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Index
Cover image
Title Page
Table of Contents
Copyright
Acknowledgements
Online Special Topics
Contributors
Online contributors
International Advisory Board
Preface to the Ninth Edition
How to Use This Book
Section 1 Good medical practice
1 Ethics, law and communication
Ethics and the Law
Communication
2 Clinical pharmacology
Introduction
Why Do Patients Need Drugs?
The Choice of Drug
The Dose
Pharmacokinetics
Pharmacodynamics
Affordability and Cost-Effectiveness
Prescribing in Special Populations
Monitoring Drug Therapy
Adverse Drug Reactions
Drug Interactions
Inter-Individual Variability in Drug Response
Evidence-Based Medicine
Statistical Analyses
Information Sources
Significant websites
3 Palliative medicine and symptom control
Introduction and General Aspects
Symptom Control
Extending Palliative Care to People with Non-Malignant Disease
Palliative Care of the Frail Elderly
Care of the Dying
Further reading
Bibliography
Significant websites
4 Global health
Introduction
Millennium Development Goals
Global Burden of Disease
Poverty
Water and Sanitation
Organizations and the Global Health Agenda
Education
Maternal Health and Child Health
Mental Health
Accidents and Trauma
Conflict and Catastrophe
Economics and Politics in Global Health
Social Determinants of Health
Human Rights and the Value of Engagement in Global Health
Bibliography
5 Environmental medicine
Disease and the Environment
Environmental Temperature
Heat Injury
Cold Injury
High Altitude
Diving
Drowning
Air Pollution
Ionizing Radiation
Electric Shock
Lightning Strike
Smoke
Noise
Bioterrorism/Biowarfare
Travel
Building-Related Illnesses
6 Poisoning
Introduction
Clinical approach to the poisoned patient
Principles of Management of Poisoning
Specific Poisons
Significant websites
Section 2 Clinical sciences
7 Molecular cell biology and human genetics
Cell Biology
Human Genetics
Bibliography
Significant websites
8 The immune system and disease
Anatomy and Principles of the Immune System
Innate Immune System
Adaptive Immune System
Cell Migration
HLA Molecules and Antigen Presentation
The Immune System in Concert
Laboratory Investigations of the Immune System
Clinical Immunodeficiency
Type I (Immediate) Hypersensitivity and Allergic Disease
Autoimmune Disease
Organ Rejection in Clinical Transplantation
Immune-Based Therapies
9 Water, electrolytes and acid–base balance
Water and Electrolytes
Acid–Base Disorders
Further reading
Bibliography
10 Nutrition
Introduction
Water and Electrolyte Balance
Dietary Requirements
Protein–Energy Malnutrition
Vitamins
Minerals
Nutrition and Ageing
Obesity
Nutritional Support
Food Allergy and Food Intolerance
Alcohol
Bibliography
Significant websites
Section 3 Clinical practice
11 Infectious diseases and tropical medicine
Infection and Infectious Disease
Viral Infections
Transmissible Spongiform Encephalopathies (Prion Diseases)
Bacterial Infections
Fungal Infections
Protozoal Infections
Helminthic Infections
Arthropod Ectoparasites
12 Sexually transmitted infections and human immunodeficiency virus
Sexually Transmitted Infections
Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
Bibliography
13 Gastrointestinal disease
Introduction
Clinical Approach to the Patient with Gastrointestinal Disease
The Mouth
The Salivary Glands
The Pharynx and Oesophagus
The Stomach and Duodenum
Acute and Chronic Gastrointestinal Bleeding
The Small Intestine
Inflammatory Bowel Disease
The Colon and Rectum
Diarrhoea
Functional Gastrointestinal Disorders
The Acute Abdomen
The Peritoneum
Bibliography
Significant websites
14 Liver disease
Introduction
Anatomy of the Liver and Biliary System
Functions of the Liver
Clinical Approach to the Patient with Liver Disease
Jaundice
Hepatitis
Acute Hepatic Failure
Autoimmune Hepatitis
Drug-Induced Chronic Hepatitis
Chronic Hepatitis of Unknown Cause
Non-Alcoholic Fatty Liver Disease
Cirrhosis
Alcoholic Liver Disease
Budd–Chiari Syndrome
Hepatic Sinusoidal Obstruction Syndrome
Fibropolycystic Diseases
Liver Abscess
Other Infections of the Liver
Liver Disease in Pregnancy
Liver Tumours
Miscellaneous Conditions of the Liver
Drugs and the Liver
Bibliography
15 Biliary tract and pancreatic disease
The Gall Bladder and Biliary System
The Pancreas
16 Haematological disease
The Red Cell
The Spleen
Blood Transfusion
The White Cell
Haemostasis and Thrombosis
Bibliography
Significant websites
17 Malignant disease
Cancer Treatment
Acute Oncology
Haematological Malignancies
Common Solid Tumour Treatment
18 Rheumatic disease
Introduction
Anatomy and Physiology of the Normal Joint
Clinical Approach to the Patient with Rheumatic Disease
Common Regional Musculoskeletal Problems
Chronic Pain Syndromes
Analgesic and Anti-Inflammatory Drugs for Musculoskeletal Problems
Disorders of collagen
Osteoarthritis
Inflammatory Arthritis
Rheumatoid arthritis
Infections of Joints
Autoimmune Rheumatic Diseases
Systemic Inflammatory Vasculitis
Arthritis in Children
Rheumatological Problems Seen in Other Diseases
Miscellaneous Arthropathies
19 Bone disease
Anatomy and Physiology of Bone
Clinical Approach to the Patient with Bone Disease
Osteoporosis
