master basic attitudes and skills essential to providing empathic and comprehensive medical care. As Norman Cousins writes in the foreword, 'The authors understand and repeatedly demonstrate in this book, that the patient-physician relationship is a powerful, sometimes mysterious, frequently healing interaction between human beings. It is the person of the doctor and the presence of the doctor-just as much and frequently more than-what the doctor does that creates an environment for healing. The physician represents restoration. The physician holds the lifeline.' Since the book's original publication by University Park Press in 1984, greater awareness and acceptance of the biopsychosocial model has occurred, and medical schools are now working to fully integrate psychosocial education into the clinical curriculum.

Serge Tixa presents in this highly popular book a method of palpatory anatomy called Manual Exploration of Surface Anatomy (MESA). MESA locates anatomical structures important to clinical examination allowing careful selection of the most appropriate manual therapy technique or manoeuvre. The new edition presents precisely and visually the various anatomical structures with the help of more than 130 colour illustrations and close to 900 black and white photographs. For every photograph showing an anatomical structure accessible to palpation, a model whose physique shows the structure clearly has been chosen. Each chapter has up to four subsections, treating the various aspects of each body region. These cover osteology, myology (musculotendinous structures), arthrology (joints and ligaments) and lastly nerves and blood vessels. Each photograph is carefully presented and accompanied by a section of text describing the method of approach to finding the structure concerned. Whenever necessary, reminders, essential for the proper use of the methods of approach (attachments, actions and innervations) are included. Clinical notes highlight the link between palpation and clinical diagnoses. Atlas of Surface Palpation: Anatomy of the Neck, Trunk, Upper and Lower Limbs is aimed at students and practitioners who need a method of applied anatomy in their practice. All new artwork programme enhances accessibility and learning Useful template approach aids ready understanding and allows the reader to go at his or her own speed Presents almost 600 photographs and line artworks to render the learning experience as easy as possible Contains over 160 pull out boxes to act as useful aide memoires Clinical Hints and Tips boxes indicate points of relevance for the clinic Methods of approach illustrated with many new photographs Anatomical drawings have been completely redesigned to improve clarity Clinical Notes boxes Glossary Inclusion of Dermatomes

Objective structured clinical examinations/exercises (OSCEs) using standardized patients (SPs) are an efficient means of surveying a diverse range of ability at any point along the continuum of medical education. An OSCE station can address multiple competency assessments across undergraduate, graduate, and continuing medical education. Nevertheless, organizing and enacting OSCEs is a major undertaking and, as with most other educational projects, collaborating within and across specialties and disciplines only enriches the process. The production of an effective OSCE program requires strong leaders committed to the benefits of such assessments, as well as many individuals to plan, prepare, and implement the program. To address the need for general guidelines of best practice and consistent organizational stratagem, Objective Structured Clinicl Exams is a comprehensive how-to manual for OSCE implementation. It contains an overview of and criteria for best practice, a review of relevant literature, insight into the program's influence throughout the healthcare system, and techniques for fine-tuning existing programs. Accompanying charts, graphs and sample forms are included to make this book the single resource for any educator interested in creating or improving a standardized patient program.

Use of real-time continuous glucose monitors among people with type 1 and type 2 diabetes is growing rapidly and should continue to grow until an artificial pancreas is brought to market. Likewise, use of professional systems in healthcare practices is expanding. But, other than manufacturer instructional manuals and some book chapters on CGMs, there are no standalone publications available with concise, non-commercial instructions on CGM prescription and use. Additionally, continuous glucose monitors are too often not used to their full and proper potential. This leaves users with suboptimal glucose control and can result in system abandonment. To address this, diabetes educator and author Gary Scheiner has created Practical CGM: Improving Patient Outcomes through Continuous Glucose Monitoring to give healthcare providers the skill to make more effective use of the data generated by continuous glucose monitors, in both real-time and on a retrospective analytic basis. Using a plain-language approach and distilling content to concise, practical tips and techniques, Scheiner has created a guide that will help practitioners optimize patient use of CGM systems and, ultimately, improve glucose control and patient health outcomes.

