This text is organized according to the developmental lifespan, beginning with childhood and adolescence, encompassing a focus on the reproductive years, and progressing through adulthood and the mature, senior years.
• Evidence-based recommendations
• Culturally related aspects of each condition
• Conservative and pharmacologic therapies
• Complementary and alternative therapies when relevant
• Suggestions for collaborations with other health care providers
• Attention to the mental and behavioral health of patients as solitary as well as comorbid conditions
• Recognition of impact of illness on the family
• Patient education information
• End-of-life issues
Its purpose is to make screening, prevention, and management recommendations readily accessible and available for clinical decision making. The recommendations included are issued by governmental agencies, expert panels, medical specialty organizations, and other professional and scientific organizations
New screening and prevention guidelines have been added for the following topics:
■Osteoporotic hip fracture prevention
Disease Management Guidelines with new or major updates include:
■Alcohol dependence management
■Heart failure management
■Hypertension in children and adolescents
■Obesity management in adults and children
■Perioperative cardiovascular evaluation
A comprehensive text thoroughly revised and substantially expanded providing clear guidelines for diagnosing and managing acute and chronic illnesses regularly seen in family practice. The sixth edition continues to present the family practice approach to health care while retaining the clinical focus. New chapters cover Family Issues in Health Care, Selected Problems in Aging, Home Care, Medical Informatics, the Internet and Telemedicine, as well as the lastet news on Hormone Replacement Therapy and the timely area of Bioterrorism. A new section titled The Future of Family Medicine has been added. In addition, new topics are covered within other chapters, such as autistic spectrum disorderm HIV and AIDS in infants and children, Hantavirus infection, ischemic bowel syndromes, the human genome and helping patients with Medicare. All chapters are completely updated and include new clinical guidelines as well as traditional and Web-based references.
Diseases and disorders -- Differential diagnosis -- Clinical algorithms -- Laboratory tests and interpretation of results -- Clinical practice guidelines -- Dietary supplements: what every primary care provider should know -- Overview of selected natural products -- Natural products and drug interactions -- Definitions of complementary and alternative medicine terms -- Relaxation techniques -- Primary care procedures.
art I. The specialty of hospital medicine and systems of care -- Section 1. Key issues in hospital medicine -- Section 2. Patient safety -- Section 3. Quality improvement -- Section 4. Leadership and practice management skills -- Section 5. Professionalism and medical ethics -- Section 6. Medical legal issues and risk management -- Section 7. Teaching and development -- Part II. Medical consultation and co-management -- Section 1. Core tenets of medical consultation -- Section 2. Key issues relating to surgery -- Section 3. Anesthesia -- Section 4. Perioperative assessment and management -- Section 5. Perioperative antithrombotic management and prevention -- Section 6. Medical management of neurosurgical patients -- Section 7. Medical management of orthopedic surgery patients -- Section 8. Bariatric surgery -- Part III. Clinical problem-solving in hospital medicine -- Part IV. Approach to the patient at the bedside -- Part V. Hospitalist skills -- Section 1. Interpretation of common tests -- Section 2. Optimizing utilization of radiology services -- Section 3. Procedures -- Part VI. Clinical conditions -- Section 1. Emergency medicine -- Section 2. Cardiovascular medicine -- Section 3. Critical care -- Section 4. Dermatology -- Section 5. Endocrinology -- Section 6. Gastroenterology -- Section 7. Geriatrics -- Section 8. Hematology -- Section 9. Oncology -- Section 10. Infectious disease -- Section 11. Neurology -- Section 12. Palliative care -- Section 13. Pregnancy -- Section 14. Psychiatry -- Section 15. Addiction -- Section 16. Pulmonary and allergy immunology -- Section 17. Renal -- Section 18. Rheumatology -- Section 19. Vascular medicine -- Section 20. Wartime medicine.
