Clinical judgment is a critical aspect – perhaps the most critical aspect – of efficient, accurate, and cost-effective patient care. Focusing on essential clinical skills, On Rounds: 1000 Internal Medicine Pearls helps clinicians in training and in practice to identify the critical findings that will simplify complex clinical problems and lead to an accurate diagnosis. One thousand easy-to-remember clinical aphorisms, or “pearls,” help you distinguish the important findings from the incidental, pointing out the distinctive features amidst the mass of data that is accumulated in the evaluation of a sick patient, and leading to the development of mature clinical judgment.Go “on rounds” with one of the most respected educators in internal medicine and learn from his nearly 50 years of clinical experience.Focus on the areas that are often a source of confusion for students, trainees, and even seasoned practitioners.Learn each pearl in a relevant clinical context, with tables, clinical images, and physiology information, where appropriate.Recognize “black pearls:” statements that, although widely believed, are demonstrably false.Improve your clinical judgment skills whether you’re a resident or an experienced clinician.Carry these pocket-sized pearls with you for quick reference.Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the webCross-linked pages, references, and more for easy navigationHighlighting tool for easier reference of key content throughout the textAbility to take and share notes with friends and colleaguesQuick reference tabbing to save your favorite content for future use
This book will give you the information you need on the most common symptoms and their diagnosis while increasing your confidence during residency. As medicine can be detailed and sometimes complicated, it is challenging to apply years of medical education in just a few minutes. This guide is designed to make an Internal Medicine Resident successful, but will be an effective supplement for any of the following disciplines:-Family Medicine Residents-Third & Fourth Year Medical Students-Nurse Practitioners-Physician Assistants-Any Clinical Residency Internship Table of ContentsPrefaceForewordCardiopulmonary1. Chest pain2. Shortness of breath3. Congestive heart failure4. Coronary Artery Disease5. Cough6. Hypertension7. Arrhythmia8. Atrial Fibrillation9. Asthma & COPD10. Pneumonia11. Medical Intensive Care Unit/Hypotension/Cardiac Arrest12. Acute respiratory failure & basics for oxygen therapy13. Cardiology diagnostics & interventions14. HemoptysisGastroenterology15. Abdominal Pain16. Nausea & vomiting17. GI bleed18. Diarrhea19. ConstipationInfectious Disease20. Antibiotics21. Fever22. White blood count23. Immune status24. Cellulitis & Osteomyelitis25. Infective endocarditis26. Clostridium difficile infection27. Methicillin-Resistant Staphylococcus AureusNephrology28. Acute kidney injury/Chronic Kidney Disease/End stage Renal Disease29. Urinary tract infection30. Volume Overload31. Volume Depletion32. Electrolyte imbalancesNeurology33. Falls, syncope, & loss of consciousness34. Altered Mental Status 35. Headaches36. PainGeriatric37. Geriatric medicine38. Palliative/supportive care & hospice careMiscellaneous39. Diabetes mellitus40. Anticoagulation41. Anemia42. Night float43. Alarming findings44. IV lines, IV fluids, Foley catheters & contrast material45. Medicine facts (side effects, onset of side effects, & off-label therapeutic uses)46. Medical vs. Surgical Management47. Home vs. floor vs. MICU triage48. Outpatient Medicine49. Diet & Physical/Occupational Therapy50. Diseases and diagnosis need high suspicion51. Cost-effective medicine52. Refer to specialist & inpatient consultation53. Common unclear diagnoses54. Different approaches for common problems55. Social support & social history56. Incidental findings & mildly abnormal tests57. Medical futility58. Cascade of actions for common problemsAbbreviationsList of medications commonly usedReferences
IM Essentials Questions prepares you for the internal medicine clerkship with over 500 self-assessment questions to help you learn and reinforce key concepts. Based on the core curriculum, the questions are formatted as clinical vignettes to resemble the types of questions encountered on the end of clerkship and the USMLE Step 2 licensing examinations. Each question includes a detailed critique that explains the correct answer and why the other options are incorrect. Succinct Key Points help to summarize the important take home messages for each question. IM Essentials Questions is one part of the IM Essentials suite of study materials produced for students through a collaboration of the American College of Physicians and the Clerkship Directors in Internal Medicine. Also available is IM Essentials Text, a companion textbook, which is linked to each self-assessment question to ensure that the basic concepts involved in each question are understood. IM Essentials Questions includes FREE access to the online version of IM Essentials that combines the full content of both IM Essentials Text and IM Essentials Questions, plus digital Flashcards. The interactive format allows you to: Work at your own pace using different devices Access more than 500 multiple-choice questions with the ability to switch back-and-forth between questions and associated text content Create custom quizzes to focus on the content you need to study the most Read critiques explaining why each answer is correct or incorrect Review key point summaries for each question Over 1000 Digital Flashcards to review key facts while preparing for the clerkship exam Compare your progress to other IM Essentials users
