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This book sets echocardiography within a routine clinical context. It aims to synthesise guidelines into a pragmatic clinical approach to real patients providing a step-by-step guide to performing, reporting, and interpreting a study. We wrote it imagining we were the calm voice of a senior echocardiographer teaching a junior colleague. This edition has been extensively revised with an expansion of sections on acute, intensive care, and emergency medicine. COVID-19 has necessitated limiting exposure of both patient and operator to infection and caused a huge increase in waiting lists. This has sharpened the debate over matching the level of scan to the clinical question and also highlights the importance of collaboration between clinicians and echocardiographers. Key Features Expanded first chapter on levels of echocardiography New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics Incorporation of new international guidelines, grading criteria and normal data Guide to how cardiac CT and magnetic resonance can complement echocardiography Reformatted text and extra diagrams and tables to improve understanding
Effective identification of patients at increased risk of malignant cardiac arrhythmia presently represents a clinically important unmet need. Existing guidelines for the selection of candidates for the prophylactic implantation of cardioverters-defibrillators (ICD) are based solely on the reduction of ventricular haemodynamic performance. Although this guidance is based on statistical results of previously conducted randomized clinical trials, available experience shows that it does not serve clinical needs efficiently. The majority of patients who are implanted with ICDs for prophylactic reasons never utilize the device during its technical longevity whilst, at the same time, many patients...
This extremely popular title has become the definitive pocket guide to the management of medical emergencies for front-line hospital doctors. It provides detailed guidance on the diagnosis and treatment of all common conditions and includes a step-by-step guide to the nine most important practical procedures in acute medicine.
Diagnosis and Treatment in Internal Medicine equips trainee doctors with the essential skills and core knowledge to establish a diagnosis reliably and quickly, before outlining the management of the clinical condition diagnosed. Organised into three sections, the first provides a vital overview, whilst the second focuses on common presentations and diagnoses. Uniquely, this new book shows readers how to turn symptoms into a list of diagnoses ordered by probability - a differential diagnosis. Experienced consultants who teach trainees every day demonstrate how to derive an ordered differential diagnosis, how to narrow this down to a single diagnosis and if not, how to live with diagnostic uncertainty. The final section provides a comprehensive account of the management of system-based syndromes and diseases. Highly-structured chapters emphasize how common conditions present, how to approach a diagnosis, and how to estimate prognosis, treatment and its effectiveness. An onus is placed on the development of crucial diagnostic skills and the ability to devise evidence-based management plans quickly and accurately, making this an ideal text for core medical trainees.
Thoroughly revised and updated, the most complete family medicine board review guide continues to be the resource of choice for anyone preparing to take the American Board of Family Medicine (ABFM) examination. This edition includes dozens of new cases.
This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.
Introductory Chapter: Introduction to Advanced Concepts in Endocarditis.
In the grip of lust, Raja Karan Vaghela abducts the beautiful Roopsundari, his prime minister Madhav’s wife. Fuelled by a desire for revenge, Madhav escapes to Delhi and persuades Sultan Alauddin Khilji to invade Gujarat and destroy Patan fort. This unleashes a dramatic chain of events that forever ends Rajput rule in Gujarat, heralding the dawn of a new age. Rich in psychological insight and imbued with a poetic vision, Karan Ghelo tells the spellbinding tale of a man who tragically failed his land and its people.