Tây y Oxford handbook of Clinical and Laboratory Investigation - Drew Provan & Andrew Krentz

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    Oxford handbook of Clinical and Laboratory Investigation
    Tác giả: Drew Provan & Andrew Krentz
    Nhà xuất bản: Oxford University Press, Inc., New York
    Năm xuất bản: 2002

    Trích: Lời giới thiệu

    With the increasing complexity of modern medicine, we now have literally
    thousands of possible investigative techniques at our disposal. We are able
    to examine our patient’s serum and every other body fluid down to the
    level of individual nucleotides, as well as being able to perform precise
    imaging through
    CT,MRI
    and other imaging technologies. The problem we
    have all faced, especially as senior medical students or junior doctors is:
    which test should we use in a given setting? What hazards are associated
    with the tests? Are there any situations where specific tests should not be
    used or are likely to produce erroneous results? As medical complexity
    increases so too does cost; many assays available today are highly expen-
    sive and wherever possible we would ideally like to use a test which is
    cheap, reliable, reproducible and right for a given situation.
    Such knowledge takes many years to acquire and it is a fact of life that
    senior doctors (who have attained such knowledge) are not usually those
    who request the investigations. In this small volume, we have attempted
    to distil all that is known about modern tests, from blood, urine and other
    body fluids, along with imaging and molecular tests. The book is divided
    into two principal parts: the first deals with symptoms and signs in The
    patientsection, because that is how patients present. We have tried to
    cover as many topics as possible, discussing these in some detail and have
    provided differential diagnoses where possible. We also try to suggest
    tests that might be of value in determining the cause of the patient’s
    symptom or sign. The second part of the book, Investigations, is spe-
    cialty-specific, and is more relevant once you know roughly what type of
    disease the patient might have. For example, if the symptom section sug-
    gests a likely respiratory cause for the patient’s symptoms, then the reader
    should look to the Respiratory investigations chapter in order to determine
    which tests to carry out, or how to interpret the results.
    The entire book is written by active clinicians, rather than scientists, since
    we wanted to provide a strong clinical approach to investigation. We have
    tried, wherever possible, to cross-refer to the Oxford Handbook of Clinical
    Medicine, 5th edition, Oxford University Press, which provides the clinical
    detail omitted from this handbook. The symbol is used to highlight a
    cross-reference to
    OHCM
    , in addition to cross-referencing within this book.
    We would value feedback from readers since there will doubtless be
    tests omitted, errors in the text and many other improvements we could,
    and will, make in future editions. All contributors will be acknowledged
    individually in the next edition. We would suggest you e-mail us directly:
    a.provan@virgin.net.

    Drew Provan
    Andrew Krentz
    2002
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