Medicina interna

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

Written by clinicians renowned in their respective fields, CMDT offers the most current insight into epidemiology, symptoms, signs, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest diagnostic advances, prevention strategies, and cost-effective treatments.    Features and content critical to clinical practice:  •Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine •Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care  •Update of newly emerging infections and their treatments •Specific disease prevention information •Hundreds of medication tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms •Recent references with PMID numbers •Full-color photographs and illustrations (many new to this edition) HERE ARE SOME OF THE MANY UPDATES AND ADDITIONS: •Revised section on pain management at the end of life •Updated ACC/AHA guidelines for treatment of valvular disease •New ACC/AHA and Hypertension Canada blood pressure guidelines •New FDA approved medications for treatment of breast cancer •New colon cancer screening recommendations from the U.S. Multi-Society Task Force •Acclaimed annual update of HIV/AIDS •New classification of epilepsy •Revised recommendations for treating hepatitis C virus-associated kidney disease •Revised chapter on psychiatric disordersNew FDA approved medication for gastric adenocarcinoma  •Updated information about treating spinal muscular atrophy

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.

More than two million medical students, doctors and other health professionals around the globe have owned a copy of Davidson's Principles and Practice of Medicine since it was first published. Now in its 23rd Edition, this textbook describes the pathophysiology and clinical features of the most frequently encountered conditions in the major specialties of adult medicine and explains how to recognise, investigate, diagnose and manage them. Taking its origins from Sir Stanley Davidson's much-admired lecture notes, Davidson's has endured because it keeps pace with how modern medicine is taught and provides a wealth of information in an easy-to-read, concise and beautifully illustrated format. This book will serve readers everywhere as a core text that integrates medical science with clinical medicine, conveying key knowledge and practical advice in a highly accessible and readable format. The opening section describes the fundamentals of genetics, immunology, infectious diseases and population health, and discusses the core principles of clinical decision-making and good prescribing. A new second section on emergency and critical care medicine encompasses poisoning, envenomation and environmental medicine, and introduces a new chapter on acute medicine and critical illness. The third section covers the major medical specialties, each thoroughly revised and brought fully up to date. Two new chapters on maternal and adolescent/transition medicine complement the one on ageing and disease. A new chapter on medical ophthalmology has been included. Clinical Examination overviews summarise the main elements for each system and now feature in the biochemistry, nutrition and dermatology chapters. Presenting Problems sections provide a clear pathway for the assessment of and approach to the most common complaints in each specialty. Practice Point summaries detail the practical skills that medical students and junior doctors must acquire. Emergency boxes emphasise the core knowledge needed to manage acutely ill patients. In Old Age, In Pregnancy and In Adolescence boxes highlight differences in the practice of medicine in these patient groups, and illustrate the interfaces between medical, obstetric and paediatric services. The text is extensively illustrated, with over 1000 diagrams, clinical photographs, and radiology and pathology images. The global perspective is enhanced by an International Advisory Board of experts from 17 countries, and by authors from around the world. The new second section on emergency and critical care medicine introduces a significantly expanded and comprehensive account of the approaches to dealing with acute medical and critical illness. Two new chapters on maternal and adolescent/transition medicine complement the one on ageing and disease by addressing problems encountered at key stages of patients' lives. A new chapter on medical ophthalmology has been included as a direct response to readers' requests. The opening chapter has been completely rewritten with a new focus on the important principles of clinical decision-making or clinical reasoning. A new internal text design for this 23rd Edition provides a simpler and clearer presentation of the various categories of text boxes.

Back by popular demand! The world's most widely used medical reference is now in its 20th edition. The Merck Manual of Diagnosis and Therapy now in its 20th edition has been thoroughly updated and thoughtfully expanded with a new larger trim size to include 40% new and revised content. Including 36 new chapters with more than 200 new tables, and numerous new figures. Packed with essential information on diagnosing and treating medical disorders, this comprehensive guide was written by a team of medical experts. This book is intended for everyday use by health care professionals for delivery of the best care to their patients. This new edition offers: Revised and expanded Cardiovascular, Genitourinary, Gynecologic, Neurologic, Pregnancy, Infants and Children, and Pediatrics and Trauma chapters Key Points summarize the facts at-a-glance Pearls and Pitfalls highlight noteworthy medical info and areas of caution 16-page full-color insert aids visual recognition of skin, eye, and oral disorders The new Merck Manual of Diagnosis and Therapy 20th edition is a must-have for medical students, residents, practicing physicians, nurses, and allied health professionals.

L'Informatore Farmaceutico, da 78 anni il partner quotidiano di clinici e farmacisti per l'appropriatezza della cura. Tutti i contenuti sono tratti dalla banca dati CODIFA. L'Informatore Farmaceutico è composto dai volumi: - medicinali - prodotti salutistici - indirizzi - versione tascabile ed è proposto per tutto il 2018 in diverse combinazioni d'acquisto. La versione tascabile de l'Informatore Farmaceutico - Medicinali - è il pratico e agevole strumento di lavoro quotidiano del professionista della salute. Il Tascabile contiene la posologia per ciascun farmaco, gli indici ATC e le sostanze, ed è un prontuario da utilizzare per verificare i dosaggi da prescrivere al paziente.

Il volume, scritto in modo stimolante e diretto, fa chiarezza sul panorama complesso e confuso dell'implementazione della scienza, sul ruolo dell'impatto della ricerca e su come evitare la dispersione della ricerca, spiegando come applicare con successo l'assistenza sanitaria basata sull'evidenza nella pratica per renderla sicura ed efficace.

Designed for busy primary care specialists and other first-line care providers, Conn's Current Therapy 2018, by Drs. Edward T. Bope and Rick D. Kellerman, delivers up-to-date treatment information in a concise yet in-depth format. Recognized leaders in the field provide their personal approaches and evidence-based clinical management options for the conditions you're most likely to see in your everyday practice.Follows a consistent, templated format throughout, with diagnosis, therapy, drug protocols, and treatment pearls presented in easy-to-use boxes and tables for fast reference.Includes nearly 300 images, including algorithms, anatomical illustrations, and photographs, that provide useful information for diagnosis.Focuses on the most current diagnosis and treatment protocols for common complaints, acute diseases, and chronic illnesses - more than 300 topics, all carefully reviewed and updated. Features new and significantly revised chapters on Acute Myocardial Infarction, Hypertension, Peripheral Arterial Disease, Valvular Heart Disease, Hepatitis C, Adrenocortical Insufficiency, Urethral Strictures, Obsessive Compulsive Disorder, Chronic Obstructive Pulmonary Disease, Fibromyalgia, Menopause, Travel Medicine, and much more. Provides current drug information thoroughly reviewed by PharmDs.