This book will prove an invaluable resource for all those working in the field of primary healthcare and family medicine. Through case histories the reader will be introduced to adolescents who are depressed, to those who have been failed by the system, to those who cannot communicate their needs, and to those for whom issues of confidentiality have become critical.

In an era of ever-increasing dependence upon technology, physicians are losing the basic skills of patient examination and taking the medical history. This book describes the scenario in which the physician sits down with a patient to elicit a medical history. For example, how to greet a patient, how to discover the patient's chief concern, how to elicit symptoms, how to manage feelings as the patient and physician interact, and how to choose topics to explore, and use the appropriate word selection, phrasing, and tone of voice. A good history leads to trust and rapport, and also to the determination of the best management of the patient's condition. Dr. William DeMeyer, a well-known physician and author of the major text on the neurologic exam, describes how to take a medical history, and also explains the reasons why it is done in a particular way. The author reviews the actual questions that a health provider should ask and the responses to a patient's answers. More importantly, the author describes how to listen to the patient's real needs as a person, rather than just a repository of symptoms.

This book is a guide for the medical student or recently graduate MD preparing to take the third part (Step 3) of the United States Medical Licensing Exam. As anyone wishing to practice medicine in the United States must take and pass this examination, the potential market is a very large one, with 16,000 new medical school graduates eligible for the exam every year. There are a considerable number of books for the Step 1 Exam (basic sciences) and the Step 2 Exam (clinical medicine) but very few for the Step 3 Exam. It had been common to study for Step 3 using Step 2 materials since both cover clinical medicine, but in recent years the Step 3 exam has separated itself from Step 2, focusing on clinical management of specific medical conditions in a case-scenario fashion. As a result, the few available Step 3 books have become very successful, largely by default. Kevin Schwechten, who has recently taken the Step 3 exam himself and has evaluated the other competing books, has come up with an approach focusing heavily on those questions most commonly asked on the exam, and he follows an outline that is provided by the National Board of Medical Examiners, which is the group that writes the exam. As those taking the exam have just recently graduated from medical school and have been thrown into a very hectic schedule on the hospital wards, with long housr, little sleep, and little time for studying, an effective book for Step 3 must be concise and to the point. Therefore, this book is written not to cover all of clinical management, but to focus on those areas that most ofen appear on the exam. This will be the first book in our effort to produce more books for students preparing for their licensing exams.

Delivering Emergency Medicine involves constant challenges to the emergency clinician, seen in the frequency of severely unwell patients, the wide breadth of conditions encountered, and the urgency required in diagnosis and treatment. Concise, and, critically, accessible, Algorithms for Emergency Medicine supports the key decision-making requirements of clinicians working in the Emergency Department. Designed to support rapid problem solving, this resource covers everything from common non-life-threatening emergencies such as headaches to life-threatening acute events such as major traumas. Each topic is divided into two; the left page provides essential knowledge, and on the right, an algorithm which guides the clinician in a step by step process in managing these conditions. Evidence based and up-to-date, this book follows the College of Emergency Medicine Curriculum, making it an invaluable resource for Emergency Nurse Practitioners, new doctors starting their placement in the Emergency Department, and trainee doctors working towards specialising in Emergency Medicine.

Many inherited diseases and non-herediatry disorders have in common the development of renal cyctic disease. The most common, autosonal dominant polycystic kidney disease, is responsible for 5-10% of end-stage renal failure treated by dialysis or transplantation.
Since the publication six years ago of the last book on polycystic kidney disease, a number of genes causing the disease have been identified, mapped, or sequenced; new experimental models and the application of molecular biology techniques have provided new insights into the pathogenesis of polycystic kidney disease; novel clinical studies have provided valuable information for the prevention, evaluation, and treatment of the complications of this disease. This book provides an updated, state-of-the-art review of the genetics, pathophysiology, evaluation, and management of these diseases and will be of interest to both basic researchers and clinicians in nephrology.

