普通内外科临床问题（第2版）：Clinical Problems in General Medicine and Surgery 下载 网盘 kindle mobi 115盘 pdf pdb rtf

　　Clinical Problems provides a comprehensive selection of important medical and surgical scenarios. The reader is taken through 62 case histories step by step and is asked to interpret a broad range of medical data. Most of the clinical problems are accompanied by illustrations, which include cardiographs, radiographs, clinical and pathological photographs. In addition to detailed questions and answers, a commentary is provided that highlights the important issues of each case, as well as a guide to further topics of study.

The aim of any undergraduate curriculum is to produce graduates who have the knowledge and skills required to enable them to become competent members of the medical fraternity. Understandably, upon qualification these attributes will be raw and untried, but we expect them to be able to show that they possess what it is required of doctors in their first few years after graduation. What is 'required' in a clinical situation is often not obvious to the student and hence the reason for this book.

The book represents a departure from the traditional formula of systems and diseases, and an exhaustive review of each subject. Rather the authors have selected what they believe to be a number of important and, for the most part, relatively common medical and surgical scenarios and approached each from the perspective of the practicing clinician presented with a clinical problem. Whilst the book has been written primarily for undergraduates it describes clinical problems as they will be managed by recently qualified doctors.

It is not the purpose of this book to challenge or compete with standard reference material, rather it represents an important adjunct to the learning process of clinical reasoning, rather than provide the knowledge that must accompany it, although an considerable amount of factual material is to be found within its pages. Problem solving is a vital component of medical education, and while it can be taught well at the bedside and in small group tutorials, there are few books that help with this style of learning.

THE PROBLEMS:

1 Difficulties with postoperative fluid balance in a 65-year-old man

2 A middle-aged man with postoperative fever

3 Postoperative hypotension

4 Postoperative confusion

5 Swelling in the neck in a 58-year-old man

6 A 26-year-01d man with a swelling below the ear

7 Swelling in the neck

8 A young man with acute scrotal pain

9 A scrotal swelling in a 19-year-old man

　10 A 46-year-old woman with a breast lump

　11 A skin lesion in a 73-year-old man

　12 A 27-year-old man with burns

　13 Dysphagia in a middle-aged woman

　14 Vomiting and collapse in an elderly woman

　15 A 77-year-old man with vomiting

　16 Weight loss in a middle-aged woman

　17 Abdominal pain in a young woman

　18 A man with acute upper abdominal pain

　19 A woman with acute upper abdominal pain

　20 A 67-year-old woman with acute lower abdominal pair

　21 A 49-year-old man with abdominal pain and vomiting

　22 Jaundice in an older woman

　23 Ayoung man with profuse diarrhoea

　24 Rectal bleeding in a 65-year-old woman

　25 A 42-year-old man with haematuria

　26 A 70-year-old man with a painful hip

　27 Acute back pain in a 75-year:old man

　28 A 59-year-old man with calf pain

　29 Acute leg pain in a 73-year-old worhan

　30 A 68-year-old woman with a leg ulcer

　31 A 38-year-old man involved in a car crash

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书籍介绍

Clinical Problems provides a comprehensive selection of important medical and surgical scenarios. The reader is taken through 62 case histories step by step and is asked to interpret a broad range of medical data.

* Addresses important medical and surgical topics from a problem-oriented approach.

* Presents relevant clinical illustrations for each case, such as ECGs, radiographs, and clinical and pathologi-cal photographs.

* Emphasizes empathy with the patient's situation as well as effective patient counseling.

* Provides commentaries from experienced clinicians, highlighting the most important issues of each case and offering suggestions on possible further areas of study.

* Identifies situations where emergency management must take precedence over pathophysiological diagnosis.