Medical tests consume considerable resources and yet making requests is often left to the most junior members of the team. Medical schools often under prepare junior doctors for these tasks so they tend to request large numbers of tests to make sure 'all bases are covered' by the time a more senior colleague attends to the patient. Beginning with naive questions such as 'what is a medical test?' and 'why do we perform tests?', the book also covers the evaluation of tests from a public health perspective and helps the readers to determine whether a test should be introduced into clinical care. By describing the basics of medical decision making based on probability thresholds, students will learn how to avoid unnecessary testing when results are unlikely to influence patient relevant decisions, and the pros and cons of using metrics such as sensitivity, specificity, and predictive values. Illustrated throughout with real life examples from multiple medical and surgical specialties, it concludes with a novel checklist for doctors to consider every time they think of requesting a test. Written by a clinician for clinicians, this book is ideal for medical students and junior doctors. It provides everything they need to know to become experts at requesting tests. It will support them in requesting the most appropriate and effective tests, and inform them on how to interpret results, improving patients' outcomes.

The Medical Interview by Drs. Steven A. Cole and Julian Bird equips you to communicate effectively with your patients so you can provide optimal care! This best-selling, widely adopted resource presents a practical, systematic approach to honing your basic interviewing skills and managing common challenging communicating situations. Its Three-Function Approach - "Build the Relationship," "Assess and Understand," and Collaborative Management" offers straightforward tasks, behaviors, and skills that can be easily mastered, making this an ideal learning tool for beginners and a valuable reference for experienced healthcare professionals. Effectively meet a full range of communication challenges including language and cultural barriers, sexual issues, elderly patients, breaking bad news, and non-adherence. Easily apply proven techniques with help from supportive case examples and actual interview questions. Get the skills you need now with new chapters covering advanced topics and applications including "Presentation and Documentation," nonverbal communication, using psychological principles in medical practice, and integrating structure and function. Quickly review information with summary tables, boxes and bulleted lists. Get access on the go with the fully searchable text online at Student Consult, including cost-free access to a specially customized, interactive web-based Module on Brief Action Planning (BAP), a key component of the web-based, interactive Comprehensive Motivational Interventions (CMI)T e-learning platform.

Blood transfusion is considered a life-saving therapy since ancient times, but, at the same time, a high-risk procedure. Nowadays the common perception is that infection is the greatest risk, even if the blood has never been safer from this point of view. Currently, the residual risk of transfusion must be related mainly to immunological mechanisms underlying to AB0 and minor blood systems, to compatibility of blood transfused and to development of irregular antibodies in transfused patients. "Transfusion Medicine and Patient Safety" aims to provide the basic of immunohematology to readers and to analyze the transfusional process highlighting the most critical points, thus more exposed to errors. Screening on blood and blood components for infectious diseases along with the surveillance action on emerging viruses results in the drastic reduction of post-transfusion infection, together with the potential to further increase the level of security from infection through the inactivation of blood components. The text also describes the major diagnostic systems and organizational models that modern technology provides us with a correct immunohematological diagnosis and an appropriate trasfusional therapy.

This text provides students and practitioners with the essential diagnostic information for clinical problems as well as a system for differentiation of diseases that have similar signs, symptoms, and radiographic appearance. Pathogenesis, clinical, radiographic, laboratory, and histopathological features are presented with discussion developed especially to highlight distinguishing features and helpful hints in generating a differential diagnosis for each lesion.

Improve your skills in visual diagnosis Speed and accuracy of diagnosis is the key to saving lives in emergency and critical care medicine. Careful visual inspection of the patient, the data (radiography, electrocardiogram), and related clues can often help providers choose the right diagnosis and ultimately the best treatment -- but this knowledge comes with experience. This book provides 110 randomly presented visual diagnosis cases for self-testing, imitating real-life situations found in the emergency department setting. Written by distinguished emergency and critical care physicians, and thoroughly revised and updated throughout, this second edition includes 25% new cases and is an ideal aid for trainees preparing for Board examinations as well as an invaluable refresher' for qualified emergency and critical care providers.

