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E-grāmata: Training in Medicine

Edited by (Consultant in Nephrology and Acute Medicine, Addenbrooke's Hospital, Cambridge, UK), Edited by (Chief Medical Information Officer, Consul), Edited by (Specialist Registrar in Nephrology and General Internal Medicine, Addenbrooke's Hospital, Cambridge, UK)
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A complete guide to specialty training in medicine, this book is an essential purchase for foundation doctors and core medical trainees preparing for the MRCP, with basic science and clinical material in double-page spreads.

Oxford Specialty Training is a specialty revision series for postgraduate trainees taking into account the training structures and syllabuses and the busy lives of junior doctors.

Training in Medicine is a complete guide to early years specialty training in medicine, and particularly focuses on core medical training. Essential for those taking the MRCP, the book covers all of the relevant areas in general medicine training, including epidemiology, evidence based medicine, and professional related issues. Each chapter covers the basic science and clinical topics which trainees are required to learn as part of their basic training and demonstrate in the MRCP.

This book is authored by both trainees and specialists, and has been comprehensively edited and peer-reviewed by both groups in order to create an authoritative yet accessible text. Easy navigation is combined with discrete double-page spreads on individual topics allowing rapid access to information, making the book extremely useful in clinical practice. This is complemented by over 600 full colour illustrations, including high quality clinical photographs, images and diagrams, to aid visual memory of the topics. Breakout boxes highlight the key learning points. The organisation of the material is unique, and the topic-based design ensures easy navigation, and structured revision and learning.

Recenzijas

A condensed, clearly written text of Internal Medicine. With many illustrations and tables. Very didactic, an excellent guide for students and interns. * Pediatric Endocrinology Reviews *