Nothing prepares you for exam success like Harrison’s!VIBRANT FULL-COLOR PRESENTATION INCLUDES COLOR ATLAS -- 500 ALL-NEW QUESTIONS!Now you can add the unmatched authority of Harrison’s to your board review or test preparation. Based on the content of Harrison’s Principles of Internal Medicine, Nineteenth Edition, this rigorous study aid is essential for Internal Medicine Board certification or recertification/maintenance of certification, or as a refresher for any internal medicine examination. Reflecting the accuracy, currency, and wide scope of Harrison’s, this complete review of internal medicine delivers more than 1,000 extremely challenging review questions, many of which utilize realistic patient scenarios, including radiographic and pathologic images. Each question is accompanied by explanations for correct and incorrect answers. These explanations -- which are derived from and cross-referenced to Harrison’s Principles of Internal Medicine, Nineteenth Edition – are one of the most effective ways to learn and teach internal medicine. They are designed to bolster your understanding of pathophysiology, epidemiology, differential diagnosis, clinical decision making, and therapeutics. The format of the book has also been enhanced, allowing for a more effective use of color images throughout. Readers will appreciate the convenience of having color images next to their citations in the text.A GREAT WAY TO LEARN INTERNAL MEDICINE: • Coverage spans the entire spectrum of internal medicine• Each topic is covered in proportion to its level of importance on the Internal Medicine Examination Blueprint• Approximately 500 NEW, never-before-published Q&As (more than 60% of the questions are NEW!)• Includes full-color atlas• Content follows the organization of Harrison’s Principles of Internal Medicine, Nineteenth Edition – making it perfect for side-by-side study• Beautiful full-color presentation
Internal Medicine: Intern Survival guide is not just for interns, but essential for all primary care providers! The first edition has been updated through 2/2018 with the most current, evidence-based approaches to caring for major conditions commonly seen in patients in both the inpatient and outpatient environments. • Measures at 5.5x8.5 to save desk space, with over 600 pages! • Comprehensive review of topics in the fields of cardiology, dermatology, endocrinology, GI, hematology, infectious disease, musculoskeletal complaints, neurology, ophthalmology, ENT, psychiatry, palliative medicine, pulmonary & critical care, nephrology, urology, and geriatrics. • Packed with review tables and lists for quick, easy reference • The most current screening, prevention, and management recommendations in one book • Carefully selected for only the most relevant conditions most likely to be encountered in everyday practice • Updated evidence-based content with full citations so you can reference articles easily
Nutrient Rich, Daily "Superfood" Supplement for Dogs and Cats!Raw Paws Pet Coconut Oil Supplement is an excellent Superfood offering a multitude of health benefits for dogs and cats. Add this 100% natural, cold pressed and unrefined coconut oil to your cat or dog's food as a daily supplement or right from the spoon as a tasty treat. Organic Coconut Oil, when taken daily, reduces allergies, improves skin and coat, strengthens the immune system and protects against fleas and ticks. Your pet will also be more energetic because Coconut Oil helps to balance the thyroid and boost metabolism helping to manage weight. Our raw, organic virgin coconut oil is sourced from coconuts naturally grown in the Philippines and contains one ingredient: USDA Certified Organic Coconut Oil.ORGANIC & COLD PRESSED - 100% USDA Certified Organic, raw, pure cold-pressed oil. Naturally healthy!UNREFINED - Has not been refined, bleached or deodorized preserving the natural flavor of fresh coconuts.SUPERFOOD FOR PETS - Rich in Lauric Acid, which has antibacterial, antiviral, and anti-fungal properties, this product provides optimal healing and immune building both inside and out!HEALTHY SKIN & SHINY COAT - Naturally moisturizes without chemicals making it ideal for wound healing PLUS treatment for hot spots, dry itchy skin and brittle hair, bites and stings.PURE COCONUT OIL - 100% unrefined, organic virgin coconut oil ... that's it!OPTIMAL NUTRITION - High in Medium Chain Triglycerides (MCT), a "GOOD FAT" providing a multitude of health benefits, Coconut Oil improves digestion and immune support, promotes energy and weight management.WHOLE BODY SUPPORT - Immune building, aids digestion, supports strong bone growth, reduces inflammation and helps alleviate arthritis pain.
