Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system helps you understand essential concepts instead of memorizing facts.

    It provides hints, tips and practical advice on aspects such as placements, reading research, living as a student and the nursing profession as a whole.

    Despite its relatively narrow focus, it is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared more than 30 years ago, it has remained the classic treatise on the initial approach to abdominal pain. Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high anxiety situation and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 21st Edition, Dr. Silen has again updated the text in a respectful but significant way. He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching

    Completely and utterly blissed. That's really what separates the men from the boys, Mr. Kingsley. Sex as an art form versus f**king for a release." ~ Kathryn. NYC playboy Adam Kingsley is a man who lives for himself until he meets Kathryn Delcour a beautiful socialite he can't live without. Adam tells their love story in his own words. The lure of ancient sexual practices and a former business partner seeking a deadly revenge mix with Adam's dark past in this page-turning erotic romance."Kathryn's mesmerized me with some kind of tantric magic. I'm bewitched without an ounce of fight left within me. She knows my dilemma, my hesitancy to surrender and loosen the grip I have on my past, and she's won." ~Adam Kingsley(Recommended for mature readers)

     In the conclusion of Little Miami Girl, we left off with Porsha and Antonia trying to come together as family, but is that even possible? Antonia has so much going for herself and not everyone wants to see her successful, including her cousin, Porsha. This book counts down the twenty-five days until Christmas, and all the things that happen in between. Jah has the surprise of a lifetime for his wife, and he just knows that what he gives her isn’t something that could be wrapped up as a Christmas gift. Take one last ride with this little Miami girl and find out exactly how it’s going to go down in Miami for Christmas.

    After all, she prefers the peace of her solidarity. She’s a nerd and would much rather spend her quarantine time reading a great book or playing video games.Oren Breland is a jack of all trades and an entrepreneur at its finest; the one thing he knows how to do is make some money. You want to know what’s not on his skill list? Interacting with women! After one relationship that ended badly, he’s sworn off love entirely. But you know what they say.... when you make plans, God laughs.After a heated exchange over toilet paper, Oren and Knansie have left horrible tastes in each other’s mouths. Having to fight fire with fire, neither one of them expect their spark to turn into something romantic but it does and it’s all the way lit!After the quarantine is over and everyone goes back to their normal lives, will Oren and Knansie still feel that fire for each other? Or is their flame going to fizzle forever?

    But a terrible event changes everything for her. Marj cooks and waits tables at the wine bar, under the watchful eye of Martin, a chef of undoubted genius, despite his passion for women. Why has he never noticed Marj, though?As the shopkeepers struggle to make a living, each of them finds their life changing over the course of one eventful year.

    

    But when the war is over they find themselves faced with new problems, not least of which is Baz Paxton, whose ambitions extend beyond the pub. Nina falls for his charms, but there's heartbreak ahead when she discovers she is pregnant with Baz's child...

    

    

    Peter Sykes lifts the lid on the good, the bad and the ugly in the NHS, based on real-life situations from his 40 years experience at the sharp end of medical practice.Some of these stories will make you laugh, a few will make you cry and others have a surprising twist in the tail.They feature patients, doctors and nurses, blood, sweat and toil, life and death, heartache and joy.

    

    This book contains interconnected short stories in which the doctors, nurses and other staff members attempt to keep separate these two spheres of their lives, for to allow them to overlap would make their lives even more difficult. Pain, tragedy, humor and compassion fill these pages as events unfold and the characters struggle to maintain equilibrium; the author is a retired ER nurse, and these stories are all based on real people and incidents.

     Since being left in the custody of her abusive step-father, her life had gone from being a mere blur to something of a perpetual nightmare. Forced to endure the kinds of depravities that would shock even the most hardened of therapists, she had become too scared to even contemplate running away. But there comes a point in every such situation where the victim no longer has anything to lose. A point where the will to escape trumps the will to live. This book is that point. This is her shocking true story. DISCLAIMER: This book is based upon a true story of child abuse, and as such contains passages that some readers may find disturbing.