Papildus informācija

Highly Commended in the Medicine category of the British Medical Association Book Awards 2017.
Symbols and abbreviations xiii
Contributors xxi
1 Acute medical emergencies and practical procedures
1(36)
1.1 Cardiorespiratory arrest
2(2)
1.2 Shock
4(2)
1.3 Acute coronary syndromes
6(64)
1.4 Tachycardia
70(4)
1.5 Bradycardia
74(2)
1.6 Hypertensive emergencies
76(2)
1.7 Pulmonary oedema
18(2)
1.8 Acute asthma
20(2)
1.9 Massive pulmonary embolism
22(2)
1.10 Acute upper gastrointestinal haemorrhage
24(1)
1.11 Acute kidney injury
25(1)
1.12 Coma
26(2)
1.13 Traumatic brain injury
28(2)
1.14 Status epilepticus
30(7)
1.15 Adrenal crisis
31(1)
1.16 Thyroid emergencies
32(1)
1.17 Acute poisoning
33(1)
1.18 Burns
34(3)
2 Allergy
37(24)
2.1 Basic science
38(4)
2.2 Atopy
42(2)
2.3 Food, drug, latex, and venom allergy
44(2)
2.4 Urticaria and angio-oedema
46(2)
2.5 Anaphylaxis
48(2)
2.6 Approach to the immunosuppressed individual
50(2)
2.7 Immunodeficiency
52(4)
2.8 Immunology investigations
56(2)
2.9 Immunological therapies
58(3)
3 Cardiovascular medicine
61(58)
3.1 Basic science
62(4)
3.2 Cardiovascular investigation
66(8)
3.3 Ischaemic heart disease
74(8)
3.4 Arrhythmias
82(6)
3.5 Pacemakers and devices
88(2)
3.6 Heart failure
90(6)
3.7 Valvular heart disease
96(8)
3.8 Structural heart disease
104(4)
3.9 The cardiomyopathies
108(4)
3.10 Hypertension
112(2)
3.11 Aortic dissection
114(2)
3.12 Case history
116(3)
4 Care of the elderly medicine
119(20)
4.1 Science and physiological changes of ageing
120(2)
4.2 Assessment of the elderly
122(2)
4.3 Activities of daily living, disability, and rehabilitation
124(2)
4.4 Dementia and mental state examination
126(5)
4.5 Incontinence
131(1)
4.6 Falls
132(4)
4.7 Prescribing in the elderly
136(3)
5 Clinical pharmacology and therapeutics
139(20)
5.1 Pharmacodynamics
140(2)
5.2 Pharmacokinetics
142(2)
5.3 Drug metabolism and prescribing in special circumstances
144(2)
5.4 Drug interactions
146(1)
5.5 Adverse drug reactions
147(1)
5.6 Drug development
148(2)
5.7 Paracetamol poisoning
150(2)
5.8 Salicylate poisoning
152(1)
5.9 Lithium toxicity
153(1)
5.10 Digoxin toxicity
154(1)
5.11 Carbon monoxide poisoning
155(1)
5.12 Ethylene glycol poisoning
156(1)
5.13 Tricyclic antidepressant poisoning
157(2)
6 Dermatology
159(50)
6.1 Eczema/dermatitis
160(2)
6.2 Psoriasis
162(2)
6.3 Blistering skin disorders
164(4)
6.4 Bacterial and viral infections of the skin
168(4)
6.5 Fungal infections and infestations
172(2)
6.6 Erythema multiforme
174(1)
6.7 Stevens--Johnson syndrome/toxic epidermal necrolysis
175(1)
6.8 Erythema nodosum
176(1)
6.9 Drug eruptions
177(1)
6.10 Benign skin tumours
178(2)
6.11 Malignant skin tumours
180(4)
6.12 The skin and systemic disease
184(4)
6.13 Cutaneous lupus erythematosus
188(2)
6.14 Systemic sclerosis (scleroderma)
190(2)
6.15 Vasculitis
192(2)
6.16 Structure and function of the skin, hair, and nails
194(1)
6.17 Nail disorders
195(1)
6.18 Alopecia
196(2)
6.19 Hirsutism and hypertrichosis
198(1)
6.20 Acne vulgaris
199(1)
6.21 Rosacea
200(1)
6.22 Hidradenitis suppurativa
201(1)
6.23 Disorders of pigmentation
202(1)
6.24 Urticaria and angio-oedema
203(1)
6.25 Photosensitivity
204(2)
6.26 Lichen planus
206(3)
7 Endocrine
209(96)
7.1 Endocrine physiology
210(10)
7.2 Acid--base balance
220(4)
7.3 Thyrotoxicosis
224(4)
7.4 Hypothyroidism
228(2)
7.5 Goitre and thyroid nodule
230(2)
7.6 Cushing syndrome
232(4)
7.7 Acromegaly
236(4)
7.8 Hyperprolactinaemia
240(4)
7.9 Hypopituitarism
244(4)
7.10 Diabetes insipidus
248(2)
7.11 Adrenal incidentaloma
250(2)
7.12 Primary hyperaldosteronism
252(4)
7.13 Adrenal insufficiency
256(4)
7.14 Phaeochromocytoma and paraganglioma
260(4)
7.15 Male hypogonadism and gynaecomastia
264(4)
7.16 Menstrual disorders and anovulation
268(1)
7.17 Hirsutism and the polycystic ovarian syndrome
269(1)
7.18 Multiple endocrine neoplasia and other genetic endocrine tumour syndromes
270(2)
7.19 Neuroendocrine tumours
272(2)
7.20 Acid--base disorders
274(2)
7.21 Sodium disorders
276(4)
7.22 Potassium disorders
280(2)
7.23 Hypocalcaemia
282(2)
7.24 Hypercalcaemia
284(2)
7.25 Hyperparathyroidism
286(2)
7.26 Osteoporosis
288(4)
7.27 Osteomalacia
292(2)
7.28 Paget disease
294(2)