Principles of family medicine -- The family physician -- The patient-centered medical home -- Psychosocial influences on health -- Care of the elderly patient -- Care of the dying patient -- Preventive health care -- Lifestyle interventions and behavior change -- Interpreting the medical literature: applying evidence-based medicine in practice -- Using health information technology for optimal patient care and service -- Clinical problem solving -- Complementary and alternative medicine: integration into primary care -- Establishing rapport -- Patient education -- Interviewing techniques -- Interpreting laboratory tests -- Practice of family medicine -- Infectious diseases -- Care of the adult HIV-infected patient -- Pulmonary medicine -- Otorhinolaryngology -- Allergy -- Obstetrics -- Care of the newborn -- Growth and development -- Behavioral problems in children and adolescents -- Gynecology -- Contraception -- Cardiovascular disease -- Common office procedures -- Sports medicine -- Common issues in orthopedics -- Back: cervical and thoracolumbar spine -- Rheumatology and musculoskeletal problems -- Dermatology -- Diabetes mellitus -- Endocrinology -- Obesity -- Nutrition and family medicine -- Gastroenterology -- Hematology -- Urinary tract disorders -- Ophthalmology -- Neurology -- Medical human sexuality -- Clinical genetics (genomics) -- Crisis intervention, trauma, and intimate partner violence -- Difficult patients: personality disorders and somatoform complaints -- Anxiety and depression -- Delirium and dementia -- Alcohol use disorders -- Nicotine addiction -- Drug abuse -- Herbs and other dietary supplements.
Since 1927, Goldman’s Cecil Medicine has been the world’s most influential internal medicine reference. Edited by Lee Goldman, MD and Andrew I. Schafer, MD, with associate editors and contributors who number among the most recognized and respected authorities in the field, Cecil continues to set the standard for all other resources of its kind. This dynamic, multi-media reference - with its practical, straight-forward style, accessible organization, evidence-ranked references, and robust online content - is quite simply the fastest and best place to find all of the authoritative, state-of-the-art clinical answers you need. Definitive, unbiased, evidence-based guidance is at your fingertips in print and online at www.expertconsult.com, with regular updates by Dr. Goldman to ensure that the content is as current as the day the book was published! More successfully than other resources, it lets you optimally understand, diagnose, and treat any medical disorder you encounter in practice. Its focused coverage nimbly integrates the latest developments in biology with current evidence-based diagnosis and therapy - including medication doses.
A differential diagnosis tool. By using the pulldown menu, you can choose to view entries by organ system, or select to view the list of symptoms only, the list of diseases only, or all of the entries. For example, if you wish to review the causes of a patient's chief complaint, simply select the symptom or sign from the alphabetical listing. If you have made a diagnosis and wonder what other disorders to consider, select your diagnosis from the list to see its DDx.
Chapter 1: Measuring the Global Burden of Disease and Risk Factors, 1990–2001
Chapter 2: Demographic and Epidemiological Characteristics of Major Regions, 1990–2001
Chapter 3: The Burden of Disease and Mortality by Condition: Data, Methods, and Results for 2001
Chapter 4: Comparative Quantification of Mortality and Burden of Disease Attributable to Selected Risk Factors
Chapter 5: Sensitivity and Uncertainty Analyses for Burden of Disease and Risk Factor Estimates
Chapter 6: ncorporating Deaths Near the Time of Birth into Estimates of the Global Burden of Disease
Consists of the latest ed. of the basic text of Harrison's principles of internal medicine, sections on clinical trials, updates (and their related references, including abstracts) related to the text and an online pretests section.
HSTAT is part of the expanded Health Services Research Information Program coordinated by NLM’s National Information Center on Health Services Research and Health Care Technology (NICHSR).
Full-text documents that provide health information and support health care decision making. Includes access to: clinical practice guidelines, consumer brochures, evidence reports, and technology assessment reports, as well as reports and protocols.
ction to epidemiology -- Epidemiologic measures -- Patterns of occurrence -- Medical surveillance -- Disease outbreaks -- Diagnostic testing -- Clinical trials -- Cohort studies -- Case-control studies -- Variability & bias -- Epidemiologic studies of genetics -- Clinical decision-making -- Interpretation of epidemiologic literature. Appendix A: Estimation of sample size requirements for randomized controlled clinical trials -- Appendix B: Method for determining the confidence interval around the risk ratio -- Appendix C: The Odds ratio as an estimator of the incidence rate ratio -- Appendix D: Method for determining the confidence interval around the odds ratio.