Providing safe, effective anaesthesia for patients undergoing oral and maxillofacial surgery presents unique challenges involving a wide range of complex procedures, treatments, and interventions to manage an array of pathologies. This textbook is a practical, easy to read and engaging guide to the entire perioperative management process, encompassing everything that the practitioner needs to know. It utilises a clear, step-by-step approach to managing all aspects of anaesthesia for oral and maxillofacial surgery, from routine elective procedures to emergencies, difficult airways, cancer, and pain. A contemporary, evidence based approach and the most up-to-date techniques are described, with reference to current guidelines and standards. This comprehensive second edition will empower the novice, but also support more experienced practitioners and those who may occasionally be called upon to manage emergency cases. Written by international experts in the field with many years of experience both conducting and teaching oral and maxillofacial anaesthesia, this textbook is an essential resource for all members of the multidisciplinary team who wish to improve their understanding of and confidence with anaesthesia for this surgery.

Following the success of the first volume of the EHRA Book of Pacemaker, ICD and CRT Troubleshooting a second volume with new cases has now been developed. A timely addition to the European Society of Cardiology, as device therapy has seen many new developments since the first volume, with the advent of leadless pacing, conduction system pacing, and subcutaneous ICDs, amongst other novelties. These new technologies are covered in the book, as are general device troubleshooting issues which were not presented in the first volume. Maintaining an identical format for the cases in this volume, which are arranged in separate sections on pacing (27 cases), ICDs (23 cases), and CRT (20 cases), each section is arranged in a logical manner to guide the reader and help build on knowledge gained from reading the previous cases. As with the first volume, the content will help those planning on sitting the EHRA Cardiac Pacing exam. There is significant detail regarding specific algorithms of different device manufacturers that will also appeal to general cardiologists, nurses, and allied professionals performing device follow-up. As with the first volume, this book will serve not only to further your technical knowledge, but also to sharpen your skills of observation and reasoning.

Titles in the Pocket Tutor series give practical guidance at a highly-affordable price on subjects that medical students, foundation doctors and a range of other practitioners need help with 'on the go'. The highly-structured, bite-size content helps novices combat the fear factor associated with day-to-day clinical training, and provides a handy reference that students and junior doctors can carry with them at all times. Pocket Tutor Paediatric Clinical Examination is an indispensable guide to the examination of children, a challenging part of clinical practice for medical students and junior doctors as it involves dealing with newborn babies through to teenagers (often also the child's parents or guardians) and requires different communication skills and knowledge. Key features: Concise, accessible writing style and numerous colour photographs combine to produce a highly practical guide to the subject Logical, sequential content: introductory chapters on the principles of paediatric history taking and examination, then chapters devoted to each body system and a closing chapter on clinical procedures. Changes to second edition: Extensively revised and updated throughout New chapter dedicated to abnormal behaviour 80 new clinical images, including 50 brand new examination photos

Clinical Skills, Second Edition, is a practical and comprehensive guide to history taking, examination, and interpretation of results for medical students, junior doctors, and nurse practitioners. Written with wit and clarity, and packed with illustrations, this book will teach you how to join the dots between signs, symptoms, and diagnoses. This textbook sets out invaluable routines for the examination of each system, and includes chapters on interpreting chest x-rays and spot diagnosis. Over 500 line drawings and colour photographs give practical examples of core and advanced examination skills. Throughout the text, key points and tips dispense essential wisdom, while case studies help you to put theory into practice. This new edition of Clinical Skills is now more useful than ever in your preparation for finals. Each chapter ends with a short set of assesment questions and a section on how the system in question is tested in OSCEs. Even better, the chapter on finals has been expanded and updated to give more practical advice than ever before. Written in plain English and designed to demystify even the most daunting procedures, Clinical Skills, Second Edition is the ultimate all-round textbook to help you hone your skills and prepare for finals.

Endoscopic access to the small bowel has advanced significantly since the introduction of video capsule endoscopy and deep enteroscopy in early 2000. Other major advances have occurred in imaging modalities involving computed tomography and magnetic resonance studies. Due to these advances, the recent 2015 ACG guideline changed the terminology from "obscure" to "small bowel" bleeding because the majority of cases now can be found to have a small bowel source. The improvements in technology have advanced our ability to visualized vascular findings, inflammatory lesions, and small bowel neoplasms. Articles in this issue are devoted to these improvements in technology.

