EMG Lesion Localization and Characterization: A Case Studies Approach takes a unique approach to electrodiagnostic (EDX) medicine, using case studies and exercises to teach clinical reasoning and build technical skills. The first section presents basic principles, reviewing pertinent nerve and muscle anatomy, physiology, and pathophysiology along with study techniques, measurements, and pitfalls. The second section emphasizes how to most effectively utilize the book's featured case studies, followed by 60 cases covering the range of disorders encountered in the EMG lab and organized by regional and multiregional disorders of the upper and lower extremities, brachial plexopathies, generalized disorders, and challenging cases. Through the EDX case studies, lesion localization and characterization are demonstrated and discussed step-by-step using a floating text box that tracks the findings for each case. Each case begins with the clinical features, which dictate the initial EDX studies performed. The results of those studies drive the next round of testing, which continues until the abnormality has been localized and characterized and a diagnosis is made. In this manner the dynamic nature of electrodiagnostic testing and process of sequential study analysis is reinforced in the cases, just as it would be in the EMG laboratory. Authored by two leading experts in neurology and electrodiagnostic medicine, all aspects of lesion localization and characterization are extensively covered, including calculations of lesion severity for demyelinating conduction block and axon loss lesions and calculations of various types of motor unit action potential recruitment frequencies. The book features a large number of anatomical drawings, charts, and EDX images in order to illustrate the skills of lesion localization and characterization comprehensively. By conveying the "cognitive approach" to EDX medicine, EMG Lesion Localization and Characterization merges clinical knowledge with real-life cases to better instruct residents, fellows, technicians, and neuromuscular providers in the field of electrodiagnostic medicine. Key Features: Includes 60 cases covering all major neuromuscular disorders Presents basic and advanced anatomic, physiologic, pathophysiologic, and temporal principles and concepts pertinent to EDX medicine EDX studies are evaluated as they are collected, providing insight into the principles underlying electrodiagnostic medicine Through sequential step-by-step analysis of findings, the decision-making process required in the EMG laboratory is simulated Purchase includes access to the ebook for use on most mobile devices or computers

This reference book equips readers with cutting-edge information on the many advances in diagnostic and therapeutic treatments for human diseases that have been made in recent years, with examples from laboratory medicine. Diagnostic procedures and treatment protocols are a critical part of the health care system, providing dynamic information that influences provider decisions with respect to disease prevention, diagnosis, treatment procedures, and management of the disease. With advances in medical technologies over the past few decades, diagnostics have become even more essential to the practice of medicine for personalised diagnosis and treatment. Developments in health care technologies have extended the survival prospects of persons all over the globe. Once serious conditions have become considerably easier to manage and even cure in numerous cases. Constant laboratory investigations in the health sciences have expanded the quality of treatment, life-expectancy, as well as the quality of life for patients. In this book, readers will find a detailed discussion of new methodologies in treating diseases, including 3D technology, and prediction of chronic diseases using computation techniques, which provide promising avenues for the diagnosis, treatment, and prophylaxis of diseases.

The first pocket-size resource to guide PA students through their family medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Family Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as abdominal pain, headache and fatigue. It also provides a systems-based approach to more than 70 of the most frequently encountered disease entities you will see in this rotation, including diabetes, anxiety, and coronary artery disease. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the family medicine rotation, including incision and drainage, joint injections, and skin biopsies. Key Features: Provides a pocket-size overview of the PA family medicine rotation Describes common clinical presentations, disease entities, and procedures Offers a step-by-step approach to diagnosis and treatment planning Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health.

The first pocket-size resource to guide PA students through their surgery rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Surgery edition of this 7-volume series delineates the exact duties required in this specialty. Written by an experienced PA educator, this guide details common surgical procedures you'll see, such as thyroidectomy, hernia repair, mastectomy, and appendectomy. It also provides important information on surgical emergencies, including gastrointestinal bleeding, perforated viscus, and limb ischemia. System-based chapters reviewing the presentation and management of common conditions that may require surgery are also included. Advice on taking good SOAP notes, guidance on how to prepare patients for surgery, and tips on surgical etiquette will help you excel during this intense rotation. Additional chapters on pre- and post-operative management of patients, sterile technique, and common wound closure methods will arm you with the knowledge you'll need to succeed. Key Features: Provides a pocket-size overview of the PA surgery rotation Describes common surgical procedures and emergencies Offers clinical pearls throughout Includes key abbreviations you'll need to decipher in documentation Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; OB-GYN; Pediatrics; Behavioral Health

