Overview

This classic text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. It is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: 'If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain.' Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high-anxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 22nd Edition, Dr. Silen has again updated the text in a respectful but significant way. He has added a chapter on the increasing disorder of diverticulitis, reexamines the use of analgesics, emphasizes the costs of over-testing, and updates all recommendations regarding trauma, radiologic studies, and therapeutic recommendations.

Full Product Details

Author:   William Silen
Publisher:   Oxford University Press Inc
Imprint:   Oxford University Press Inc
Edition:   22nd Revised edition
Dimensions:   Width: 20.60cm , Height: 2.00cm , Length: 13.70cm
Weight:   0.386kg
ISBN:  

9780199730452

ISBN 10:   0199730458
Pages:   320
Publication Date:   04 February 2010
Audience:   College/higher education ,  Professional and scholarly ,  Undergraduate ,  Postgraduate, Research & Scholarly
Format:   Paperback
Publisher's Status:   Active
Availability:   To order  
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Table of Contents

1. The principles of diagnosis in acute abdominal disease 2. Method of diagnosis: the history 3. Method of diagnosis: the examination of the patient 4. Method of diagnosis: the grouping of symptoms and signs 5. Laboratory and radiological tests 6. Appendicitis 7. The differential diagnosis of appendicitis 8. Diverticulitis of the colon 9. Perforation of a gastric or duodenal ulcer 10. Acute pancreatitis 11. Cholecystitis and other causes of acute pain in the right upper quadrant of the abdomen 12. Acute abdominal lesions arising in the left hypochondrium 13. The colics 14. Acute intestinal obstruction 15. Intussusception and other causes of obstruction 16. The early diagnosis of strangulated and obstructed hernias 17. Acute abdominal symptoms due to vascular lesions 18. Acute abdominal symptoms in women 19. Early ectopic gestation 20. Acute abdominal disease with genitourinary symptoms 21. The diagnosis of acute peritonitis 22. The early diagnosis of abdominal injuries 23. The postoperative abdomen 24. The acute abdomen in the tropics 25. Diseases that may simulate the acute abdomen 26. Acute abdominal pain in the immunocompromised patient 27. Abdominal catastrophes when sensation is impaired Index

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Author Information

William Silen, MD Johnson and Johnson Professor of Surgery, Emeritus Harvard University Medical School Boston, MA

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