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

    

    Adam Brochert, MD-who scored in the 99th percentile on the Step 2 USMLE-and Theodore X. O'Connell, MD-author of several review and clinical reference books-present essential questions and answers covering the important concepts you need to know to score well on the USMLE Step 2 exam: key conditions you will be expected to recognize, all specialty and subspecialty topics, and necessary clinical concepts.Learn the most important questions and answers with the proven format of the highly acclaimed Secrets Series.Master all specialty and subspecialty topics covered on Step 2.Identify key facts and secrets using the Top 100 Secrets chapter.Review material quickly and easily thanks to bulleted lists, algorithms, and illustrations.Apply the pearls, tips, memory aids, and secrets from well-known and highly popular authors, Adam Brochert, MD and Theodore X. O'Connell, MD. Find information quickly with a second color highlighting chapter and section titles, legends, bullets and icons, and key terms.Consult the book wherever you go thanks to the portable size that fits in your lab coat pocket.

    That substance is vitamin D3. While it is called a vitamin, D3 is really a hormone. It was first used to treat a childhood bone disease called rickets. And, nearly all the research on the benefits of vitamin D3 has been done at doses that are 80 times lower than the optimal doses described in this book. This ground-breaking book is your opportunity to regain your health quickly, safely and easily. In The Optimal Dose, he reveals how vitamin D3 saved his own life when all else failed and explains how this essential vitamin is key to finding answers to your own health questions and challenges.

    

    But time in the wards is limited, and clerkship covers only a tiny sample of the surgical universe. Dr. Pestana's Surgery Notes, by distinguished surgery instructor Dr. Carlos Pestana, is a proven guide to ensure your surgical knowledge. With a concise, comprehensive review and 180 high-yield surgical vignettes for self-testing, it contains the surgery knowledge you need to excel on the Surgery shelf exam and USMLE Step 2 CK.Features:— Concise high-yield review of core surgery material— 180 vignettes for self-testing— Used by med students for over a decade— Fully up-to-date— Pocket-sized to carry with you in the wards

    Includes a clear and concise explanation of the runes and their placement and significance in the runic alphabet. Introduces the use of runes in counseling and healing of others.

    Married to Ashokasundari, the beautiful daughter of Shiva and Parvati, he was elected to be the king of heaven and then his mortal mind succumbed to the sin of pride. The stories of Nahusha are taken from the Padma Purana and the Mahabharata.

    BREATHE FIRE.Raised to be a warrior, seventeen-year-old Eelyn fights alongside her Aska clansmen in an ancient, rivalry against the Riki clan. Her life is brutal but simple: fight and survive. Until the day she sees the impossible on the battlefield—her brother, fighting with the enemy—the brother she watched die five years ago.Faced with her brother's betrayal, she must survive the winter in the mountains with the Riki, in a village where every neighbor is an enemy, every battle scar possibly one she delivered. But when the Riki village is raided by a ruthless clan thought to be a legend, Eelyn is even more desperate to get back to her beloved family.She is given no choice but to trust Fiske, her brother’s friend, who sees her as a threat. They must do the impossible: unite the clans to fight together, or risk being slaughtered one by one. Driven by a love for her clan and her growing love for Fiske, Eelyn must confront her own definition of loyalty and family while daring to put her faith in the people she’s spent her life hating.

    When her estranged husband suddenly commits suicide she realizes that things wouldn’t be the same again…Shrikanth thought that he was a confirmed bachelor but when his mother refused to get herself treated for cancer unless he got married, he had to get a bride in a hurry.She needed a husband in name, to save her career while he needed to marry to please his mother. Will they find love second time around? Will they lower their shields and succumb to a mutual passion?

    Susan Macqueen was 12 years old when she accompanied her mother to see her friend Ms. Fairweather, the matron at the local nursing home, and from that day on she knew she wanted to be a nurse. A few years later, despite being told that her grades weren't good enough, Susan was accepted on the three-year nurses training course at Addenbooke's hospital in Cambridge. It wasn't long before Susan knew she wanted to work with children and set her sights on a job at Great Ormond Street. Thirty-five years later, on her third attempt, Susan has finally retired from that iconic hospital and is enjoying a more leisurely pace of life. Hope, despair, laughter, and tears, Susan's stories move the reader through the incredible stories that she was faced with on an every day basis.