The first resource of its kind, Palliative and Serious Illness Patient Management for Physician Assistants provides a fundamental framework for physician assistants and physician associates to incorporate palliative care medicine, including end-of-life care, into their practice. The book focuses on pharmacologic and integrative medical therapeutic modalities, as well as the evaluation and treatment of special populations, which reflects the reality of a physician assistant's day-to-day job. It uses a patient-centered approach to address the comprehensive management of serious illness patients, as well as their designated families, significant others, caregivers, and health care providers. Chapters are organized into six sections that cover the essential aspects of care, symptom management, and transitioning care at the end-of-life. This book is ideal for physician assistant trainers (didactic or clinical), students, and practicing clinicians who seek to enhance their communication and medical skills in the treatment of all seriously illness patient populations in any specialty, and in the management of their symptoms at any stage of their disease or condition.

Today most of immunochemistry methods for the determination of proteins, peptides, drugs, and many small molecules are fully automated, with good precision, excellent sensitivity and short reaction time. However, inaccuracy due to poor standardization and the presence of interfering substances in biological samples is still a serious and life-threatening issue. Proper validation of methods and quality assurance have little effect on frequency of occurrence of false positive or false negative results, which, if unrecognized, may lead to patient's misdiagnosis, unnecessary treatment or even unnecessary surgery. Deep knowledge of basic principles of immunochemical methods (antigen-antibody reaction, standardization, matrix effect, limit of detection, cross-reactivity, etc.), sources of analyte-independent interferences (preanalitycal errors, the presence of binding proteins, the presence of autoantibodies) and analyte-dependent interferences (presence of heterophilic antibodies, high-dose effect) are very important to understand, detect, reduce and/or eliminate the interferences. This book helps to reduce false results and, at the same time, improve patient's care and patient's safety.

Psychosis has many causes. Psychiatrists typically receive a thorough training in its diagnosis, but the diagnosis of psychosis secondary to non-psychiatric conditions is often not emphasized. An understanding of the underlying cause is important so that effective management programs can be implemented. The Diagnosis of Psychosis bridges the gap between psychiatry and medicine, providing a comprehensive review of primary and secondary causes of psychosis. It covers both common and rare causes in a clinically focused guide. Useful for both teaching and reference, the text covers physical and mental state examination, describes key investigations, and summarises the non-psychiatric features of medical conditions causing psychosis. Particularly relevant for psychiatrists and trainees in psychiatry, this volume will also assist neurologists and general physicians who encounter psychosis in their practice.

Written by authors who are hospitalists and clinician-educators, Cases in Hospital Medicine uses practical case studies and current medical evidence to guide you expertly through the types of cases seen most often by practicing hospital-based clinicians. This engaging handbook covers the wide range of both broad and specific knowledge required in the hospital environment, while focusing on highly relevant questions and today's best practices. You'll find real-world guidance on essential topics, including commentary on research studies and clinical guidelines. Provides an evidence-based approach to clinical cases most often encountered by hospitalists, including the key questions in these situations, such as: What sort of diuretic regimen-bolus or continuous infusion-should I use to remove fluid from a 73-year-old man with acute congestive heart failure? How soon should a 49-year-old woman with gallstone pancreatitis undergo prophylactic cholecystectomy? What are the risks and benefits of continuing aspirin therapy perioperatively in patients undergoing noncardiac surgery? What is the optimal anti-inflammatory agent for a 60-year-old man with acute gouty arthritis? Maintains a clinical focus throughout, discussing the most practice-relevant questions for hospital-based clinicians and providing answers to specific clinical dilemmas. Covers a wide variety of frequently-seen situations such as skin and soft tissue infection, pneumonia, alcohol withdrawal, sepsis, COPD exacerbation, syncope, atrial fibrillation, pancreatitis, acute kidney injury, end-of-life care, and much more. Enrich 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.

A classic text, Chamberlain's Symptoms and Signs in Clinical Medicine has been providing students and professionals with a detailed and well-illustrated account of the symptoms and signs of diseases affecting all the body systems since the first edition published in 1936. Now completely rewritten by a new team of authors selected for their experience and reputation in writing quality publications in their specialist fields, the 13th edition brings the title into line with current teaching and practice. One of the key challenges of writing a textbook of diagnostic medicine is to balance the "bottom up" approach of constructing a differential diagnosis from individual clinical findings, and the "top down" approach of learning the key features pertaining to a particular diagnosis. The 13th edition of Chamberlain's Symptoms and Signs in Clinical Medicine integrates both approaches into a coherent working framework that will assist the reader in preparing for academic and professional examinations, and in everyday practice. Presented in full colour and illustrated with relevant images, this book provides a thorough lesson in diagnostic medicine, ensuring the reader is fully prepared to deal with the challenging process of differential diagnosis through a thorough knowledge of the central features of the conditions that they are likely to encounter. Key features: Teaches the reader how to diagnose correctly through assessment of symptoms and signs while simultaneously recalling all key features of a given condition Full colour and generously illustrated Conforms with the core competencies required for the foundation years Includes bullet point lists and tip boxes Chapters conclude with a summary of key points for easy revision Written and edited by a highly experienced team of specialists Companion website

