This pioneering book investigates how biographical evidence has been variously used, misused, or not used at all, by clinicians entirely reliant on biographical evidence for the influential posthumous diagnoses they have produced of Winston Churchill as a manic-depressive. Attention is paid, also, to the distinct question of Churchill and "nerves," otherwise known as neurasthenia. This question has a place alongside the manic-depression issue because, by ensuring there is a marked contrast between two lines of biographical inquiry, it facilitates a significant move in the direction of a more rounded, a more securely founded, understanding of how Churchill functioned psychologically, and how he did not. That goal of a more rounded understanding is important, and the contribution Diagnosing Churchill makes towards its achievement is worthwhile, because accuracy in the depiction of key elements in the functioning of a major historical figure, one of the heroes of Western democratic civilization, is enjoined by a principle Churchill expressed thus: "the meanest historian owes something to the truth."

The lymphatic system has been one of the most misunderstood systems in our bodies. Until now. Cardiothoracic surgeon Dr. Gerald M. Lemole explains why a healthy lymphatic flow aids our bodies in reducing toxins that contribute to disease and injury. In ten short chapters, Dr. Lemole demystifies the lymphatic system, describes how powerful it is and shows how to maintain a healthy lymph system to combat specific diseases and health problems - from heart disease to cognitive function to weight management. Featuring sidebars with charts and graphs that illustrate basic principles, Lymph & Longevity also includes menus, recipes and information on supplements, as well as basic yoga and meditation guides. Illuminating, informative, and practical this essential guide is timelier now than ever as we continue to work to protect ourselves and our communities against COVID-19 and other viruses.

Recognition and diagnosis of child abuse and neglect creates an important foundation for the protection of children. Physicians and other healthcare providers have a fundamental role in this process, and need to be confident that they can identify correctly the signs and symptoms that provide clues to non-accidental injuries resulting from child maltreatment. Diagnosis of Non-accidental Injury: Illustrated Clinical Cases is an invaluable tool to aid prompt and appropriate diagnosis, presenting various types of findings and challenging the reader with both common and not-so-common manifestations that may result from - or be confused with - child abuse and neglect. The book describes various clinical scenarios through a brief clinical history accompanied by high-quality clinical images. Questions focus on the important concepts to be learned from each case. The answers are revealed after a turn of the page, sometimes with additional images to explain critical aspects, and feature a diagnosis, the 'ruling out' of abuse or neglect, further diagnostic options where relevant, and helpful treatments.

This book is the fourth edition of a highly regarded text which was first published in 1988. It introduces the reader to the interpretation of routine laboratory biochemical test results and covers all aspects of interpretative chemical pathology (including reproductive endocrinology, which was not covered previously).

The approach is based on case material from the authors' laboratory and employs algorithms and similar aids for interpretation. The material is structured so that it is comprehensible to beginners as well as being useful for the more experienced practitioners. The envisaged audience is medical undergraduates, general practitioners, clinical biochemists and laboratory technicians.

The public has a right to know that when they go to a therapist, they are almost certain to be given a psychiatric diagnosis, no matter how mild or normal their problems might be. It is unlikely that they will be told that a diagnosis will be written forever in their chart and that alarming consequences can result solely from having any psychiatric diagnosis. It would be disturbing enough if diagnosis was a thoroughly scientific process, but it is not, and its unscientific nature creates a vacuum into which biases of all kinds can rush. Bias in Psychiatric Diagnosis is the first book ever published about how gender, race, social class, age, physical disability, and sexual orientation affect the classification of human beings into categories of psychiatric diagnosis. It is surprising that this kind of book is not yet on the market, because it is such a hot topic, and the negative consequences of psychiatric diagnosis range from loss of custody of a child to denial of health insurance and employment to removal of one's right to make decisions about one's legal affairs. It is an unusually compelling book because of its real-life relevance for millions of people. Virtually everyone these days has been a therapy patient or has a loved one who has been. In addition, psychiatric diagnosis and biases in diagnosis are increasingly crucial portions of, or the main subject of, legal proceedings. This book should sit next to every doctor's PDR, especially given the skyrocketing use of psychoactive drugs in toddlers, children, and adolescents, as well as in adults, and especially because receiving a psychiatric label vastly increases the chances of being prescribed one or more of these drugs. A Jason Aronson Book