The field of pediatrics -- Growth, development, and behavior -- Behavioral and psychiatric disorders -- Learning disorders -- Children with special needs -- Nutrition -- Pathophysiology of body fluids and fluid therapy -- Pediatric drug therapy -- The acutely ill child -- Human genetics -- Genetic disorders of metabolism -- The fetus and the neonatal infant -- Adolescent medicine -- Immunology -- Allergic disorders -- Rheumatic diseases of childhood -- Infectious diseases -- Antibiotic therapy -- Gram-positive bacterial infections -- Gram-negative bacterial infections -- Anaerobic bacterial infections -- Mycobacterial infections -- Spirochetal infections -- Mycoplasmal infections -- Chlamydial infections -- Rickettsial infections -- Fungal infections -- Viral infections -- Antiparasitic therapy -- Protozoan diseases -- Helminthic diseases -- The digestive system -- Respiratory system -- The cardiovascular system -- Diseases of the blood -- Cancer and benign tumors -- Nephrology -- Urologic disorders in infants and children -- Gynecologic problems of childhood -- The endocrine system -- The nervous system -- Neuromuscular disorders -- Disorders of the eye -- The ear -- The skin -- Bone and joint disorders -- Environmental health hazards -- Laboratory medicine.
Introduction / Stephen J. McPhee & Gary D. Hammer -- Genetic disease / Gregory Barsh -- Disorders of the immune system / Jeffrey L. Kishiyama -- Infectious diseases / Karen C. Bloch -- Neoplasia / Mark M. Moasser -- Blood disorders / J. Ben Davoren & Sunny Wang -- Nervous system disorders / Catherine Lomen-Hoerth & Robert O. Messing -- Diseases of the skin / Timothy H. McCalmont -- Pulmonary disease / Thomas J. Prendergast, Stephen J. Ruoss, & Eric J. Seeley -- Cardiovascular disorders : heart disease / Fred M. Kusumoto -- Cardiovascular disorders : vascular disease / Igor Mitrovic -- Disorders of the adrenal medulla / Tobias Else, Gary D. Hammer, & Stephen J. McPhee -- Gastrointestinal disease / Jason C. Mills, Thaddeus S. Stappenbeck, & Nigel Bunnett -- Liver disease / Mandana Khalili, Charles E. Liao, & Tung T. Nguyen -- Disorders of the exocrine pancreas / Christopher J. Sonnenday, Diane M. Simeone, & Stephen J. McPhee -- Renal disease / Benjamin D. Parker & Joachim H. Ix -- Disorders of the parathyroids & calcium & phosphorus metabolism / Dolores M. Shoback & Deborah E. Sellmeyer -- Disorders of the endocrine pancreas / Janet L. Funk -- Disorders of the hypothalamus & pituitary gland / Tobias Else & Gary D. Hammer -- Thyroid disease / Douglas C. Bauer & Stephen J. McPhee -- Disorders of the adrenal cortex / Tobias Else, Gary D. Hammer, & Stephen J. McPhee -- Disorders of the female reproductive tract / Karen J. Purcell & Robert N. Taylor -- Disorders of the male reproductive tract / Mikkel Fode ... [et al.] -- Inflammatory rheumatic diseases / Allan C. Gelber, Stuart M. Levine, & Antony Rosen -- Case study answers / Yeong Kwok, Eva M. Aagaard, & Jonathan D. Fuchs.
Anesthesia -- Dermatology -- Aesthetic medicine -- Eyes, ears, nose, and throat -- Cardiovascular and respiratory system procedures -- Gastrointestinal system procedures -- Urinary system procedures -- Male reproductive system -- Gynecology and female reproductive system procedures -- Obstetrics -- Pediatrics -- Orthopedics -- Hospitalist -- Miscellaneous
Sect. 1. Active and passive immunization -- Sect. 2. Recommendations for care of children in special circumstances -- Sect. 3. Summaries of infectious diseases -- Sect. 4. Antimicrobial agents and related therapy -- Sect. 5. Antimicrobial prophylaxis