Medicina interna

The 49th edition of the leading clinical reference on treatment of infectious diseases and anti-infective drug information. Helpful in day-to-day practice and as a component of your organization's antimicrobial stewardship program, the Sanford Guide provides valuable guidance in the age of antibiotic resistance. Popular with physicians, pharmacists, physician assistants, nurse practitioners, and other clinicians, the Sanford Guide to Antimicrobial Therapy provides information that is convenient, concise, and reliable. What's new in 2019: Table 1: osteomyelitis, mastitis, brain abscess, encephalitis, meningitis, otitis media, keratitis, gastroenteritis, urethritis, syphilis, pyelonephritis, vaginosis, endocarditis, prosthetic joint, UTIs, pneumonia (esp. GNB), pancreatitis, peritonitis, bites, burns, cellulitis, Lyme, febrile syndromes, sepsis, shock, botulism, IV lines/catheters, vascular Table 2: resistant bacteria, including GNB Table 3: duration of therapy Table 4: organism coverage expanded, drugs added (new and old) Table 5B: updated treatment options for GNB Table 6: updated recommendations for management of MRSA Table 8: pregnancy risk for new drugs Table 9: PK & interactions data for new drugs added Table 10: dosing updated and recent drugs added, e.g., plazomicin, eravacycline, omadacycline, temocillin, secnidazole Table 11: cryptococcosis Table 12: latent TB, MAC, M. abscessus Table 13: malaria, tafenoquine Table 14A: hemorrhagic fevers, influenza Table 14B: new HCV, CMV drugs Table 14C: new ARV drugs & combinations, updated recommended ART regimens  Table 14F: updated HCV treatment regimens and recommendations Table 15: post-exposure prophylaxis  Table 16: added peds dosing for additional antibacterials, ARVs, antivirals Table 17: renal adjustments for new drugs added Table 17C: updated obesity dose adjustments Table 22: DDIs completely reworked to focus on effects and suggested management

Current, evidence-based treatment information in a concise yet in-depth format . that's the successful blueprint for Conn's Current Therapy. Designed specifically for busy primary care specialists and other first-line care providers, the 2019 edition of this practical reference delivers reliable diagnosis and treatment protocols for the conditions you're most likely to see. You'll find personal approaches from leaders in the field, covering common complaints, acute diseases, and chronic illnesses - more than 300 topics, all carefully reviewed and updated to help with accurate, efficient decision making in daily practice. Follows a consistent, easy-to-use format throughout, with diagnosis, therapy, drug protocols, and treatment pearls presented in quick-reference boxes and tables for point-of-care answers to common clinical questions. Features significantly revised chapters on sepsis . bacterial pneumonia . ADHD . endometriosis . atrial fibrillation . congestive heart failure . pericarditis . diabetes mellitus . measles . myasthenia gravis . irritable bowel syndrome . Parkinson's disease . seizures and epilepsy in adolescents and adults . acute bronchitis and other viral respiratory illnesses . urinary incontinence . neutropenia . venous thromboembolism . fungal diseases of the skin . diseases of the nails . and more. Includes all-new chapters on fatty liver, pancreatic cancer, and more. Includes nearly 300 images, including algorithms, anatomical illustrations, and photographs, that provide useful information for diagnosis. Provides current drug information thoroughly reviewed by PharmDs. Shares the knowledge and expertise of 40 new authors who provide a fresh perspective in their specialties. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

La versione tascabile de l'"Informatore farmaceutico

Il Manuale propone una selezione di quesiti dei principali concorsi internazionali, integrati con quiz inediti improntati a pr

A 24 anni dalla prima abbiamo pensato di riproporre al pubblico una nuova sesta edizione dell'opera Medicina interna, conferma

Now fully updated: the ultimate, grade-boosting case companion to First Aid for the (R) USMLE (R) Step 1 Enhanced by 400 meticulously illustrated cases in a new single-page format, the fourth edition of First Aid (R) Cases for the USMLE (R) Step 1 is an integral part of any student's USLME (R) Step 1 exam prep. Enabling test-takers to make connections between basic science principles and clinical situations, each case contains precise drawings or clinical images with Q&As that drive home main concepts. Chapters are keyed to Tao Le's First Aid for the (R) USMLE (R) Step 1, which allows students to simultaneously study cases and master high-yield facts. *Hundreds of instructive cases get students ready to ace the USMLE (R) Step 1*New full-color design, with each case self-contained in a single page for easy reference *Active recall questions and answers reinforce important concepts*A perfect companion to First Aid for the (R) USMLE (R) Step 1, with a similar organization that facilitates review