An understanding of microbiology is essential for both medical students and newly qualified doctors, and is key knowledge for a working doctor. Learning Microbiology through Clinical Consultation introduces the subject with a wealth of life-like case scenarios, each linked with the relevant microbiology. Spanning 14 categories of infection, the cases within the book allow the reader to listen-in on clinical consultations with patients exhibiting an array of symptoms. Each case then describes the examination and the specimen taking techniques. The results of the samples taken in the story provide a clear link to the more technical information on microbiology which is then discussed. The structure of the book is laid out for easy navigation and has clear case-story headings to enable 'just in time learning' between patients, as well as 'just in case learning' when preparing for exams. Learning Microbiology through Clinical Consultation is a highly accessible text that describes the basic science of microbiology within the practice setting in an insightful and informative way. The material is presented in an integrated fashion and is therefore an ideal text for medical students on a systems-based or problem-based course, or for the newly qualified doctor looking to consolidate their knowledge.

Atrial Fibrillation is becoming a twenty-first century epidemic. It remains the most common form of sustained arrhythmia with significant mortality, morbidity and cost to the health care system. It is the most common cause of hospital admissions among all arrhythmias. Its prevalence increases with the aging population and is often associated with many other cardiac and noncardiac conditions, most notably congestive heart failure, hypertension, diabetes, and coronary artery disease. Although significant progress in understanding the epidemiology, natural history and mechanism has been made, the antiarrhythmic therapy in patients with Atrial Fibrillation is less satisfactory. Management of Atrial Fibrillation: A Practical Approach is the perfect pocket guide for those who care for patients afflicted by Atrial Fibrillation. From the history of the condition and the subsets of patients, to therapeutic and preventive procedures, Management of Atrial Fibrillation comprehensively covers all aspects in managing this increasingly prevalent disorder. Written by leading authorities in the field with vast experience in practical medicine, the book creates a clinically orientated, evidence based "fast fact" type resource for cardiologists, trainees and related healthcare professionals.

This irreplaceable reference compiles the most up-to-date and relevant material on obstetrics and gynaecology into one volume. Strongly evidence-based, it includes the latest knowledge and guidelines from a wide range of sources and contains the key recommendations that a practising obstetrician or gynaecologist needs to know; presenting them in a uniform and accessible way, allowing for quick diagnosis and optimal care. In line with the Royal College of Obstetrics and Gynaecology curriculum for specialty training, this book covers not just the clinical knowledge required but also information on the communication, technical and professional skills needed to practise in the specialty. With each chapter written by internationally renowned specialists and edited by five of the leading figures in obstetrics and gynaecology, this book will be a vital resource for all practising clinicians.

Pocket Guide to Clinical Examination is a handy, well illustrated guide to 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 remember The signs & symptoms sections describe the most important diseases associated with each body system The various icon boxes highlight and summarise information on a range of issues relevant to history and examination: the elderly, emergency situations, Questions to Ask, etc Colour photographs depict the clinical manifestations as they present in real-life and 'real-life' examination techniques Colour 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 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

This book is for all those entering general surgical training. It explains the reasoning involved in recognizing and dealing with general surgical conditions and pays special attention to managing surgical emergencies and trauma patients. It is also intended to serve as a practical guide to safe and effective day-to-day surgical practice. The content is laid out logically so that a patient can be followed from a working diagnosis, through investigation and assessment, preparation for surgery, care in the operating theatre and afterwards, including the prevention and treatment of complications. Throughout, factors are identified which affect surgical outcome and which are important in surgical audit and quality control. It is not meant as a textbook of diagnosis, or an atlas of operative surgery; however, it does cover the principles of both, as well as details of the common operations trainees are likely to have to perform. Each chapter concludes with a few key references to classic papers, books and review articles. Philip Deakin, a medical artist and GP, has illustrated tha book throughout. Clive Quick and Paul Thomas are recent past members of the Court of Examiners for the Royal College of Surgeons of England and have planned the book to meet the requirements of the new syllabus for the higher general surgical qualification. Their team of contributing authors is made ip of senior trainees and recently appointed consultants who provide a clear and focused perspective, reflecting their recent experience or the training process.