Cholecystoses, as dealt with in this book by Dr J. H. J. Ruijs, radiologist, and DrS. G. Th. Hulst, internist, is an interesting clinical and pathologi- cal entity and is unique in that it was introduced into medicine by radiological examination. Soon after the discovery of a usable contrast medium for the gallbladder examination- 35 years ago - some features of cholecystoses have appeared in publications: Rokitansky-Aschoff sinuses and adeno- myomatosis. Jutras' display at the Congress in Montreal in 1962, informed the international radiological world of the common basis for the many different manifestations of cholecystoses. Every radiologist is now acquainted with cholecystoses, but as symptoms are sometimes extremely slight - radiological technique must be exact. The aim of this book is to inform the clinician and surgeon on this clinical and radiodiagnostic entity, and to correlate symptoms and signs with the possible need for surgery. Drs Ruijs and Hulst have succeeded in presenting all this information clearly and succinctly. C.B.A.J. Puijlaert, M.D.

This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma - the chapter itself is a specific answer to the question.

This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion.

This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.

"Diagnostic Electron Microscopy: A Practical Guide to Interpretation and Technique "summarises the current interpretational applications of TEM in diagnostic pathology. This concise and accessible volume provides a working guide to the main, or most useful, applications of the technique including practical topics of concern to laboratory scientists, brief guides to traditional tissue and microbiological preparation techniques, microwave processing, digital imaging and measurement uncertainty.

The text features both a screening and interpretational guide for TEM diagnostic applications and current TEM diagnostic tissue preparation methods pertinent to all clinical electron microscope units worldwide. Containing high-quality representative images, this up-to-date text includes detailed information on the most important diagnostic applications of transmission electron microscopy as well as instructions for specific tissues and current basic preparative techniques.The book is relevant to trainee pathologists and practising pathologists who are expected to understand and evaluate/screen tissues by TEM. In addition, technical and scientific staff involved in tissue preparation and diagnostic tissue evaluation/screening by TEM will find this text useful.

'...approaches the consultation intuitively ... The book oozes with patience for the patient and for the reader. What better prescription for the clinic could the practitioner need?' Glycosmedia (of the Fifth Edition) '... this is a book worth having available at the point of care for health professionals, including doctors, nurses, undergraduates and postgraduates, to help them make sense of common symptoms. With the help of the authors' opinions in combination with our own experience we should then be able to make better clinical decisions.' Sultan Qaboos University Medical Journal (of the Fourth Edition) Across its six editions, Symptom Sorter has excelled in redressing the balance between symptoms and diagnoses to become the essential handbook to accompany the consultation in primary care. Presenting a multitude of symptoms commonly encountered in primary care, these are meticulously explored using the red flags, top tips and ready reckoner format for sorting symptoms that have made previous editions so popular and respected. This revised and updated sixth edition includes several new chapters and features expanded coverage of paediatric symptoms. Key features: * Fully updated, with 'investigations' sections amended in line with latest guidelines and significant revisions throughout * Brand new chapters on acute abdominal pain in childhood, hand and wrist swellings, diarrhoea in children, loin pain, rectal bleeding in children, vomiting in babies, skinfold rash and dysuria * Consistent and logical presentation enables speedy access * Replicates accurately the experience in the consultation or clinic An invaluable reference for all general practitioners, especially GP trainers and registrars, this new edition of Symptom Sorter is also highly recommended for advanced nurse practitioners, A&E nurses and pharmacists requiring a concise, easy-to-use guide. The authors: Keith Hopcroft is a GP in Basildon, Essex, UK, an associate trainer, an editorial adviser to Pulse, and a medical writer and columnist. Vincent Forte is a former GP based in Norfolk, UK