The first pocket-size resource to guide PA students through their pediatrics rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Pediatrics edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as cough, fever, and skin changes. It also provides a systems-based approach to more than 60 of the most frequently encountered disease entities you will see in this rotation, including dermatitis, pharyngitis, and otitis media. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the pediatrics rotation, including foreign body removal, reduction of subluxed radial head, and administration of nebulizer treatments. A special chapter on management of urgent pediatric conditions, such as asthma exacerbation, head injuries, and fractures, is also included. Key Features: Provides a pocket-size overview of the PA pediatrics rotation Describes common clinical presentations, disease entities, and procedures Offers a step-by-step approach to diagnosis and treatment planning Includes clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Behavioral Health

The first pocket-size resource to guide PA students through their OB/GYN rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The OB/GYN edition of this 7-volume series delineates the exact duties required in obstetrics and gynecology. Written by an experienced PA educator, this guide details the clinical approach to common obstetric and gynecologic presentations such as pelvic pain, abnormal uterine bleeding, and an overview of the initial prenatal visit. It also provides treatment and management details for more than 30 of the most frequently encountered disease entities you will see in this rotation, including cervical dysplasia, dysmenorrhea, and ectopic pregnancy. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during your OB/GYN, including PAP test, colposcopy, labor induction, and cesarean delivery. A special chapter on urgent gynecologic and obstetric conditions, such as placental abruption, sexual assault, and severe uterine bleeding, is also included. Key Features: Provides a pocket-size overview of the PA OB/GYN rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Presents frequently encountered diagnostic studies and their indications Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; Pediatrics; Behavioral Health.

The first pocket-size resource to guide PA students through their behavioral health rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Behavioral Health edition of this 7-volume series delineates the exact duties required in this specialty. Written by an experienced PA educator, this guide details the clinical approach to common presentations such as anxiety, depression, and substance use disorders. It also provides a systems-based approach to 40 of the most frequently encountered disease entities you will see in this rotation, including bipolar disorder, schizophrenia, and personality disorders. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory studies, screening tools, and diagnostic criteria needed to confirm a diagnosis. This guide also describes the urgent management techniques you will learn during the behavioral health rotation, including suicide risk assessment, management of delirium tremens, and use of restraints. Key Features: Provides a pocket-size overview of the PA behavioral health rotation Describes common clinical presentations and disease entities Offers a step-by-step approach to diagnosis and treatment planning Includes clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; OB-GYN; Pediatrics.

2017 Choice Outstanding Academic Title With over forty years of experience as a sought after diagnostician, Dr. Stuart Mushlin has cracked his share of medical mysteries, ones in which there are bigger gambles than playing the ponies at the track. Some of his patients show up with puzzling symptoms, calling for savvy medical detective work. Others seem to present cut-and-dry cases, but they turn out to be suffering from rare or serious conditions.   In Playing the Ponies and Other Medical Mysteries Solved, Dr. Mushlin shares some of the most intriguing cases he has encountered, revealing the twists and turns of each patient’s diagnosis and treatment process. Along the way, he imparts the secrets to his success as a medical detective—not specialized high-tech equipment, but time-honored techniques like closely observing, touching, and listening to patients. He also candidly describes cases where he got things wrong, providing readers with honest insights into both the joys and dilemmas of his job.      Dr. Mushlin does not just treat diseases; he treats people. And this is not just a book about the ailments he diagnosed; it is also about the scared, uncertain, ailing individuals he helped in the process. Filled with real-life medical stories you’ll have to read to believe, Playing the Ponies is both a suspenseful page-turner and a heartfelt reflection on a life spent caring for patients. 

