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Signs and Symptoms in Family Medicine, by Paul M. Paulman, MD et al, provides a unique evidence-based approach to diagnosis based on presenting signs. Focusing on the most common diagnoses observed in a medical practice, the book helps you "think horses, not zebras." A rating system for the sensitivity and specificity of the signs, symptoms, and diagnostic tests aids in the development of a focused and accurate differential diagnosis. This handy, take-along guide is ideal for quick reference at the bedside or a refresher while prepping for the boards. Confidently diagnose and treat common illnesses and conditions using an evidence-based, systematic approach. A unique ratings system indicates how frequently various symptoms and signs are associated with a particular diagnosis. Easily find what you need with consistently organized chapters and an at-a-glance bulleted format. "Think horses, not zebras" with a focus on the most frequently encountered diagnoses. Rule out the most serious possibilities quickly with differential diagnoses listed in descending order of severity. Review symptoms, signs, suggested work-up, and patient disposition for each diagnosis.
Anna, an art curator, leaves a psychiatric hospital and finds herself in an English village, sharing a rented cottage with her partner. Seeking refuge from the aftermath of past infidelities, she constructs a personal reality from the brushstrokes and histories of her favourite artworks. A chance discovery in the cottage's attic leads Anna on a journey back to the late nineteenth century and the complicated relationships of two women studying at Oxford University. As Anna's investigations blend with the students' story, and the threads of her life intertwine with those of a century earlier, she finds a way to run ever farther from her pain. But the past is not all it seems, and Anna's escape routes are taken from her, one by one, until she must face the truth of her present. All the Perverse Angels is a breathtaking novel about the nature of loss and the confusion of love, about the stories we are told and the stories we tell ourselves.
Our immune system defends us against infection by employing multiple lines of defense. The relevance of the immune response in human health, disease prevention, and vaccinations becomes evident when the immune system is compromised as in the case of pathogenic infections or autoimmune diseases. The reader will gain a fundamental understanding of the essential principles of immunology, such as how our immune system recognizes/fights infectious agents, how our body differentiates between foreign and self-cells/molecules, and how the memory from previous infections aids in a faster and more effective immune response. The book is divided into 17 chapters, providing an overview of the immune syst...
Over the past two decades, the extraction of nonrenewable resources in Latin America has given rise to many forms of struggle, particularly among disadvantaged populations. The first analytical collection to combine geographical and political ecological approaches to the post-1990s changes in Latin America’s extractive economy, Subterranean Struggles closely examines the factors driving this expansion and the sociopolitical, environmental, and political economic consequences it has wrought. In this analysis, more than a dozen experts explore the many facets of struggles surrounding extraction, from protests in the vicinity of extractive operations to the everyday efforts of excluded reside...
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