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

    What she and her family got was an introduction to what many think is the country’s next great health crisis.

    The DOs chronicles the development of this controversial medical movement from the nineteenth century to the present. Historian Norman Gevitz describes the philosophy and practice of osteopathy, as well as its impact on medical care. From the theories underlying the use of spinal manipulation developed by osteopathy's founder, Andrew Taylor Still, Gevitz traces the movement's early success, despite attacks from the orthodox medical community, and details the internal struggles to broaden osteopathy's scope to include the full range of pharmaceuticals and surgery. He also recounts the efforts of osteopathic colleges to achieve parity with institutions granting M.D. degrees and looks at the continuing effort by osteopathic physicians and surgeons to achieve greater recognition and visibility.In print continuously since 1982, The DOs has now been thoroughly updated and expanded to include two new chapters addressing recent and current challenges and to bring the history of the profession up to the beginning of the new millennium.

    Why would a man, married to an attractive young woman, want to sexually assault and murder innocent little girls?In the late 1960s, Cannock Chase in Staffordshire became the centre of the biggest murder hunt in Britain.The bodies of five year old Diane Tift, six year old Margaret Reynolds, and seven year old Christine Darby were found dumped there.The killer thought he was cleverer than the police and slipped through the net four times.He would have continued with the killings but he made a big mistake.Find out what happened and how the police eventually caught up with him.

    As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans.

    Throughout her tumultuous childhood, Anna found for a life of normalcy and despite the death of her older sister, France—who succumbed to the same disease—Anna pursued her dream to live a long, productive life with courage, determination and hope.

    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.

    And, should you ever get to hold one, you will find the human heart to be rubbery and shockingly light.'What Could Possibly Go Wrong? is a report from the front line of emergency medicine, the first ever account of what it is like to work as an air ambulance doctor. Whether describing cutting through a patient's breastbone to plug a stab wound or barrel rolling a light aircraft at 5,000 feet, Tony Bleetman captures the sheer adrenaline of racing through the sky to save lives. You will learn how to land a helicopter on the side of a mountain, what it means to encounter death every day, and how to perform a tracheotomy in real life (clue: it doesn’t involve a ball-point pen).Funny, shocking and moving, What Could Possibly Go Wrong? is a glimpse at a world where the wrong decision can mean the difference between life and death.Originally published as You Can't Park There: The Highs and Lows of an Air Ambulance Doctor.

    The cases presented are somewhat graphic though I have attempted to minimize the technical aspects in the interest of not bogging down the reader with too much information. Since this is a work of nonfiction I have not spent a great deal of time with character development choosing instead to present the patients in much the same way an ER doctor sees them. When the volume and the acuity went up there was barely time to glance at the name on the chart. The patient's chief complaint became the starting and ending point for the physician's interaction with them. There was rarely time for niceties and in all likelihood the patient and doctor would never meet again, with the doctor- patient relationship reduced to; admit them, send them home or send them to the morgue.

    

    Yet, when it comes to diagnosing difficult cases, the clinician’s strongest asset might just be one of the oldest tools of the medical profession—careful listening. True Medical Detective Stories is a fascinating compendium of nineteen true-life medical cases, each solved by clinical deduction and facilitated by careful listening. These accounts present puzzling low-tech cases—most of them serious, some humorous—that were solved either at the bedside or by epidemiological studies. Dr. Clifton Meador’s book is a wonderful contribution to the genre of medical detective stories mastered by the legendary Berton Roueché. As a staff writer at The New Yorker from 1944 until his death fifty years later, Roueché popularized this form, which has provided source material for feature films and most recently supplied scenarios featured in medical television dramas, such as House. While Hollywood frequently oversimplifies and elides the real clinical situations, True Medical Detective Stories sets the record straight with a voice of authority and an engaging style rooted in the fact that most of the cases presented involve Dr. Meador’s actual patients. Dr. Meador discovered Berton Roueché’s writing as a teenager, when he first read Eleven Blue Men. In an astonishing twist of fate, Roueché, in later years, traveled to Nashville to meet with Dr. Meador and discuss one of his cases, with Roueché’s account published posthumously under the title, The Man Who Grew Two Breasts. In a fitting tribute to Roueché, this perplexing case is revisited by Dr. Meador in the opening chapter of this highly enjoyable book. True Medical Detective Stories is a captivating read that will keep you marveling over the idiosyncrasies of the human body and the ingenuity of the human mind.

    Constantly changing policies. Increasing bureaucratic regulations. These are just a few of the challenges health care providers face every day; challenges that limit the ability to provide excellent patient care. Marcus' insights will give health care providers new and essential strategies to rediscover the magic and compassion between caregiver and patient.

    Written in a concise, bulleted outline format, this well-illustrated text offers 500 USMLE-style review questions, answers, and explanations and features comprehensive content and upgraded USMLE Step 1 information.

    When you think about the kind of guy you are going to marry, a Romany living in an old caravan does not normally come to mind! Can't think why, can you?! So, there I was. 19 years old and fed up with 'normal' guys who only wanted one thing. Yep you guessed it! But then.... along comes this guy, tall, skinny, bad hair, ugly/handsome..... did I say bad hair? Oh yes! And that was just the beginning! But little did I know that he was a gypsy! Oh boy! Gypsies and gorgi's don't mix.....do they? I was about to find out! Honest, raw, colourful, and downright hilarious! Based on the true story of Nell Rose Loveridge and Jake her gypsy rover!

    Have you ever wondered what nurses do behind closed curtains? Nursing has evolved from the abstract image of its predecessors wearing the perfect cap atop a perfectly shaped bun. This unveiling will give you a glimpse into their world. From their perspective. It doesn’t always match the vision of Florence Nightingale sitting and praying over the patient for a speedy recovery. What you will discover in this true account may shock some, and enlighten many—whether it’s about the nurses who have to protect themselves from that angry patient throwing unmentionables at them, or the ones being threatened by the use of excrements as a weapon. Health care is changing at a rapid speed that only CEO’s can keep up with. Bedside nursing has gone beyond the bounds of possibility. The many tasks and activities—along with increased acuity’s—creates an insurmountable work load. Nurses are a unique group, not divided by race, age, or religion. We are united by our humanity, and it takes a special disposition to fulfill this calling.