Early Diagnosis of the Acute Abdomen

Early Diagnosis of the Acute Abdomen

4.32 (73 ratings by Goodreads)
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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. This edition is more substantially revised than the previous one as there is now a better understanding of the disease processes that cause abdominal pain, particularly in AIDS patients. Also new to this edition are discussions about diagnostic techniques such as ultrasound, which can be especially helpful in diagnosing ectopic pregnancy and other problems in women. More radiographs have also been added.show more

Product details

  • Paperback | 330 pages
  • 139.7 x 208.28 x 17.78mm | 430.91g
  • Oxford University Press Inc
  • New York, United States
  • Revised
  • 19th Revised edition
  • frontispiece, 16 pp halftones, line figures, tables
  • 0195097599
  • 9780195097597

Review quote

From reviews of the 18th Edition: "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....It has remained the classic treatise on the initial approach to abdominal pain....The single best short treatise on acute abdominal pain in print." --The New England Journal of Medicine"Anyone concerned with the early diagnosis of the acute abdomen, will find this text to be of most interest." --BIOSIS"There is a lot of very usable information stuffed into these 290 pages, and very little has been left out. it succeeds because of its directness and practicality....The book is thorough, clear, concise, and has a definite point of view. It is a wonderful text for medical students and interns, especially primary care interns and residents who want a straightforward, clinically relevant resource....It would also make a useful review for practitioners who want to refresh their knowledge. This text should also be a must for emergency department physicians, and all family practice faculty who are confronted with ubiquitous questions from students and residents about patients with abdominal pain." --The Journal of Family Practice"This latest revision of the Cope-Silen text on the acute abdomen nicely closes out the 20th-century information base on this subject....The healthcare providers of the 21st century will continue to profit from the important updating of this classic monograph"--Journal of the American Medical Association"A classic treatise on the means by which clinical skills (history taking, physical examination, and interpretation of laboratory studies) can allow early diagnosis of acute abdominal pathology....Splendid book."Gastroenterologyshow more

Table of contents

The principles of diagnosis in acute abdominal disease; Method of diagnosis: the history; Method of diagnosis: the examination of the patient; Method of diagnosis: the groupings of symptoms; Laboratory and radiological 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 hypochondrium; The colics; Acute intestinal obstruction; 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; Abdominal catastrophes when sensation is impaired.show more

Rating details

73 ratings
4.32 out of 5 stars
5 52% (38)
4 29% (21)
3 19% (14)
2 0% (0)
1 0% (0)
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