1. Would a better understanding of the anatomy and improvement of the method make it possible to reduce the percentage of failures sufficiently to earn selective arteriography of bronchial and intercostal arteries a place among the accepted methods of selective arteriographic investigation? 2. Can indications for such selective arteriographical investigations be formulated? The answers to these questions were considered to offer a basis for the evaluation of the clinical contribution to be expected of this method. In designing this research project, we started by making a detailed study of the radiological and anatomical literature. I I LITERATURE 11.1. PART I -RADIOLOGY Wide bronchial arteries can be demonstrated by conventional radiological methods. CAMPBELL AND GARDNER (1950), CSAKANY (1964) and KIEFFER ET AL. (1965) described characteristic pictures seen on normal X-ray's and RICHTER (1965) those seen on tomograms of the thorax. TAUSSIG (1947) and SEGERS AND BROMBART (1953) established typical impressions in the esophagus. Some of these authors, including CAMPBELL AND GARDNER (1950) and GARUSI (1961), saw wide bronchial arteries on venous angiocardiograms, but direct study of the bronchial arteries can only be done by arteriography, which still has a rather brief history. Research has been done in dogs and in man; only the latter will be discussed.

Combining a professional development course on diagnostic endoscopy from SPIE (the international society advancing light-based research) and the authors' graduate course on biomedical optics, this work is written for researchers in medical optics and biomedical engineering as well as graduate medical optics students. It uses extensive examples/case studies to familiarize readers with the basics of endoscopic optics, the pros and cons of white light endoscopy and fluorescence endoscopy for diagnostic applications, and various microscopic endoscopy imaging modalities. It covers basic optics, details of design and biomedical uses, as well as microscopic endoscopy, and endoscopic spectroscopy.

A comprehensive guide for the eye specialist, Principles of Ocular Imaging presents essential information on imaging modalities for ophthalmologists, residents, and fellows. Ophthalmology and imaging are inextricably intertwined, and practicing eye care professionals need a single definitive source on multiple imaging modalities to reference in clinical practice. Together with their contributors, Drs. Gologorsky and Rosen provide concise but thorough information on the technology and clinical application of 22 imaging modalities unique to ophthalmology, with illustrations and photos throughout that demonstrate how to apply each imaging principle in clinical practice. Principles of Ocular Imaging is divided into the following subspecialties for easy reference in busy clinical environments: Oculoplastics: external photography, ptosis visual fields, slit lamp photography, and orbital ultrasonography Cornea and refractive: corneal topography, confocal microscopy, anterior segment optical coherence tomography (AS-OCT), ultrasound biomicroscopy (UBM), biometry for intraocular lens (IOL) calculations Glaucoma: visual fields, optical coherence tomography (OCT) in glaucoma Retina: fundus photography, fluorescein angiography (FA), indocyanine green (ICG) angiography, fundus autofluorescence (FAF), OCT in retina, optical coherence tomography angiography (OCTA), adaptive optics (AO), microperimetry, retinal ultrasonography Neuro-Ophthalmology: electrophysiology of vision and computed tomography (CT) & magnetic resonance imaging (MRI) A practical, illustrative guide to ophthalmic imaging, Principles of Ocular Imaging is an indispensable addition to the practicing ophthalmologist's professional library.

Praise for the First Edition

" . . . the book is a valuable addition to the literature in the field, serving as a much-needed guide for both clinicians and advanced students."--Zentralblatt MATH

A new edition of the cutting-edge guide to diagnostic tests in medical research

In recent years, a considerable amount of research has focused on evolving methods for designing and analyzing diagnostic accuracy studies. Statistical Methods in Diagnostic Medicine, Second Edition continues to provide a comprehensive approach to the topic, guiding readers through the necessary practices for understanding these studies and generalizing the results to patient populations.

Following a basic introduction to measuring test accuracy and study design, the authors successfully define various measures of diagnostic accuracy, describe strategies for designing diagnostic accuracy studies, and present key statistical methods for estimating and comparing test accuracy. Topics new to the Second Edition include:

Methods for tests designed to detect and locate lesions

Recommendations for covariate-adjustment

Methods for estimating and comparing predictive values and sample size calculations

Correcting techniques for verification and imperfect standard biases

Sample size calculation for multiple reader studies when pilot data are available

Updated meta-analysis methods, now incorporating random effects

Three case studies thoroughly showcase some of the questions and statistical issues that arise in diagnostic medicine, with all associated data provided in detailed appendices. A related web site features Fortran, SAS(R), and R software packages so that readers can conduct their own analyses.

Statistical Methods in Diagnostic Medicine, Second Edition is an excellent supplement for biostatistics courses at the graduate level. It also serves as a valuable reference for clinicians and researchers working in the fields of medicine, epidemiology, and biostatistics.