The world's most popular medical review book for more than 25 years, updated to ensure student success on the USMLE (R) Step 1 A global bestseller year after year, this annually updated, landmark guide offers the most complete and current framework for USMLE (R) Step 1 preparation and coursework. Featuring a refreshed design and updated throughout with new mnemonics and high-yield facts, First Aid for the (R) USMLE (R) Step 1 2019 is co-authored by students who excelled in their Step 1 exam and is reviewed for accuracy by a team of expert faculty advisors and nationally recognized USMLE instructors. Taken together, it's a blueprint for exam success no other resource can match. *A complete framework for USMLE (R) Step 1 preparation, annually updated with crowdsourced contributions from thousands of students*1,300+ must-know concepts that reflect evolving trends in the USMLE (R) Step 1*1,000+ color photos and illustrations, many new or revised *Student-proven exam strategies reinforced by a new learning and memory science section*Reorganized Rapid Review section presents high-yield concepts by topic and includes page numbers to the corresponding text *Updated study tips on the opening pages of each chapter

The resident's trusted, one-stop guide to acing the USMLE (R) Step 3 - co-written by residents who recently took the exam and know what it takes to pass STRONG FOCUS ON TEST-RELEVANT MATERIAL MAXIMIZES YOUR STUDY TIME! First Aid for the USMLE (R) Step 3, Fifth Edition provides busy residents with thousands of high-yield facts, mnemonics, and full-color visual aids to help them pass the last of the required USMLE (R) examinations. Also included are the reader-acclaimed "mini-cases" designed to help residents pass the case portion of the examination. First Aid for the USMLE (R) Step 3, Fifth Edition is carefully written to focus on high-yield, top-priority information, most likely to be included on the exam. FEATURES: *Updated diagnosis and treatment sections reflect the sequence in which diagnostic tools and therapies are implemented in actual clinical practice*Increased number of vignette-style "flash cards" and full-color clinical images*Proven test-taking strategies from residents who've been there and excelled*Basic science correlations prepare residents for foundational science questions

For more than 30 years, the highly regarded Secrets Series has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Medical Secrets, 6th Edition, features the Secrets' popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style - making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series format gives you the most return for your time - succinct, easy to read, engaging, and highly effective. Coverage includes the full range of essential topics in medicine for in-training and practicing professionals, authored by a diverse range of teachers and clinicians who cover both medical and ethical issues. Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

I sintomi lamentati da un paziente non sono univocamente correlabili alla patologia di un determinato organo: un dolore toraci

"Guida pratica all'esame obiettivo" nasce, confessa l'autore nella Prefazione, come una serie di appunti per preparare i suoi

Il laboratorio entra "nella tasca" del medico, lo accompagna e dialoga con lui nella sua pratica quotidiana: l'impostazione pr

