Early Diagnosis of the Acute Abdomen
Unparalleled in demonstrating the art of clinical diagnosis, this classic text has been used by several generations of medical students and house staff since its original publication seventy years ago. Thoroughly revised by one of America's most distinguished gastrointestinal surgeons, it combines the enduring principles of prompt, accurate diagnosis of the acute abdomen with many fresh observations culled from Silen's own experience. Retained from Cope's original work are his emphasis on clinical diagnosis by direct examination, his highly readable style of writing, and the book's overall structure. New to this edition is a concise chapter on the acute abdomen in AIDS. In recent years there has been a misdirected emphasis on the use of invasive and non-invasive tests rather than clinical evaluation of individuals with acute abdominal pain. These tests are no substitute for an adequate history and physical examination as well as in-depth knowledge of the natural history of disease. More effectively than any other volume, this book redresses that balance, helping students and clinicians gain facility in clinical diagnosis and management of acute abdominal pain.
- Paperback | 316 pages
- 139.7 x 208.28 x 10.16mm | 317.51g
- 01 Apr 1991
- Oxford University Press Inc
- New York, United States
- 18th Revised edition
- frontispiece, 14 pp plates, line drawings throughout
Table of contents
The principles of diagnosis in acute abdominal disease; method of diagnosis - the history; - the examination of the patient; - groupings of symptoms; laboratory and radiologic tests; appendicitis; the differential diagnosis of appendicitis; perforation of a gastric or duodenal ulcer; acute pancreatitis; cholecystitis and other causes of acute pain in the right upper quadrant of the abdomen; acute abdominal lesions arising in the left hypochoncrium; the colics; acute intestinal obstructions; intussusception and other causes of obstruction; the early diagnosis of strangulated and obstructed hernias; acute abdominal symptoms due to vascular lesions; acute abdominal symptoms in women; early ectopic gestation; acute abdominal disease with genitourinary symptoms; the diagnosis of acute peritonitis; the early diagnosis of abdominal injuries; the postoperative abdomen; the acute abdomen in the tropics; diseases which may simulate the acute abdomen; acute abdominal pain in the immunocompromised patient.