The author presents a new approach to the therapy of stuttering. Instead of accepting stuttering and trying to make it more fluent, he prefers to motivate a patient to effectively battle the condition. This book presents a theoretical basis for such an approach and offers diagnostic tools, including normalized and standardized scales as well as questionnaires for examining patients with stuttering in different age groups. While guest authors review research on the effects of pharmacotherapy, which is regarded as controversial by many, the author focuses on discussing the approach and achievements of Central and Eastern European therapists which have not been heard of in the USA and Western European countries. He supports systemic therapy which affects all the basic stuttering factors, i.e. speech disfluency, logophobia, muscle tension and interpersonal communication in a comprehensive way. Speech disfluency is not regarded as a problem, but merely as an obstacle on the way to accomplish a patients personal goals. The author presents particular methods for solving the problems of patients with stuttering and considers motivation to therapy important, though it is reduced due to the acceptance of the disorder. Although he supports using natural speech in the course of therapy, he does not reject other techniques. On the contrary, the author believes that therapeutic methods should be adjusted to the needs and abilities of a patient instead of forcing said patient to use a method simply because it is universal. The author believes therapies are subjective to the patient in question. Additionally, the author is optimistic and encourages both therapists and patients to share his optimism as well.

Second Edition was a winner of the AJN Award! ""Unique to this book, and what sets it apart from other books on simulations and clinical scenarios, are the personal experiences...that the authors bring to the chapters. The authors' passion, enthusiasm, and inspiration are truly reflected and demonstrated in each chapter. Authors talk about lessons learned, teaching strategies, and in-depth research... Key highlights in the book include the practice application of how to develop, implement, and evaluate clinical simulations in your nursing program. The authors make understanding simulation pedagogy an easy journey and one that is exciting that educators will want to try and embrace even when there is hesitation and uncertainty."" - Pamela R. Jeffries, PhD, RN, FAAN, ANEF; Professor, Dean; George Washington University School of Nursing; From the Foreword When employed as a substitute for real clinical time, simulation scenarios have proven effective in bridging the gap between theory and practice. Written by educators for educators, this book provides all the knowledge, skills, and tools needed to make simulation feasible, enjoyable, and meaningful for students. In this edition, there are 25 new chapters, 20 of them scenarios for all levels and specialties, and 11 of those representing interprofessional education and team training. This acclaimed text for nursing faculty provides detailed, step-by-step guidance on all aspects of clinical simulation. Each scenario is broken down into objectives, pre-scenario checklists, implementation plans, evaluation criteria, debriefing guidelines, and recommendations for further use. Replete with diverse scenarios, this comprehensive resource covers geriatric, pediatric, trauma, obstetric, and community-based patient scenarios. Chapters cover all levels of nursing students from pre-licensure to doctoral level, and contain the authors' own advice and experiences working in simulation around the globe. All scenarios have been updated to adhere to the new best practice simulation standards for design, facilitator and participant criteria, interprofessional criteria, and debriefing processes. A template for creating scenarios spans the text and includes student preparation materials, forms to enhance the realness of the scenario, and checklists for practice assessment and evaluation. The revised edition now includes scenarios easily adaptable to an instructor's own lab, an international perspective, and a section on graduate nursing education and eleven new interdisciplinary clinical scenarios. New to the third edition: 20 brand-new scenarios in anesthesia, midwifery, pediatric, disaster, and other specialty focused situations, plus five new chapters Updated to encompass new simulation pedagogy including best practice standards New scenarios easily adapted to an instructor's own lab Integrating disability into nursing education with standardized patients and the use of IV simulations Interprofessional and international scenarios focused on areas of global concern: obstetric hemorrhage, neonatal hypoglycemia, deteriorating patients A new section on how to ""write like a nurse"" in clinical simulation environments Teaching and evaluating therapeutic communication with a review of instruments for assessment Key Features: Includes information on how to integrate simulation into curricula Addresses conceptual and theoretical foundations of simulation in nursing education, including an expanded chapter on the Framework for Simulation Learning in Nursing Education Includes a wide variety of practical scenarios in ready-to-use format with instructions Provides a template for scenario development Delivers recommendations for integration of point-of-care decision-making tools Offers opportunities for enhancing complexity, incorporating interprofessional competencies, and debriefing guidelines Provides insight into pedagogical intergration of simulation throughout every aspect of the nursing curriculum with scenarios mapped to North American standards and the NCLEX-RN Blueprint Includes details on: learning lab and staff development from fundraising and building a lab (Ch. 6), to placement of AV (Ch. 7) to faculty development (Ch. 5) and self-assessment for certification and accreditation (Ch. 54). A trauma-informed approach to women's health (Ch. 33) Scenarios with authors from North America (USA & Canada), Brazil, and Hong Kong