HARRISON'S IS MEDICINE! Introducing the Landmark Twentieth Edition of the Global Icon of Internal Medicine The definitive guide to internal medicine is more essential than ever with the latest in disease mechanisms, updated clinical trial results and recommended guidelines, state-of-the art radiographic images, therapeutic approaches and specific treatments, hundreds of demonstrative full-color drawings, and practical clinical decision trees and algorithms Recognized by healthcare professionals worldwide as the leading authority on applied pathophysiology and clinical medicine, Harrison's Principles of Internal Medicine gives you the informational foundation you need to provide the best patient care possible. Essential for practice and education, the landmark 20th Edition features: Thoroughly revised content-covering the many new breakthroughs and advances in clinical medicine that have occurred since the last edition of Harrison's. Chapters on acute and chronic hepatitis, management of diabetes, immune-based therapies in cancer, multiple sclerosis, cardiovascular disease, HIV, and many more, deliver the very latest information on disease mechanisms, diagnostic options, and the specific treatment guidance you need to provide optimal patient care. State-of-the-art coverage of disease mechanisms: Harrison's focuses on pathophysiology with rigor, and with the goal of linking disease mechanisms to treatments. Improved understanding of how diseases develop and progress not only promotes better decision-making and higher value care, but also makes for fascinating reading and improved retention. Harrison's summarizes important new basic science developments, such as the role of mitochondria in programmed and necrotic cell death, the immune system's role in cancer development and treatment, the impact of telomere shortening in the aging and disease processes, and the role of the microbiome in health and disease. Understanding the role of inflammation in cardiovascular disease, the precise mechanisms of immune deficiency in HIV/AIDS, prions and misfolded proteins in neurodegenerative diseases, and obesity as a predisposition to diabetes are just a few examples of how this edition provides essential pathophysiology information for health professionals. All-new sections covering a wide range of new and emerging areas of vital interest to all healthcare professionals. New sections include: Sex and Gender-based Issues in Medicine; Obesity, Diabetes Mellitus, and Metabolic Syndrome; and Consultative Medicine- Plus, a new Part covering cutting-edge topics in research and clinical medicine includes great new chapters on the role of Epigenetics in Health and Disease, Behavioral Strategies to Improve Health, Genomics and Infectious Diseases, Emerging Neuro-Therapeutic Technologies, and Telomere Function in Health and Disease, and Network System Medicine. Important and timely new chapters-such as Promoting Good Health, LGBT Health, Systems of Healthcare, Approach to Medical Consultation, Pharmacogenomics, Antimicrobial Resistance, Worldwide Changes in Patterns of Infectious Diseases, Neuromyelitis Optica, and more-offer the very latest, definitive perspectives on must-know topics in medical education and practice. Updated clinical guidelines, expert opinions, and treatment approaches from world-renowned editors and authors contribute to the accuracy and immediacy of the text material and present a clear blueprint for optimizing patient outcomes. End-of-chapter suggested readings reinforce the text material and provide a robust platform for further study and research.

Questo libro è rivolto agli studenti di medicina, agli infermieri e a tutti gli operatori del settore sanitario che stanno imparando come condurre l’intervista-colloquio con i pazienti, come eseguire l’esame obiettivo e come applicare il ragionamento clinico e il processo decisionale condiviso agli esiti della loro valutazione e pianificazione sulla base di una solida comprensione delle evidenze cliniche. Questa dodicesima edizione ha molte nuove caratteristiche volte a facilitare l’apprendimento. Come nelle edizioni precedenti, questi cambiamenti provengono da tre fonti: il feedback e le revisioni degli studenti e dei docenti di facoltà; il nostro impegno a rendere il libro più facile da leggere e più efficiente da utilizzare; e l’abbondanza di nuove evidenze a supporto delle tecniche di esame, dell’intervista e della promozione della salute. In questa edizione abbiamo voluto sottolineare i problemi comuni o importanti, piuttosto che quelli rari o insoliti, senza tralasciare – quando necessario – gli aspetti inusuali che sono ormai classici o che possono rivelarsi pericolosi per la vita. Esortiamo i lettori ad apprezzare e a studiare le forti evidenze cliniche su cui poggia ogni capitolo e a considerare attentamente le linee guida e i riferimenti bibliografici della letteratura sanitaria.

 

This classic textbook aims to assist clinicians develop the consultation skills required to elicit a clear history, and the practical skills needed to detect clinical signs of disease. Where possible, the physical basis of clinical signs is explained to aid understanding. Formulation of a differential diagnosis from the information gained is introduced, and the logical initial investigations are included for each system. The first part of the book addresses the general principles of good interaction with patients, from the basics of taking a history and examining, to the use of pattern recognition to identify spot diagnoses. The second part documents the relevant history, examination and investigations for all the major body systems. The third part illustrates the application of these skills to specific clinical situations. The final part covers preparation for assessments of clinical skills and the use of these skills in everyday practice. The book has accompanying videos demonstrating many of the key clinical examination routines as set out in the book. A new editorial team has undertaken a substantial review of the book's contents and with the help of many new authors has radically revised the order and approach of the text. Several new chapters have been created including a chapter on patients with mental disorders; a chapter covering the approach to a deteriorating patient; a chapter on assessment of patients towards the end of life and two new chapters on applying the key clinical skills during assessments and in practice. The structure of the text has been rationalised with careful use of boxes, tables and figures to set out the concepts for maximum clarity.