Cope's Early Diagnosis of the Acute Abdomen

Cope's Early Diagnosis of the Acute Abdomen

4.29 (79 ratings by Goodreads)
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This famous text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. Despite its relatively narrow focus, 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 more than 30 years ago, 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 21st Edition, Silen has again updated the text in a respectful but significant way.
He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching.
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Product details

  • Hardback | 320 pages
  • 139.7 x 210.8 x 20.3mm | 476.28g
  • New York, United States
  • English
  • Revised
  • 21st Revised edition
  • 30 black & white photographs and 35 line illustrations
  • 019517545X
  • 9780195175455

Table of contents

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

The 21st edition has kept the spirit of the preceding editions - a happy mixture of clinical experience and current knowledge, the author maintaining the rich heritage in a series of 26 well structured chapters. The description of signs and symptoms of acute diseases of the abdomen is made with the precision of the old masters. The natural history of acute syndromes is detailed, the steps of the diagnosis are clarified and the differential diagnoses are often explained. British Journal of Surgery, Vol 92
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Rating details

79 ratings
4.29 out of 5 stars
5 53% (42)
4 27% (21)
3 18% (14)
2 1% (1)
1 1% (1)
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