Thousands of high-quality clinical photographs paired with authoritative clinical content make Zitelli and Davis' Atlas of Pediatric Physical Diagnosis the trusted, go-to resource for residents and physicians alike. In this thoroughly revised 8th Edition, Drs. Basil J. Zitelli, Sara C. McIntire, Andrew J. Nowalk, and Jessica Garrison, provide a much-needed visual perspective on pediatric illness, helping you hone your visual examination skills and improve your diagnostic accuracy. Features more than 3,000 color photographs supplemented by clear explanatory text, laboratory tests, tables, algorithms, imaging, and approximately 25 clinical videos. Emphasizes pertinent historical factors, examination techniques, visual findings, and diagnostic methods. Provides meticulously updated content throughout, including an extensively revised ophthalmology chapter. Discusses key topics in pediatrics such as development, child abuse, and adolescent gynecology. Covers both common and uncommon disorders, making it an excellent resource not only for clinical diagnosis, but also for studying for the pediatric boards. Lists actionable and practical references, bibliographies, and resources at the end of each chapter. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

When faced with a challenging dermatologic problem, physicians are often required to perform a time-consuming search through large dermatologic texts in order to find information that will assist in the necessary differential diagnosis. This comprehensive and concise handbook is designed to simplify this process dramatically, permitting rapid identification of the correct diagnosis. Hundreds of dermatologic diagnoses, morphologic features, drug-induced disorders, extracutaneous manifestations, histologic findings, and random other findings are listed in alphabetical order and in a homogeneous, reader-friendly structure. The differential diagnoses are shown under each main diagnosis, sorted according to similarity with that diagnosis. Since the first edition, approaching 50 new diagnoses have been added, and many new images included. This easily portable book will be of great value for dermatologists and all who deal with dermatologic diseases.

With a step-by-step method for accurate interpretation of the ECG, this third edition of Rapid ECG Interpretation describes a systematic approach consistent with the changes in cardiology practice over the past decade. All diagnostic ECG criteria are given with relevant and instructive ECGs, providing a quick review or refresher for proficiency tests and for physicians preparing for the ECG section of the Cardiovascular Diseases Board Examination. This edition contains over 320 ECGs and instructive illustrations, including 81 new ECG tracings. Clear and concise 11-step methods are set out in a user-friendly synopsis format.

Written by a team of medical experts, this market-leading dictionary offers clear and authoritative definitions for all aspects of medical science. It features up-to-date coverage on public health medicine, medical research and general practice, and cardiology, radiology, and dentistry among other specialist areas. This new edition has been revised and updated to reflect advancements in medical research and practice,while over 250 new entries have been added, including American Medical Association, burden of treatment, gaming disorder, MERS, person-centred care, and Zika virus. Recommended web links and detailed illustrations complement the text, and extensive appendices offer useful lists and tables on areas such as inherited medical conditions, units of alcohol, and abbreviations and symbols. Selling over a million copies in previous editions, this is an essential A-Z for students and those working in the medical and allied professions, including nurses, pharmacists, physiotherapists, social workers, hospital administrators, and medical secretaries. It is also an invaluable home reference guide for the general reader.

This book will enable practitioners to understand the many complex intricacies of immunohistochemistry (IHC) and make best use of this powerful analytical tool. Providing a thorough grounding in the fundamentals of immunohistochemistry, the book includes several chapters on robotics and automation technology, giving key information on the design of machines and tips to maximise workflow efficiencies. The relationship between IHC and molecular pathology is explained clearly, demonstrating the increasing impact on personalized medicine and targeted therapies for cancer patients. The staining protocol is deconstructed, allowing the reader to adapt it for a variety of diagnostic and research applications. Written by experts at the forefront of hospital immunohistochemistry, there is a strong emphasis on practical guidance on a range of techniques as well as troubleshooting of common problems driven by the authors' experiences. Extensively illustrated with high-quality colour images, this is an invaluable resource to all pathology practitioners utilising the technique.