Tumors often start out as a benign growth, but gradually progress toward the malignant stage over a relatively long period of time. Tumor progression results from accumulated genetic mutations and inheritable epigenetic modifications that enable clonal evolution and selection of new clonal populations of tumor cells with aggressive characteristics including metastasis and therapy resistance. Increasing amounts of experimental evidence suggests that tumor microenvironment play a significant role in directing clonal evolution and determining clonal cell fate, which eventually leads to emergence of malignant tumor cell clones. Hypoxia is the most commonly observed feature of tumor microenvironment. Tumor hypoxia is significantly associated with malignant progression and predicts poor patient outcomes. This book provides detailed and up-to-date treaties on the role of hypoxia as a major driving force in tumor microenvironment to elicit cellular adaptation and clonal selection via genetic mutations and epigenetic modifications, to facilitate cancer stem cell maintenance, to enhance metastasis, to augment therapy resistance, and to evade immune surveillance.

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 1: Light - Tissue Interaction features eleven chapters, five of which focus on the fundamental physics of light propagation in turbid media such as biological tissues. The six following chapters introduce near-infrared techniques for the optical study of tissues and provide a snapshot of current applications and developments in this dynamic and exciting field. Topics include the scattering of light in disperse systems, the optics of blood, tissue phantoms, a comparison between time-resolved and continuous-wave methods, and optoacoustics. 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.

Chronic liver disease is one of the most prevalent diseases in the developed world. The large amount of new knowledge has resulted in subspecialities, even in issues such as hepatology. Thus every day, it is more difficult to access all relevant information that is being published. Additionally, biomolecular techniques lead to a level of complexity that is only beneficial when dealt with by professionals. This book attempts to give a broad overview of the molecular biology of the liver, emphasizing how this knowledge is the basis of further treatment. Thus, pathophysiology and therapies are updated in viral hepatitis, hepatic encephalopathy and portal hypertension, among others. However, appended issues that apparently are less relevant such as the stem cell and endocannabinoids are included. These two issues will soon be of importance due to their close relationship with the liver tissue and especially with liver disease. There are also new paradigms such as cell death and the implication of the extracellular matrix, which are also addressed. In addition, important issues such as the stellate cells and their intimate relationship with fibrogenesis are treated in-depth. Also the fundamental role of endothelin in chronic liver disease is examined. Because of its prevalence, NASH was discussed with special interest, with a focus on the process from fatty liver to molecular biology of liver cells and metabolism in chronic liver disease. The authors believe that this is a broad vision that describes the basic pathophysiological mechanisms shared by many liver diseases, giving rational support for specific therapies.

This book is a practical guide to the diagnosis of respiratory disorders, helping clinicians recognise signs and symptoms, decide on the most appropriate diagnostic tests, and to interpret the results. Divided into four sections, the book covers respiratory system assessment, evaluation of respiratory function, diagnostic imaging, and invasive diagnostic techniques. The imaging section includes radiograph, computed tomography, angiography, and ultrasonography. The invasive diagnostic procedures section covers bronchoscopy, lung biopsy, transbronchial needle aspiration and more. Video-assisted thoracic surgery as a diagnostic tool is also discussed. Authored by recognised expert Professor Claudio Sorino from University of Palermo, this useful manual is enhanced by clinical images and figures. Key Points Practical guide to diagnosis of respiratory disorders Helps clinicians recognise signs and symptoms, choose appropriate diagnostic tests and interpret results Includes chapter on video-assisted thoracic surgery as a diagnostic tool Authored by recognised expert from University of Palermo

Ascites can result from malignant and non-malignant diseases. The most common cause of non-malignant ascites is related to hepatic cirrhosis. Malignant ascites is associated with a variety of primary tumors and account for 10% of all causes of ascites. This book provides research on the aetiology, symptoms and treatment of ascites. Chapter One summarizes the immune response mechanisms involved in the pathogenesis of human liver cirrhosis at the cellular and molecular levels. Chapter Two summarizes the new findings about the immune response mechanisms and the consequent inflammatory status involved in the pathogenesis of human liver cirrhosis, related with the aetiology, at the cellular and molecular levels. Chapter Three addresses the mechanism of malignant ascites production and covers all clinical aspects of tunneled catheters and tunneled ports including indication, contraindication, device design, technical procedure considerations and, complication. Chapter Four reports information about the management of malignant ascites in ovarian cancer and discusses the involvement of malignant ascites in dissemination, angiogenesis, migration, invasion and apoptosis of ovarian cancer cells.

