Acute Medicine offers an accessible and concise guide to the practical management of all acute medical problems likely to be encountered in the emergency department, ambulatory care centre, acute medical unit or on the wards. Reflecting the maturation of acute medicine as a separate specialty, the book is divided into common presentations, specific problems and procedures. New to the fifth edition is a chapter on bed-side ultrasonography; throughout, emphasis is placed on patient safety, and the use of flow diagrams, tables and figures ensures that key information is quickly accessible. Thoroughly revised by experts in the subject, and updated to reflect current approaches to diagnosis and management, Acute Medicine is an excellent companion for the trainee as well as an aide-mémoire for the more experienced physician.
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Acute Medicine offers an accessible and concise guide to the practical management of all acute medical problems likely to be encountered in the emergency department, ambulatory care centre, acute medical unit or on the wards.
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Contributors, xi Preface, xix Evolution of acute medicine: the development of ambulatory emergency care, xxi Section 1: Presentations in Acute Medicine, 1 General, 2 1 The critically ill patient, 3 2 Hypotension and shock, 9 3 Reduced conscious level, 16 4 Delirium, 23 5 Falls in older people, 30 Cardiorespiratory, 34 6 Cardiac arrest in hospital, 35 7 Acute chest pain, 46 8 Palpitations, 53 9 Transient loss of consciousness, 60 10 Acute breathlessness, 68 11 Acute respiratory failure, 73 12 Pleural effusion, 79 13 Cough and haemoptysis, 85 Neurological, 91 14 Neurological diagnosis in acute medicine, 92 15 Acute headache, 98 16 Seizures and epilepsy, 103 17 Weakness and paralysis, 110 18 Acute sensory symptoms, 117 19 Loss of vision, 123 Abdominal, 132 20 Acute vomiting, 133 21 Acute abdominal pain, 138 22 Acute diarrhoea, 144 23 Acute jaundice, 150 24 Ascites, 155 25 Acute kidney injury, 160 Skin and Musculoskeletal, 170 26 Acute rash, 171 27 Urticaria and angioedema, 177 28 Acute arthritis, 183 29 Acute spinal pain, 187 30 Acute limb pain, 190 Miscellaneous, 194 31 Comprehensive geriatric assessment, 195 32 Acute medical problems in pregnancy, 199 33 Fever on return from abroad, 207 34 Acute medical problems in the HIV-positive patient, 215 Section 2: Syndromes and Disorders, 223 General, 224 35 Sepsis, 225 36 Poisoning, 233 37 Acid-base disorders, 246 38 Anaphylaxis, 252 Cardiovascular, 258 39 Acute arrhythmias: general principles of management, 259 40 Regular broad complex tachycardia, 263 41 Irregular broad complex tachycardia, 268 42 Narrow complex tachycardia, 272 43 Atrial fibrillation and flutter, 279 44 Bradycardia and atrioventricular block, 283 45 Acute coronary syndromes (1): ST-segment elevation, 289 46 Acute coronary syndromes (2): Non-ST-segment elevation, 298 47 Acute pulmonary oedema, 305 48 Acute heart failure and decompensated chronic heart failure, 311 49 Cardiogenic shock, 317 50 Aortic dissection and other acute aortic syndromes, 321 51 Heart valve disease and prosthetic heart valves, 328 52 Infective endocarditis, 333 53 Acute pericarditis, 340 54 Cardiac tamponade, 344 55 Severe hypertension, 347 56 Deep vein thrombosis, 353 57 Pulmonary embolism, 358 58 Problems with pacemakers and other cardiac devices, 366 Respiratory, 371 59 Upper airway obstruction, 372 60 Acute asthma, 378 61 Exacerbation of chronic obstructive pulmonary disease (COPD), 384 62 Community-acquired pneumonia, 390 63 Hospital-acquired pneumonia, 396 64 Pneumothorax, 399 Neurological, 402 65 Stroke, 403 66 Transient ischaemic attack, 412 67 Subarachnoid haemorrhage, 418 68 Bacterial meningitis, 