Comprehensive and up to date, the Second Edition of Diagnostic Pathology: Infectious Disease, by Dr. Richard Kradin, is an invaluable tool for the accurate diagnosis of any infectious disease?from the common to the most challenging. The organ-based format makes it an especially useful tool for surgical pathologists' daily diagnostic and management issues. High-quality, full-color illustrations and differential diagnosis tables accompany each lesion, clearly depicting how to recognize the morphology of organisms and the spectrum of histological responses that they may cause. Addresses the most difficult diagnostic issues that practicing or trainee surgical pathologists face when handling infectious disease tissue specimens. Highlights morphological characteristics and landmarks of tissue samples for easy access to information necessary for signing out a specimen. Emphasizes the host responses critical in differential diagnosis to serve as a second opinion when non-infectious diagnoses mimic and confound the diagnosis of infection. Completely revised with the latest diagnostic support and hot topics in the field: A new chapter on novel techniques in microbiology A new chapter on eye infections New coverage of immunohistochemical staining and other molecular diagnostic techniques New discussions of human papillomavirus, a critical tool in predictive cancer screening New information on infections in the immunocompromised host and related special considerations Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.

The long-awaited companion to the award-winning Browse's Introduction to the Symptoms and Signs of Surgical Disease; this book explains clearly how the pathological features and extent of the disease dictate the necessary diagnostic investigations and treatment. Each chapter will include 3 sections: (1) Relevant Pathology - a brief description of the important pathological features of the disease relevant to the clinical diagnosis, the investigations and treatment. (2) Investigations - covering significant diagnostic clinical findings; radiological, biochemical, haematological, immunological, and pathological investigations, and genetics. The relevance of the investigations will be clearly defined, whether they confirm the diagnosis, or detect the local extent of the disease, the distant spread of the disease, or other systemic effects of the disease. The work will also cover investigations for detecting other diseases relevant to management; and investigations that help exclude confusing differential diagnoses. (3) Treatment - to review all aspects of management; this section will summarize the diagnostic information required to plan management: it will describe each method of treatment available, discuss the indications for each treatment, describe any special preparation and pre-treatment care, any post-treatment care and the complications of treatment, enumerate the results of treatment, and provide a management plan. The 2-book set will provide all the information necessary for the clinical years of undergraduate study, through to surgery at foundation years 1 and 2, planning for the MRCS exams, and beyond.

Substance abuse counseling has gone beyond being viewed as optional training; instead it is fast becoming an essential part of the education of helping professionals. In this book, Dr. Gerald Juhnke presents an innovative, practical model to be used in the assessment and diagnosis of substance abuse and related co-morbid disorders.
Substance Abuse Assessment and Diagnosis includes practical "nuts and bolts" direction on how to facilitate a thorough, multitiered substance abuse assessment. This book uniquely incorporates detailed examples of how to use individual and significant other clinical interviews, including the CAGE, SUBSTANCE -Q. standardized specialty instruments, drug-detection types, and personality instruments to accomplish this feat. This is the only book of its kind that provides practical detail on how to use and score these varied assessment instruments - including the newest "cornerstone instruments," the MMPI-2, the SASSI-3, and the recently released SASSI-A2.
Students and practitioners alike will benefit from this comprehensive volume on the assessment and diagnosis of substance abuse.

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Dr. Jerome Blackman, author of 101 Defenses: How The Mind Shields Itself, has once again crafted an extraordinarily user-friendly book that demonstrates to all readers, from trainees to advanced analysts, the process of diagnosing mental disturbance. Get the Diagnosis Right provides a systematic method for accurately determining whether a person suffering with mental problems needs medication, supportive/cognitive, dynamic, and/or psychoanalytic treatment. Amalgamating the most useful ideas from general psychiatry, cognitive psychology, and modern psychoanalytic theory, Dr. Blackman guides readers who prescribe treatment for mental disturbances. The book also serves as a check for those who are considering what type of mental health professional they should be consulting.
After reading this book, you will no longer have to guess whether a depressed patient should obtain medication, supportive therapy, insight therapy, or some mixture of the three; or question how to conduct an initial interview and assessment. Written in language that is clear but not simplistic, this book goes far beyond other diagnostic manuals.