    It is uniquely designed to help students master pharmacology both in class and in preparing for the NCLEX(R) examination. It will also benefit practicing nurses who'd like a refresher and memory device on pharmacology. Using a wide variety of learning aids, humor, illustrations, and mnemonics, it covers topics including administration, antibiotics, antivirals, anticoagulants, cardiac drugs, CNS drugs, diuretics, endocrine drugs, GI drugs, musculoskeletal drugs, OB drugs, pain, psychiatric drugs, and pulmonary drugs.Features 91 full-color illustrated mnemonics on individual drug topics and key drugs.Offers durability and portability with spiral-bound format and removable cards on sturdy stock.Perforated cards may be used as is, in spiral-bound notebook or removed for use as individual flash cards, which allows the reader flexibility when studying.Topics are listed alphabetically for quick reference.Offers easy referral, with tabs and color cover guide using a different color for each topic.Concise What You Need to Know drug monographs on the back of each image include quick information on drug action, use, contraindications/precautions, side effects, and nursing implications.

    But when Grayson Park's bride leaves him at the altar, a solo trip to paradise seems like just the thing to take him far from his troubles. Then he meets the beautiful and enigmatic Hi'iaka, and his troubles just begin--because when she's abducted by the sinister Kamapua'a, a savage creature bent on draining her life by the light of the full moon, she calls on Grayson to rescue her. With his loyal, new-found Hawaiian friend Polunu as his steadfast guide, Grayson sets out on an incredible adventure that pits him against the very gods of Hawaiian mythology and leads him to the heart of Pele's volcano, into the ocean to find the mythical Hook of Maui, and through the strange and brutal upcountry fleeing from demonic mo'o sent to destroy him. But there are only two nights left before the moon becomes full, and Grayson is running out of time to save Hi'iaka...and himself.

     This book covers:   * how to do your own prenatal care * common discomforts in pregnancy * herbal and homeopathy uses * supplies you need for your birth * labor stages and how to manage them * birth affirmations * avoiding issues and complications   * what to do for emergencies * postpartum care for mom and baby * how to register you baby with the state * unassisted birth stories This book is packed with photographs!! A MUST HAVE, especially in places that have little to no access to quality medical care/hospitals near the birthing mother. Reviews:  "I find this book to be an invaluable resource manual for everything you need to know to have a healthy, safe, unassisted home birth! I love the sections on herbs and homeopathics, and that every needful topic was included and written in a clear and easy to understand manner. I'll definitely reference this book during my next freebirth. It's like having a midwife on your bookshelf! "A valuable resource to prepare for your freebirth" “This book shows you how to freebirth. Giving you the information you need to control your birth and have peace with that decision.” “This is the book every pregnant woman, whether she decides to birth unassisted or not, should have in her library. It is extremely informative, yet inspiring and empowering.”  ~Julia, Labor Assistant “Home Birth On Your Own Terms is a great first stop on your journey to having an unassisted birth. If only every birthing person could know this option, and assess for themselves if this is a safe, viable option for them. Home Birth On Your Own Terms provides confidence through first-hand accounts of births AND the appropriate precautions for people to make the best choices for their birth. For anyone considering their birth options, this is an eye opener to see beyond the systemically prescribed birthing process. This book gives another perspective on what is absolutely possible, empowering, safe and healthy births.” ~ Vera Kevic, Doula “A wealth of information in one place.” "With the ever climbing epidemic of birth violence inflicted by medical professionals and the constraints birth attendants now have upon them, it’s no surprise that parents are taking a stand and birthing the way they so desire."

    Whether you work in emergency medicine, or just want to be prepared, this book will be your essential guide.Following the latest clinical guidelines and evidence, written and reviewed by experts, this handbook will ensure you are up-to-date and have the confidence to deal with all emergency presentations, practices, and procedures. Following the latest developments in the field, such as infection control, DNR orders, advanced directives and learning disability. The book also includes new sections specifically outlining patient advice and information, as well as new and revised vital information on paediatrics and psychiatry. For all junior doctors, specialist nurses, paramedics, clinical students, GPs and other allied health professionals, this rapid-reference handbook will become a vital companion for both study and practice.