Medicina

L'espansione e il miglioramento delle tecnologie hanno permesso di studiare al meglio gli organi oggetto dell'esame ecografico

This pocket-sized book is an essential companion for all anaesthetists, intensive care specialists, intensive care nurses or any other healthcare professional working in the perioperative or intensive care environment. It provides a readily available source of information and guidance, mostly in the form of easy-to-follow tables, line drawings and flow diagrams, on many aspects of anaesthesia and intensive care, including normal values for common biochemical and haematological tests (and their interpretation), resuscitation protocols, equipment checklists, paediatric information and dosage differences, ventilation, sedation and analgesia and classification systems such as the APACHE II and Glasgow Coma Scales.

The second edition of Fundamentals of Anaesthesia builds upon the success of the first edition, and encapsulates the modern practice of anaesthesia in a single volume. Written and edited by a team of expert contributors, it provides a comprehensive but easily readable account of all of the information required by the FRCA Primary examination candidate and has been expanded to include more detail on all topics and to include new topics now covered in the examination. As with the previous edition, presentation of information is clear and concise, with the use of lists, tables, summary boxes and line illustrations where necessary to highlght important information and aid the understanding of complex topics. Great care has been taken to ensure an unrivalled consistency of style and presentation throughout.

The prevention of infection in the health care setting remains a key goal for all health care personnel. All healthcare establishments also have a need to continually improve the quality of care they provide and ensure a safe working environment. Health care associated infections lengthen patients' hospital stays and increase both morbidity and mortality. In addition, diagnosing and treating these infections is a costly process and places intense pressure on limited health care resources. The new, updated and significantly expanded edition of the Manual of Infection Control Procedures provides a comprehensive overview of the main aspects of infection control, and gives practical, evidence-based recommendations and easy-to-follow advice on strategies to prevent infection in all care facilities.

This outstanding bench-side atlas describes concisely the common conditions affecting both the blood and bone marrow of adults. It explains the best ways to approach different hematologic preparations and how to interpret them correctly. More than 180 clear images provide examples of normal findings as well as abnormalities and a differential diagnosis of the disease states in which they occur. A Free CD-ROM, featuring downloadable images is included with the book.

Written by leading international experts in cardiac electrophysiology and ablation, and respresents the most contemporary information available on the subject. Each chapter incorporates and reflects the skills accumulated by individual contributors over many years of ablation practice, in some cases dating back to the original, groundbreaking work in ablation over 20 years ago. The book is larger than the first edition, with more and longer chapters, and is replete with figures that explain the individual approaches, including full color examples of relevant imaging techniques. The style is brief and succinct and extremely readable, so that informatin can be digested in a short time.

This book is the first to describe all of the currently available methods of treatment of this common condition. Written by some of the world's leading experts in the field, it allows the reader to easily compare instruments and techniques, and provides them with a comprehensive overview of the subject.

This book is aimed at the General Surgical Trainee who is embarking on Higher Surgical Training (HST) and its structure closely follows the current HST syllabus. It therefore builds on Fundamentals of Surgical Practice to provide the detail required for this readership and in particular, includes full details of all of the operative techniques that the candidate is expected to be familiar with. Fully illustrated throughout, and featuring high quality surgical line drawings, it will be an essential purchase for the candidate embarking on higher surgical training and taking the next important step in their surgical career.

Surgical Treatment of Haemorrhoids is a high level text covering both recent advances and traditional treatments in this field. In 24 chapters, essential elements of diagnosis, surgical technique and after-care for the main operations used in haemorrhoid surgery, are given. This book provides authoritative in-depth presentations of all perspectives and latest techniques available. The individual procedures are each described by an internationally recognised expert, and the full range of treatment options is covered. Surgical Treatment of Haemorrhoids covers an important and common disorder, offering a comprehensive critical analysis of advantages and disadvantages of recognised treatment options. The result is a uniquely comprehensive guide which will prove invaluable to both trainee and practising colorectal and general surgeons. Charles Mann, former President of the Section of Colo-Proctology of the Royal Society of Medicine, is a respected UK coloproctologist who has written extensively on all aspects of coloproctology.

This classification is based primarily on the microscopic characteris- tics of tumours and therefore is concerned with morphologically identifiable cell types and histological patterns as seen with conven- tional light microscopy. The term tumour is used synonymously with neoplasm. The phrase tumour-like is applied to lesions that clinically or morpholog- ically resemble neoplasms but do not behave biologically in a neo- plastic manner. They are included in this publication because they give rise to problems in differential diagnosis and because of the un- clear distinction between neoplasms and certain non-neoplastic le- sions. Synonyms are listed only if they have been widely used or are considered helpful for the understanding of the lesion. In such cases, the preferred term is given first and followed by the synonym. The current revision includes the recognition of a preinvasive le- sion, prostatic intraepithelial neoplasia, which is commonly associat- ed with carcinoma. It also recognises the paracrine-endocrine ele- ments in prostate carcinoma and other subtypes of adenocarcinoma. Although the emphasis of the classification is on histological typ- ing, consideration should also be given to the degree of differentia- tion and nuclear anaplasia, extent of local spread, vascular and lym- phatic invasion, and the occurrence of metastasis. The revision in- cludes grading (p. 14), staging (p. 32), and handling and reporting of the different types of specimens (p. 1).