Osteonecrosis
Paget's Disease of Bone
Rickets and Osteomalacia
Bone Infections
Neoplastic Disease Of Bone
Other Bone Disorders
Bibliography
Significant websites
20 Kidney and urinary tract disease
Anatomy and Physiology of the Kidney and Urinary Tract
Clinical Approach to the Patient with Kidney and Urinary Tract Disease
The Glomerulus and Glomerular Disease
Kidney Involvement in Other Diseases
Hypertension and the Kidney
Other Vascular Disorders of the Kidney
Renal Calculi and Nephrocalcinosis
Urinary Tract Obstruction
Drugs and the Kidney
Urinary Tract Infection
Tubulointerstitial Nephritis
Acute Kidney Injury
Chronic Kidney Disease
Cystic Renal Disease
Tumours of the Kidney and Genitourinary Tract
Diseases of the Prostate Gland
The Urinary Tract in the Elderly
Bibliography
Significant websites
21 Neurological disease
Introduction
Clinical Approach to the Patient with Neurological Disease
Functional Neuroanatomy
Cranial Nerves
Motor Control Systems
Lower Motor Neurone Lesions
Sensory Pathways and Pain
Bladder Control and Sexual Dysfunction
Investigation of Neurological Disease
Unconsciousness and Coma
Stroke
Intracranial haemorrhage
Headache, Migraine and Facial Pain
Epilepsy and Loss of Consciousness
Movement Disorders
Neuroinflammatory Disorders
Nervous System Infection
Brain Tumours
Hydrocephalus
Traumatic Brain Injury
Spinal Cord Disease
Neurodegenerative Diseases
Congenital Disorders
Neurogenetic Disorders
Paraneoplastic Syndromes
Peripheral Nerve Disease
Muscle Diseases
Bibliography
Significant websites
22 Psychological medicine
Introduction
Clinical Approach to the Patient with a Psychiatric Disorder
Classification of Psychiatric Disorders
Aetiology of Psychiatric Disorders
Psychiatric Aspects of Physical Diseases
The Sick Role and Illness Behaviour
Functional Somatic Syndromes
Somatoform Disorders
Dissociative/Conversion Disorders
Sleep Difficulties
Mood (Affective) Disorders
Suicide and Self-Harm
Anxiety Disorders
Alcohol Misuse and Dependence
Drug Misuse and Dependence
Schizophrenia
Organic Mental Disorders
Eating Disorders
Sexual Disorders
Personality Disorders
Involuntary Detention or Commitment
Mental Capacity Act
Further reading
Significant websites
23 Cardiovascular disease
Cardiac Arrhythmias
Heart Failure
Coronary Artery Disease
Valvular Heart Disease
Infective Endocarditis
Congenital Heart Disease
Marfan Syndrome
Pulmonary Heart Disease
Myocardial and Endocardial Disease
Pericardial Disease
Systemic Hypertension
Peripheral Vascular Disease
Significant websites
24 Respiratory disease
Introduction
Anatomy of the Respiratory System
Physiology of the Respiratory System
Clinical Approach to the Patient with Respiratory Disease
Smoking
Diseases of the Upper Respiratory Tract
Diseases of the Lower Respiratory Tract
Asthma
Pneumonia
Tuberculosis
Diffuse Parenchymal Lung Diseases
Occupational Lung Disease
Lung Cysts
Tumours of the Respiratory Tract
Disorders of the Chest Wall and Pleura
Disorders of the Diaphragm
Mediastinal Lesions
Significant websites
25 Critical care medicine
Introduction
Clinical Approach to the Critically Ill Patient
Applied Cardiorespiratory Physiology
Disturbances of Acid–Base Balance
Shock, Sepsis and Acute Disturbances of Haemodynamic Function
Respiratory Failure
Acute Respiratory Distress Syndrome
Acute Kidney Injury
Neurocritical Care
Outcomes
Bibliography
Significant websites
26 Endocrine disease
Introduction
Clinical Approach to the Patient with Endocrine Disease
The Pituitary Gland and Hypothalamus
The Thyroid Axis
Reproduction and Sex
The Adrenal Axis
The Thirst Axis
Disorders of Calcium Metabolism
Other Endocrine Disorders
Bibliography
Significant websites
27 Diabetes mellitus
Introduction
Classification of Diabetes
Clinical Approach to the Patient with Diabetes
Management of Diabetes
Diabetic Metabolic Emergencies
Complications of Diabetes
Special Situations in Diabetes
Hypoglycaemia in the Non-Diabetic Patient
Significant websites
28 Lipid and metabolic disorders
Disorders of Lipid Metabolism
Inborn Errors of Carbohydrate Metabolism
Inborn Errors of Amino Acid Metabolism
Lysosomal Storage Diseases
Amyloidosis
The Porphyrias
Bibliography
Significant websites
29 Women's health
Introduction
The Life Course Approach
Miscarriage
Heavy Menstrual Bleeding
Abortion/Termination of Pregnancy
Urinary Incontinence
Domestic Abuse and Violence
Medical Problems in Pregnancy
Prescribing in Pregnancy
30 Ear, nose and throat and eye disease
Disorders of the Ear
Disorders of the Nose
Disorders of the Throat
Disorders of the Eye
31 Skin disease
Introduction
Structure and Function of the Skin
Clinical Approach to the Patient with Skin Disease
Infections
Papulo-Squamous/Inflammatory Rashes
Facial Rashes
Photodermatology
Erythroderma
Cutaneous Signs of Systemic Disease
Bullous Disease
Skin Tumours
Disorders of Blood Vessels and Lymphatics
Disorders of Collagen and Elastic Tissue
Disorders of Pigmentation
Disorders of the Nails
Disorders of Hair
Birth Marks/Neonatal Rashes
Drug Eruptions
Human Immunodeficiency Virus and the Skin
Principles of Topical Therapy
Bibliography
Significant Websites
Index
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