This innovative handbook bridges the gap between the colorectal surgeon, the stoma nurse and the dermatologist. It addresses the questions of what pathology is involved, what can be done by nurses, when to refer to a dermatologist, and what can be done by a dermatologist. Now in its second edition, the book has been revised throughout and contains new information on nutrition and child stoma patients.

What are the ethical issues raised by the increasing use of big data and artificial intelligence in health care? How should physicians respond when they have a conscientious objection to an intervention requested by a patient? How should health care organizations respond to physician requests? How can physicians best help patients make informed decisions about end-of-life and life-sustaining care? How should interns and residents respond to ethical dilemmas created by duty hours restrictions? Resolving Ethical Dilemmas: A Guide for Clinicians helps residents, students, and practitioners work through these and many more common and challenging ethical questions that affect patient care. The 6th Edition reflects important changes in medicine and healthcare policy and provides additional clarity to complex concepts. Offering practical, real-world advice, it helps you think through and resolve difficult cases, prompting thoughtful, well-reasoned answers to the question of "What do I do in this situation?" Begins with a concise discussion of clinical ethics that provides background information essential to understanding key ethical issues. Explores a wide range of real-world ethical dilemmas, each accompanied by expert guidance on salient issues and how to approach them. Provides new insights on cases related to oncology, palliative care, family medicine, clinical practice guidelines, genetic testing, the electronic health record, opioid prescriptions, evidence-based medicine, ambulatory care, quality improvement, and advance care planning. Helps you work thorough challenges such as how to handle changes arising from the Affordable Care Act, how to manage treatment when it no longer works for the patient, and much more. Uses a highly visual, two-color design to facilitate retention of material. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

FASTtrack Managing Symptoms in the Pharmacy focuses on what you really need to know in order to pass exams. Concise, bulleted information and all-important self-assessment questions including MCQs and case studies. Addressing common ailments and organised alphabetically by system, FASTtrack Managing Symptoms in the Pharmacy provides all the essential information needed for managing symptoms presented in the pharmacy. This new edition has been revised and updated and now includes learning objectives for each chapter, new self-assessment questions and new chapters on benign prostatic hyperplasia and erectile dysfunction.Are your exams coming up? Are you drowning in textbooks and lecture notes and wondering where to begin? Take the FASTtrack route to successful study for your examinations. FASTtrack provides the ultimate lecture notes and is a must-have for all pharmacy students wanting to study and test themselves for forthcoming exams.

The rise in popularity of dermoscopy has meant that more and more practitioners need a ready reference to consult in a clinical setting where larger atlases are less practical. The Handbook of Dermoscopy features a wealth of photographs, checklists, and algorithms to assist in spot diagnoses. Coverage includes melanocytic lesions, seborrheic keratosis, basal cell carcinoma, dermatofibroma, vascular lesions. Melanoma, pattern analyses, the ABCD/ABC/ABCDE rule, and Menzies's method.

Bone Marrow Diagnosis, Third Edition, is an essential resource for pathologists and haematologists who need to report bone marrow trephine biopsies. Practical and highly illustrated this edition has been comprehensively updated whilst remaining succinct and concentrating on the core information necessary to make an accurate diagnosis. The text provides comparisons of the common methods of sample collection, fixation and staining, and a clear description of how to examine a trephine section. Applying a consistent approach, the chapters cover the range of disorders of bone marrow, discussing the clinical features, histopathology of bone marrow and diagnostic problems of each condition. Each chapter closes with a summary of key points and each diagnostic entity is accompanied by high quality images, over 900 in all, showing typical and more unusual examples of histological features. This compact text, oriented at diagnosis and comprehensively accompanied by usable illustrations, is an invaluable reference tool for the trainee and practicing histopathologists, pathologists and haematologists. * A practical guide aimed at allowing a busy pathologist to easily find the essential description and illustration of the most common bone marrow diseases seen in trephines * Covers new treatment for chronic myeloid leukaemia, B-cell lymphoma and antibody treatments * High quality colour images accompany each diagnostic entity * Coverage of cytology in sections relating to myeloid dysplasias and acute leukaemias * Addresses lymphoma categorization and individual lymphoma entities * Incorporates new WHO classifications of lymphomas and leukaemias