7.29 Dyslipidaemia
296(2)
7.30 Porphyria
298(2)
7.31 Adult inborn errors of metabolism
300(2)
7.32 Obesity
302(3)
8 Diabetes
305(26)
8.1 Diabetes mellitus
306(2)
8.2 Diabetic emergencies
308(4)
8.3 Diabetes---long-term management
312(4)
8.4 Diabetic retinopathy
316(4)
8.5 Diabetic neuropathy
320(2)
8.6 Diabetic nephropathy
322(2)
8.7 The diabetic foot
324(2)
8.8 Diabetic skin
326(2)
8.9 The diabetic pregnancy
328(2)
8.10 Metabolic syndrome and insulin resistance
330(1)
9 Gastroenterology and hepatology
331(70)
9.1 Basic science
332(4)
9.2 Gastrointestinal investigation
336(4)
9.3 Malabsorption and malnutrition
340(6)
9.4 Inflammatory bowel disease
346(4)
9.5 Acute upper gastrointestinal haemorrhage
350(6)
9.6 Lower gastrointestinal bleeding and related disorders
356(4)
9.7 Gastrointestinal infections
360(4)
9.8 Gastrointestinal cancer
364(6)
9.9 Miscellaneous gastrointestinal problems
370(4)
9.10 Normal liver and biliary function
374(2)
9.11 Variceal disease
376(2)
9.12 Hepatic tumours
378(2)
9.13 Acute (fulminant) liver failure
380(2)
9.14 Haemochromatosis
382(2)
9.15 Wilson disease (hepatolenticular degeneration)
384(2)
9.16 Alpha-1 antitrypsin deficiency
386(2)
9.17 Alcohol-induced liver disease
388(2)
9.18 Hepatitis
390(6)
9.19 Biliary diseases
396(4)
9.20 Non-alcoholic fatty liver disease
400(1)
10 Genetics
401(30)
10.1 Karyotype, mitosis, and meiosis
402(2)
10.2 Mechanisms of inheritance/disease transmission
404(2)
10.3 Mitochondrial disease
406(2)
10.4 Trinucleotide repeats and imprinting
408(2)
10.5 Investigative techniques in genetic medicine
410(2)
10.6 Down syndrome
412(2)
10.7 Klinefelter syndrome
414(2)
10.8 Turner syndrome
416(2)
10.9 Neurofibromatosis
418(2)
10.10 Tuberous sclerosis
420(2)
10.11 Myotonic dystrophy
422(2)
10.12 Friedreich ataxia
424(1)
10.13 Fragile X syndrome
425(1)
10.14 Prader--Willi syndrome
426(1)
10.15 Angelman syndrome
427(1)
10.16 Ehlers--Danlos syndrome
428(3)
11 Haematology
431(52)
11.1 Basic science
432(4)
11.2 Anaemia
436(8)
11.3 Bone marrow failure
444(2)
11.4 Haemoglobinopathies
446(4)
11.5 Acute leukaemias
450(4)
11.6 Myelodysplastic syndromes
454(2)
11.7 Chronic leukaemias
456(4)
11.8 Myeloproliferative disorders
460(4)
11.9 Lymphomas
464(6)
11.10 Multiple myeloma and related diseases
470(4)
11.11 Haemostasis and thrombosis
474(9)
12 Infectious diseases
483(50)
12.1 Infectious diseases: an overview
484(2)
12.2 Diagnostic techniques
486(2)
12.3 Sepsis
488(2)
12.4 Antibiotics
490(3)
12.5 Needlestick injury
493(1)
12.6 Nosocomial infection
494(2)
12.7 Travel-related infection
496(4)
12.8 Immunocompromised hosts
500(1)
12.9 Pyrexia of unknown origin
501(1)
12.10 Infection in injecting drug users
502(1)
12.11 Bioterrorism
503(1)
12.12 Viral infection
504(4)
12.13 HIV and AIDS
508(6)
12.14 Bacterial infections
514(8)
12.15 Mycobacterial infections
522(3)
12.16 Rickettsial infections
525(1)
12.17 Systemic fungal infections
526(2)
12.18 Protozoal infections
528(2)
12.19 Helminthic infections
530(3)
13 Intensive care medicine
533(24)
13.1 Overview
534(2)
13.2 Basic principles of critical illness
536(2)
13.3 Organ support in multi-organ failure
538(10)
13.4 Management of conditions specific to ICU
548(6)
13.5 Withdrawal of therapy, brainstem death, and organ donation
554(3)
14 Neurology and neurosurgery
557(82)
14.1 The approach to the neurological patient
558(2)
14.2 Neurological examination
560(2)
14.3 Neurological investigations
562(2)
14.4 Coma
564(2)
14.5 Acquired brain injury
566(2)
14.6 Encephalopathies
568(2)
14.7 Alcohol and the nervous system
570(2)
14.8 Brainstem disorders
572(2)
14.9 Common cranial nerve disorders
574(2)
14.10 Migraine
576(1)
14.11 Other primary headaches
577(1)
14.12 Secondary headache
578(2)
14.13 Neuro-ophthalmology
580(4)
14.14 Vertigo and hearing loss
584(4)
14.15 Seizures and epilepsy
588(6)
14.16 Intracranial pressure
594(2)
14.17 Stroke
596(6)
14.18 Central nervous system infections
602(4)
14.19 Neuro-oncology
606(2)
14.20 Multiple sclerosis
608(2)
14.21 Parkinson disease
610(2)
14.22 Other movement disorders
612(2)
14.23 Spinal cord disorders (myelopathy)
614(4)
14.24 Spinal nerve root disorders (radiculopathies)
618(2)
14.25 Motor neurone disease
620(2)
14.26 Peripheral nerve disorders
