By Dennis L. Kasper
The hot colour OF MEDICINE
HUNDREDS OF DIAGRAMS AND medical pictures built-in INTO THE textual content – FOR the 1st TIME IN complete COLOR
*This description refers back to the single-volume of Harrison's rules of inner drugs, 16/e.
The Harrison's identify is synonymous with inner medication. HPIM is still the main authoritative and no 1 promoting clinical textbook during the international. From its precise part on symptoms via to the main accomplished assurance of so much all stipulations noticeable through physician’s, Harrison's is the interior drugs reference of selection. Harrison's sixteenth variation good points new, extended, revised and up-to-date fabric at the key issues in scientific perform this present day. From the most recent learn findings to up to date advances in diagnostic and remedy methodologies, Harrison's places the evidence you wish at your fingertips.
The sixteenth variation improves on a profitable formulation with:
*State-of-the-art assurance of over 4,700 ailments and disorders—more than the other inner medication textual content – within the components of oncology and hematology; infectious ailments; cardiology; pulmonology; gastroenterology; scientific immunology; rheumatology; endocrinology; and neurology
*A fresh complete colour format—665 complete colour drawings, a hundred seventy five medical and laboratory photos, and hundreds of thousands of bins, tables, and algorithms that use colour to lead you to the knowledge you wish ASAP in daily sufferer care
*Thorough revision and updates of just about all chapters
*The addition of key new chapters – together with large new assurance of serious Care Medicine
*145 algorithms for making exact medical judgements quickly on the aspect of care
*1,160 easy-access tables for instant entry to very important details and formulas
*Cardinal manifestations of disease/signs and indicators in fifty five chapters (you’ll end up turning to this part repeatedly again). the following you can find the entire significant manifestations, similar to fever, soreness, aches and rash, awarded extensive, with a referral that takes you to the ailment part for the full chapter.
Stay a step prior to daily perform with the main authoritative, entire, and priceless advisor to the full spectrum of inner medication.
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Additional info for Harrison's Principles of Internal Medicine 16th Edition
An important aspect of patient care involves an appreciation of the “quality of life,” a subjective assessment of what each patient values most. Such an assessment requires detailed, sometimes intimate knowledge of the patient, which can usually be obtained only through deliberate, unhurried, and often repeated conversations. It is in these situations that the time constraints of a managed-care setting may prove particularly problematic. Time pressures will always threaten these interactions but do not diminish the importance of understanding patients’ priorities from their point of view.
The patient should, at some early point, have the opportunity to tell his or her own story of the illness without frequent interruption and, when appropriate, receive expressions of interest, encouragement, and empathy from the physician. Any event related by the patient, however trivial or apparently remote, may be the key to the solution of the medical problem. In general, only patients who feel comfortable will provide the physician with complete information. An informative history is more than an orderly listing of symptoms; something is always gained by listening to patients and noting the way in which they describe their symptoms.
For example, the experienced clinician may recall 20 elderly patients seen over the past few years who presented with painless dyspnea of acute onset and were found to have acute myocardial infarction. The novice clinician may spend valuable time seeking a pulmonary cause for the symptoms before considering and discovering the cardiac diagnosis. In this situation, the patient’s clinical pattern does not ﬁt the expected pattern of acute myocardial infarction, but experience with this atypical presentation, and the ability to recall it, can help direct the physician to the diagnosis.
Harrison's Principles of Internal Medicine 16th Edition by Dennis L. Kasper