Best of Five MCQs for the MRCP Part 1 volumes 1-3 offers a comprehensive and trustworthy solution to anybody wishing to sit, pass, and excel at the Membership of the Royal College of Physicians Part 1 examination. Presented as a unique three-volume set, each volume features 375 high-quality practice questions on each of the medical systems and specialties in alphabetical order. Volume 3 features Best of Five questions on nephrology, neurology, psychiatry, respiratory medicine, and rheumatology. All 375 questions contain questions written and reviewed by successful candidates and previous examiners, and are accompanied by detailed explanations and further reading, ensuring complete and successful revision for this challenging exam. Matched to the latest Royal College curricula in coverage and format, this dedicated resource provides readers with an accurate, authoritative and evidence-based companion to the MRCP Part 1.

Since the publication of the first edition of the Handbook in 2002, optical methods for biomedical diagnostics have developed in many well-established directions, and new trends have also appeared. To encompass all current methods, the text has been updated and expanded into two volumes. Volume 2: Methods begins by describing the basic principles and diagnostic applications of optical techniques based on detecting and processing the scattering, fluorescence, FT IR, and Raman spectroscopic signals from various tissues, with an emphasis on blood, epithelial tissues, and human skin. The second half of the volume discusses specific imaging technologies, such as Doppler, laser speckle, optical coherence tomography (OCT), and fluorescence and photoacoustic imaging.

Selected as a Doody's Core Title for 2022! Concise, portable, and user-friendly, The Washington Manual (R) Gastroenterology Subspecialty Consult, Fourth Edition, provides essential information on inpatient and outpatient management of common gastrointestinal diseases and disorders. This edition offers state-of-the-art content on disease pathophysiology, diagnostic tools, and management options. Ideal for residents, fellows, and practicing physicians who need quick access to current scientific and clinical information in gastroenterology, the manual is also useful as a first-line resource for internists and other primary care providers. Thoroughly revised content, including a new chapter on obesity, keeps you up to date on gastroenterology topics. A highly templated, bulleted format ensures that you can find what you need quickly and easily. Text covers all aspects of gastroenterology, including liver transplantation, genetic testing in gastrointestinal diseases, nutrition and malnutrition, and much more. Content is written by residents, fellows, and clinical faculty of the distinguished Washington University School of Medicine in St. Louis. Enrich 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. The Washington Manual (R) is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by Wolters Kluwer Health under license from Washington University.

I found this textbook to be a real bonus for my phlebotomy class. It had plenty of illustrations that complemented the text. I wound up getting an A in the class so I think the book is worth the money!" - Amazon Reviewer "Used this whole training for phlebotomy! Such a helpful informative book!" - Stacy T., Amazon Reviewer "Great book for a phlebotomy class. …lots of tips and warnings along with pertinent information and pictures." - Amazon Reviewer Enter the classroom and the laboratory with confidence! Rely on this comprehensive resource to master the techniques you need to safely obtain quality specimens. You'll understand all the hows and whys that lead to success in this rapidly changing field. Inside, you'll find the up-to-date coverage of routine procedures and their complications as well specialized procedures, quality and infection control, state-of-the-art equipment, medical terminology, ethical and legal issues, body systems, and related diagnostic laboratory tests. Videos and animations online help you to excel.

modalities. The single most important fact about breast cancer is the great variation in its natural history and its responsiveness to therapy from one patient to another. The clinician must integrate an assessment of the patient's likely course based on clinical and pathological staging and laboratory studies with objective evidence on the benefits of therapy. The primary aim of this book is to provide the clinician with the tools to do just that. Outcomes of clinical trials and details about commonly used drug regimens, drug dosage, and the expected side effects are summarized in generous tables and figures. Medical terminology has been defined and descriptions of the evolution in our thinking and understanding of the disease are often given to provide perspective in the interpretation of evidence from current studies for busy clinicians and trainees alike.

This book provides an easily portable yet comprehensive guide to the PACES examination. It includes all of the most relevant clinical information for the PACES exam supplemented by tips supplied by the highly experienced chapter authors. The main aim of the book is to consolidate candidates' theoretical knowledge and help them apply it to the clinical examination scenario. In addition the book forms an excellent pocket reference for trainees in acute medicine, accident and emergency medicine, anaesthetics and critical care and general practice.