The vital signs are, by definition, the measurements of the body's most basic functions. So far, the essential number of signs that must be measured is not clear as some references consider that the body temperature, blood pressure, pulse rate and breathing rate are sufficient but other sources consider that the measurement of other variables, such as the respiratory effort and oxygen saturation, are also crucial to determine the health of the person. This book is not intended to define the critical vital signs but presents the correlation of these measurements with other variables as well as the proposition of new methods to determine these variables. It also proposes some innovative applications that relay on these signs in a way to monitor and help the human being. Thus, this book presents six chapters that deal first with the correlation between the physical training and the blood pressure level among adults as well as the stress effects for nurses on their vital signs. Added to that, the influence of the vital signs to predict and detect epileptical seizure and the analysis of neural mechanisms of major depressive disorders will be also presented. As for the other chapters, they go into some engineering applications related to vital signs as the development of a smart syringe pump that monitors the patient's crucial parameters and the introduction of a novel system that monitors the driver's health and notifies health care providers in case the driver has any health failure in order to prevent cars accidents.

Diagnostic radiology plays a vital role in patient management and all clinicians need to be able to recognize the radiological appearances of many medical conditions. Not only are traditional imaging techniques important, but newer techniques such as interventional radiology, computed tomography (CT), magnetic resonance imaging (MRI), nuclear medicine and ultrasound are increasingly important in clinical practice and also, the interpretation of radiological images is an integral part of professional examinations for MRCP (part II): there are five compulsory questions based on printed photographic material, with additional radiographs or other diagnostic images being shown occasionally throughout. This book covers all modalities in radiology, providing a guide to the principles of plain radiographic film interpretation and an understanding of the roles and limitations of more complex imaging across general medicine. The material is presented through the discussion of a hundred fully-illustrated cases in question and answer format.

Rapidly Progressive Glomerulonephritis is one of the most exciting areas in renal medicine. However, appropriate immunosuppressive therapy can dramatically improve the prognosis in many cases, such that renal failure is avoided. It is clear now that various immunopathological processes are involved, and that an accurate diagnosis is of value in guiding management. This volume aims to bring together current knowledge of both scientific and clinical aspects of RPN. Recent advances in the immunology, inflammatory mechanisms and pathology of RPGN are discussed. This is followed by consideration of the major causes of RPGN, which include Goodpasture's disease, primary systematic vasculitis and systematic lupus erythematosus. RPGN secondary to other renal and systemic diseases, and RPGN in children are also described. Finally, new approaches to treatment are reviewed. Although certain of these areas are covered in the larger textbooks of renal medicine, our aim is to provide a current overview of RPGN, in a concise volume. This should be of particular interest to nephrologists and general physicians, including those in training, but may also be of value to pathologists, immunologists, and other studying the mechanisms of renal disease. We hope that this volume will help them in the management of patients with RPNG, or in planning their research into this condition.

Dialysis amyloidosis is a syndrome observed in dialysis patients characterized initially by joint pain, followed later by joint destruction. It is at present one of the few compliations in these patients. The factors involved in the genesis of this syndrome are not yet known with certainty and there is as yet no proven efficacious treatment otehr then renal transplantation. As a result, the interest in this topic among nephrologists remains very high. Dialysis amyloid gives general information on the pathophysiology, and the clinical aspects of all types of amyloidosis. It then goes on to discuss recently discovered B2, type of dialysis amyloidosis, from clinical and pathological features to physiological and pathophysiological aspects of this serious complication which effects patients suffering from chronic renal failure. This book will give nephrologists and rheumatologists a clear understanding of the dialysis amyloidosis syndrome as well as making a valuable contribution to identifying strategies for treatment and prevention. This book is intended for consultant nephrologists, trainee nephrologists.