422 69 Encephalitis, 428 70 Spinal cord compression, 432 71 Guillain-Barré syndrome, 436 72 Raised intracranial pressure, 442 Abdominal, 446 73 Acute upper gastrointestinal bleeding, 447 74 Acute lower gastrointestinal bleeding, 455 75 Acute oesophageal disorders, 459 76 Inflammatory bowel disease flare, 462 77 Acute liver failure and decompensated chronic liver disease, 467 78 Alcoholic hepatitis, 476 79 Biliary tract disorders and acute pancreatitis, 478 80 Urinary tract infection, 481 Metabolic, 487 81 Hypoglycaemia, 488 82 Hyperglycaemic states, 491 83 Diabetic ketoacidosis, 495 84 Hyperosmolar hyperglycaemic state, 499 85 Disorders of plasma sodium concentration, 501 86 Disorders of plasma potassium concentration, 508 87 Disorders of plasma calcium concentration, 514 88 Disorders of plasma magnesium concentration, 518 89 Disorders of plasma phosphate concentration, 521 90 Acute adrenal insufficiency, 525 91 Thyrotoxic storm, 530 92 Myxoedema coma, 534 93 Pituitary apoplexy, 537 94 Paraganglioma (phaeochromocytoma) crisis, 540 Skin and Musculoskeletal, 543 95 Cellulitis and necrotizing fasciitis, 544 96 Erythroderma and toxic epidermal necrolysis, 549 97 Acute gout and pseudogout, 555 98 Septic arthritis, 558 99 Acute vasculitis, 561 Haematology and Miscellaneous, 568 100 Interpretation of full blood count and film, 569 101 Pancytopenia and febrile neutropenia, 577 102 Bleeding disorders, 584 103 Management of anticoagulation, 589 104 Acute painful sickle cell crisis, 601 105 Complications of cancer, 605 106 Alcohol-related problems in acute medicine, 612 107 Hypothermia, 615 108 Drowning, 619 109 Electrical injury, 623 110 Palliative and end-of-life care, 625 111 Medicolegal issues in acute medicine, 632 Section 3: Techniques and Procedures in Acute Medicine, 639 112 Airway management, 641 113 Non-invasive ventilation, 646 114 Ultrasonography in acute medicine, 651 115 Reading a chest X-ray, 657 116 Central vein cannulation, 665 117 Arterial blood sampling and cannulation, 673 118 Arterial blood gases, oxygen saturation and oxygen therapy, 677 119 Temporary cardiac pacing, 681 120 Pericardial aspiration (pericardiocentesis), 687 121 DC cardioversion, 692 122 Insertion of an intercostal chest drain, 696 123 Lumbar puncture, 704 124 Aspiration of the knee joint, 709 125 Insertion of a Sengstaken-Blakemore tube, 712 Index, 715
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Acute Medicine offers an accessible and concise guide to the practical management of all acute medical problems likely to be encountered in the emergency department, ambulatory care centre, acute medical unit or on the wards. Reflecting the maturation of acute medicine as a separate specialty, the book is divided into common presentations, specific problems and procedures. New to the fifth edition is a chapter on bed-side ultrasonography; throughout, emphasis is placed on patient safety, and the use of flow diagrams, tables and figures ensures that key information is quickly accessible. Thoroughly revised by experts in the subject, and updated to reflect current approaches to diagnosis and management, Acute Medicine is an excellent companion for the trainee as well as an aide-mémoire for the more experienced physician.
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Produktdetaljer

ISBN
9781118644287
Publisert
2017-07-07
Utgave
5. utgave
Utgiver
Vendor
Wiley-Blackwell
Vekt
1293 gr
Høyde
244 mm
Bredde
170 mm
Dybde
31 mm
Aldersnivå
P, 06
Språk
Product language
Engelsk
Format
Product format
Heftet
Antall sider
784

Biographical note

David Sprigings, Consultant Physician 1993-2016, Northampton General Hospital, Northampton, UK.

John B. Chambers, Professor of Clinical Cardiology and Consultant Cardiologist, Guy's and St Thomas' Hospitals, London, UK.