Increase your knowledge of the clinical trials and evidence that lay the groundwork for current practice with Internal Medicine Evidence: The Practice-Changing Studies. Brief, easy-to-read, accessible, and reviewed by experienced clinicians at Harvard Medical School, this time-saving reference allows you to quickly familiarize yourself with 100 of the most practice-changing clinical trials in internal medicine. This unique title is ideal for trainees and seasoned practitioners in medicine, nursing and other health professions, providing insight and understanding into today’s practice of internal medicine. Key Features:Save time and effort with convenient, succinct synopses of each study, including editorial commentary on the impact of the trial and the context for incorporating it into practice.Access an important mix of historical and contemporary studies, reviewed by faculty at Harvard Medical School, with an emphasis on material most relevant to today’s practice.Explore landmark clinical trials in all areas of internal medicine, including cardiology, critical care, endocrinology, gastroenterology, hematology, infectious diseases, nephrology, oncology, pulmonology, and rheumatology.Plus, by providing easily accessible, relevant material and references, this text can be used to effectively: Enhance discussion and teaching at morning reports or resident conferencesIncrease emphasis on evidence-based medicine in classroom and clinical educationBuild a foundation for an evidence-based medicine curriculum for medical students and residentsYour book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience:The ability to download the eBook on multiple devices at one time — providing a seamless reading experience online or offlinePowerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooksMultiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive designThe ability to highlight text and add notes with one click
A unique manual for teaching and learning 100 of the most important topics encountered on roundsTeaching Rounds is a highly visual, carry-anywhere resource that enables residents in teaching hospitals to learn in an effective, memorable way without the need for a blackboard or dense text.The authors have identified the ten most important topics to discuss on rounds across ten specialties. Each topic is featured on its own, removable card that showcase a visual aid, case-base questions and answers, key clinical pearls, and references. Topics are further grouped into teaching categories, such as Diagnostic Approach, Disease Classification, and Pathophysiology, among others.If you are looking for a concise text that not only identifies need-to-know “pearls,” but also simplifies how to teach and learn them, Teaching Rounds belongs in your lab coat pocket.
Prepared by residents and attending physicians at Massachusetts General Hospital, the 5th edition of Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine provides key clinical information and solutions to common problems faced in the practice of internal medicine.Designed to fit in a pocket, this 6-ring looseleaf binder tackles the diagnosis and treatment of the most common disorders in cardiology, pulmonary medicine, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, rheumatology, and neurology.Bulleted lists combined with tables and algorithms allow busy clinicians to find the information they need rapidly. A 16-page color insert displays classic normal and abnormal radiographs, CT scans, echocardiograms, peripheral blood smears, and urinalyses seen in the practice of internal medicine.Completely updated, this highly regarded, best-selling reference is ideal for medical students, interns, residents, and candidates reviewing for internal medicine board exams.FEATURES:• User-friendly 2-color design• Small enough to fit in a pocket• 6-ring binder to accommodate notes• Tabs help locate major organ systems quickly• Content has been fully updated to include the most recent information across the full breadth of inpatient internal medicine.If you purchased a copy of Sabatine: Pocket Medicine 5e, ISBN 978-1-4511-8237-8, please make note of the following important correction on page 1-36:Oral anticoagulation (Chest 2012;141:e531S; EHJ 2012;33:2719; Circ 2013;127:1916)· All valvular AF as stroke risk very high· Nonvalv. AF: stroke risk ~4.5%/y; anticoag ® 68% ¯ stroke; use a risk score to guide Rx:CHADS2: CHF (1 point), HTN (1), Age ≥75 y (1), DM (1), prior Stroke/TIA (2)CHA2DS2-VASc: adds 65–74 y (1) ≥75 y (2), vasc dis. [MI, Ao plaque, or PAD (1)]; ? (1)score ³2 ® anticoag; score 1 ® consider anticoag or ASA (? latter reasonable if risk factor age 65-74 y, vasc dis. or ?); antithrombotic Rx even if rhythm control [SCORE CORRECTED]· Rx options: factor Xa or direct thrombin inhib (non-valv only; no monitoring required) orwarfarin (INR 2-3; w/ UFH bridge if high risk of stroke); if Pt refuses anticoag, considerASA + clopi or, even less effective, ASA alone (NEJM 2009;360:2066)Please make note of this correction in your copy of Sabatine: Pocket Medicine 5e immediately and contact LWW’s Customer Service Department at 1.800.638.3030 or 1.301.223.2300 so that you may be issued a corrected page 1-36. You may also download a PDF of page 1-36 directly from www.lww.com/PocketMedicine. All copies of Pocket Medicine, 5e with the ISBN: 978-1-4511-9378-7 include this correction.