The modern obstetric anaesthetist must not only provide safe and effective pain-relief in labour and anaesthesia for Caesarean section, but also understand the wider role of the anaesthetist in the management of the pregnant woman. Originally published in 2002, Textbook of Obstetric Anaesthesia is a comprehensive, fully illustrated account of all aspects of modern obstetric anaesthesia. It provides useful, practical, evidence-based information on all aspects of labour ward management. Written by a multidisciplinary team of expert contributors, it features comprehensive chapters covering everything from departmental audit to cutting-edge practice for neonatal resuscitation and administration of mobile epidurals. It will be useful for both the trainee and practising obstetric anaesthetist.

Organized by findings to reflect how radiologists really work, this outstanding new book offers more than 1,950 MR images depicting the congenital and acquired disorders you encounter every day. Along with the magnetic resonance images, findings are presented in tabular format, providing brief summaries of essential demographic, pathologic, and clinical features of each disease. Thousands of high-quality illustrations assist in reaching the correct diagnosis even when you are faced with an abnormal finding. The book is divided into anatomical sections, including: the brain; head and neck; spine; musculoskeletal system; chest; abdomen; and pelvis. You will find coverage of the most common diseases, as well as rare and unusual conditions. All diseases and findings are cross-referenced, providing quick access to desired information. Special features of Differential Diagnosis in Magnetic Resonance Imaging: -Chapters arranged by anatomic location instead of by disease, mirroring the approach you apply in daily practice *Hundreds of helpful tables explaining pathological processes provide quick access to the diagnostic information you need *Each disease accompanied by a description of specific findings, allowing you to differentiate between conditions that have similar appearances -xamples given for the rarest of situations and common everyday cases *More than 1,950 state-of-the-art images, along with detailed diagrams and charts, give helpful examples of the findings you actually see in practice *Extensive cross-referencing of information helps you find the most applicable material for reaching the correct diagnosis Here is the quintessential guide to magnetic resonance imaging that radiologists and other physicians involved in interpreting MR images need to enhance their diagnostic skills. Residents and fellows will use it as an invaluable board preparation tool. Keep this practical text close at hand!

With moves towards improved quality of care and attempts to maximise health care benefit without increasing resources, the outcome of patients following critical illness has become an important focus. There are many aspects to outcome following critical illness and it is vitally important that the correct outcome measure is selected when considering effectiveness or efficiency of critical care. This book covers all aspects of outcome, describing their important advantages and highlighting their weaknesses so that the reader can easily select the most appropriate outcome measure for their particular area of interest.

This book is a comprehensive review of vasculitis, a fascinating array of life-threatening and minor conditions caused by inflammatory syndromes and diseases that affect the blood vessels. It brings together in a unique way, concepts from both the biology and clinical aspects of vasculitis. Research in clinical immunology now invigorates the entire area of vasculitis, and shapes a rational approach to pathogenesis, diagnosis and treatment which is the substance of this text. Over 40 chapters cover known vasculitic conditions, and are illustrated with numerous photographs, diagrams and tables. Some chapters, such as that of aortitis, are brief, and others, such as those devoted to Behcet's disease, are much longer, in keeping with their prevalence. The authors have been chosen based on their unique experiences with vasculitic conditions. Most of these conditions are rare in most areas of the globe, and it is the exceptional clinician who has much experience with more than a few of these; thus, drawing upon authors from all over the world has enabled the editors to provide informed discussions of all of them. The book is illustrated with numerous colour illustrations of clinical manifestations and also contains superb illustrations of invasive and non-invasive imaging. This book is directed primarily at general internists, rheumatologist and clinical immunologists, but will also be of interest to dermatologists, gastroenterologists, pulmonologists, nephrologists, neurologists, pathologists and vascular surgeons.

Atrial fibrillation is a common arrhythmia, difficult to treat pharmacologically and associated with significant morbidity and mortality. Although traditionally prescribed when pharmacologic therapy is not effective, not tolerated, or contraindicated, electrical therapy should no longer be considered as a treatment of last resort. Implantable devices such as cardiac pacemakers and internal defibrillators capable of monitoring atrial tachyarrhythmias have enhanced understanding of the mechanisms and natural history of atrial tachyarrhythmias. This knowledge allows electrical therapy to alter the natural course of atrial tachyarrhythmias early after onset or create an unfavorable electrophysiological environment in circumstances predisposing to their initiation. Thus, electrical therapies are playing an increasingly important role in the overall management of atrial fibrillation and tachyarrhythmias, often in combination with antiarrhythmic drugs and sometimes with other strategies. New dual-chamber ICDs can safely and effectively differentiate atrial from ventricular tachyarrhythmias and treat atrial tachyarrhythmias without compromising detection and treatment of ventricular tachyarrhythmias. Technological advances in standard electrical cardioversion including the use of prior pharmacotherapy have facilitated the success of the procedure and maintenance of sinus rhythm. This is the first book devoted solely to the rapidly expanding options to treat atrial tachyarrhythmias electrically. Electrical devices offer the promise of prevention and control of atrial tachyarrhythmias, with significant improvements in all health care professionals dealing with atrial fibrillation and other atrial tachyarrhythmias.