622(4)
14.27 Mitochondrial disease and channelopathies
626(2)
14.28 Neuromuscular junction and muscle disorders
628(4)
14.29 Sleep disorders
632(2)
14.30 Neurological disorders in pregnancy
634(1)
14.31 The neurology of HIV infection
635(1)
14.32 Functional neurology
636(3)
15 Oncology
639(30)
15.1 Basic science
640(2)
15.2 Genetics in oncology
642(2)
15.3 Screening strategies in oncology
644(2)
15.4 Diagnostic techniques in oncology
646(4)
15.5 Oncological emergencies
650(2)
15.6 Breast cancer and lymphoma
652(2)
15.7 Prostate cancer
654(2)
15.8 Paraneoplastic syndromes
656(2)
15.9 Chemotherapy, biological therapy, and targeted therapy
658(2)
15.10 Radiotherapy
660(2)
15.11 End of life: the multidisciplinary approach
662(2)
15.12 Symptom control
664(5)
16 Ophthalmology (medical)
669(12)
16.1 Normal ocular structure and function
670(2)
16.2 The red eye
672(2)
16.3 Uveitis
674(2)
16.4 Retinal vein occlusion
676(2)
16.5 Retinal artery occlusion
678(3)
17 Renal medicine
681(58)
17.1 Renal basic science
682(2)
17.2 Pathophysiology of renal disease
684(1)
17.3 The Kidney as an `Endocrine' Organ
685(1)
17.4 Renal investigations
686(4)
17.5 Acute kidney injury
690(2)
17.6 Chronic kidney disease/renal failure
692(3)
17.7 Renal replacement therapy
695(1)
17.8 Renal transplantation
696(4)
17.9 Haemodialysis
700(2)
17.10 Peritoneal dialysis
702(2)
17.11 Nephrotic syndrome
704(2)
17.12 Primary glomerular causes of nephrotic syndrome/proteinuria
706(4)
17.13 Rapidly progressive glomerulonephritis
710(6)
17.14 IgA nephropathy
716(2)
17.15 Mesangiocapillary glomerulonephritis
718(2)
17.16 Tubulointerstitial nephritis
720(2)
17.17 Renal tubular disorders
722(2)
17.18 Urinary tract obstruction
724(2)
17.19 Renal stone disease
726(2)
17.20 Urinary tract infection in adults
728(2)
17.21 Renovascular disease
730(2)
17.22 Renal tumours
732(2)
17.23 Inherited renal disease
734(4)
17.24 Renal disease and pregnancy
738(1)
18 Respiratory medicine
739(50)
18.1 An introduction to the respiratory system
740(2)
18.2 Respiratory defence and physiology
742(2)
18.3 Respiratory investigations
744(4)
18.4 Respiratory failure
748(2)
18.5 Pneumonia
750(4)
18.6 Tuberculosis
754(2)
18.7 Cystic fibrosis
756(2)
18.8 Bronchiectasis
758(2)
18.9 Pleural effusion
760(2)
18.10 Chronic obstructive pulmonary disease
762(2)
18.11 Acute respiratory distress syndrome
764(2)
18.12 Asthma
766(2)
18.13 Fungal lung diseases
768(2)
18.14 Pulmonary embolism
770(2)
18.15 Lung cancer
772(2)
18.16 Pulmonary fibrosis
774(2)
18.17 Extrinsic allergic alveolitis
776(2)
18.18 Occupational lung diseases
778(2)
18.19 Sarcoidosis
780(2)
18.20 Cor pulmonale and pulmonary hypertension
782(2)
18.21 Pneumothorax
784(2)
18.22 Cough and haemoptysis
786(1)
18.23 Pulmonary eosinophilia, obstructive sleep apnoea
787(2)
19 Rheumatology
789(38)
19.1 Basic science
790(2)
19.2 The synovium
792(2)
19.3 Autoantibodies
794(2)
19.4 Osteoarthritis
796(2)
19.5 Rheumatoid arthritis
798(4)
19.6 Septic arthritis
802(2)
19.7 Crystal arthropathies
804(2)
19.8 Spondyloarthritides
806(2)
19.9 Psoriatic arthritis
808(2)
19.10 Low back pain
810(2)
19.11 Systemic lupus erythematosus
812(2)
19.12 Systemic sclerosis
814(1)
19.13 Polymyositis/dermatomyositis
815(1)
19.14 Sjogren syndrome
816(2)
19.15 Giant cell arteritis/polymyalgia rheumatica
818(2)
19.16 Polyarteritis nodosa
820(1)
19.17 Churg-Strauss syndrome (eosinophilic granulomatosis with polyangiitis)
821(1)
19.18 Granulomatosis with polyangiitis (Wegener)
822(2)
19.19 Treating systemic vasculitis
824(1)
19.20 Relapsing polychondritis
825(1)
19.21 Behcet disease
826(1)
20 Epidemiology and evidence-based medicine
827(32)
20.1 Introduction
828(2)
20.2 Study design
830(2)
20.3 Types of data and descriptive statistics
832(4)
20.4 From samples to populations
836(4)
20.5 Relationships
840(4)
20.6 Relative risk, Odds Ratios, and `Number Needed to Treat'
844(2)
20.7 Survival analysis
846(4)
20.8 Sample size
850(2)
20.9 Diagnostic tests
852(2)
20.10 Meta-analysis
854(2)
20.11 `How to read a paper'
856(3)
21 Professionalism, communication, and ethics
859(8)
21.1 Communication: the final common pathway for clinical excellence, professionalism, and ethical practice
860(7)
Index 867