This pocket reference guide covers the routine and special tests audiologists must conduct and interpret in their practices. Disorders such as nonorganic hearing loss, middle and inner ear disorders, and systemic disorders are covered with a separate chapter set aside for audiogram examples are covered in the middle section. The final chapter is devoted to medical referral decision-making criteria.The audiologist that has this handy guide in his or her pocket will have a valuable and quick reference for every day audiologic diagnosis and referral!Key features:*Concise and approachable outline format for quick reference*Small size for ease of portability*Over 75 figures and tables to enhance the content

A complete how-to guide for incorporating genomics into all applicable areas of clinical medicine Precision Medicine: A Guide to Genomics in Clinical Practice is a comprehensive, yet succinct overview of the practice of genomic medicine. It is written for general healthcare practitioners, specialists, and trainees with the goal of providing detailed guidance on how to incorporate genomic medicine into daily practice. To be as clinically relevant as possible, the book intentionally avoids excessive technical content and consistently emphasizes real-life patient care and decision support. Precision Medicine: A Guide to Genomics in Clinical Practice follows the course of a human life, beginning before conception through pregnancy, childhood, and adulthood, discussing the current and future applications of genomics and precision medicine at each stage. This organization allows healthcare providers to easily find the information relevant to their practice. Throughout, the authors highlight common pitfalls - technical and ethical - that might complicate the delivery of quality genomic healthcare. The book is enhanced by eleven valuable appendices that cover important topics ranging from the basics of genetics to ethical issues to regulation and reimbursement. If you are searching for a clinically relevant, non-technical resource that will teach you how genomic medicine can and should be practiced in your specific field of interest, Precision Medicine: A Guide to Genomics in Clinical Practice belongs on your desk.

Assessment and monitoring are fundamental aspects of the care of the acutely ill child, especially in high dependency areas and critical care units. Clinical Assessment and Monitoring in Children is a practical, introductory guide which provides detailed information on assessment and monitoring techniques, including physical assessment, physiological monitoring and an appraisal of additional assessment tools to enable practitioners to develop effective skills.
The book adopts a physical systems approach, discusses assessment strategies and tools (starting with the least invasive and moving to the more complex) and examines how to analyse and apply the information to provide ongoing care. Each chapter explores physical assessment and examination whilst maintaining the focus on the child and the family.
Clinical Assessment and Monitoring in Children assumes no prior knowledge, and provides the knowledge and skills needed to underpin decision-making and provide effective evidence-based care. This is an invaluable resource for all health care practitioners involved in caring for children.
Key Features:
* Explores assessment and monitoring of children from 0 - 16 years
* Draws upon National Service Frameworks and clinical practice guidelines
* Adopts a system by system approach
* Provides knowledge and skills needed to underpin decision-making and provide effective evidence-based care
* Includes hints on trouble-shooting and gaining the child and family's co-operation
* Includes case studies and suggested further reading

Good history taking and physical examination skills are vital for accurate clinical diagnosis. The Link: Pediatric History Taking & Physical Examination guides practitioners in making provisional and definitive diagnoses by analytical thinking. This concise and clearly structured book is divided into 5 sections. The rationale behind taking a child's history is examined first, along with the various types of history that it may be necessary to take. This section includes discussion on pregnancy, delivery, neonatal, breastfeeding and vaccination histories. The book then addresses the approach to, and practicalities of a physical examination. The third section is devoted to the Newborn, whilst the fourth addresses differential and provisional diagnosis through case studies. The concluding section concerns the importance of factual knowledge in history taking and physical examination. The author's experience of applying knowledge from basic sciences to the practice of history taking and physical examination is an invaluable reference point. With succinct guidance and over 250 images and illustrations, this book is an essential resource for students and practitioners of paediatric care. Key Points Highly illustrated with 121 illustrations and 131 images Emphasis on analytic thinking and use of factual knowledge Includes discussion on preventive paediatrics such as breastfeeding and vaccination to enrich the process of diagnosis Brief chapters on the history of the pregnancy, delivery and the neonatal history, and case-studies for reference