A Clinician's Pearls & Myths in Rheumatology


Book Description

Important strides have been made in understanding the pathophysiologic basis of many inflammatory conditions in recent years, but rheumatology remains a discipline in which diagnosis is rooted in the medical history skillfully extracted from the patient, the careful physical examination, and the discriminating use of laboratory tests and imaging. Moreover, selection of the most appropriate therapy for patients with rheumatic diseases also remains heavily reliant upon clinical experience. Medical disciplines such as rheumatology that depend significantly upon clinical wisdom are prone to the development of systems of ‘Pearls’ and ‘Myths,’ related to the diseases they call their own, a ‘Pearl’ being a nugget of truth about the diagnosis or treatment of a particular disease that has been gained by dint of clinical experience and a ‘Myth’ being a commonly held belief that influences the practice of many clinicians – but is false. This book will pool together the clinical wisdom of seasoned, expert rheumatologists who participate in the care of patients with autoimmune diseases, systemic inflammatory disorders, and all other rheumatic conditions.




Imaging in Rheumatology


Book Description

Imaging in Rheumatology: A Clinical Approach is ideal for radiologists and rheumatologists—as well as orthopedic surgeons and others interested in applying imaging to rheumatologic diseases—and stresses conventional radiography as the most effective imaging assessment technique to help diagnose various diseases and conditions. Greenspan and Gershwin—a radiologist and rheumatologist, respectively—focus on practical, everyday use, so you can apply knowledge you learn in any clinical setting.




CURRENT Diagnosis & Treatment in Rheumatology, Second Edition


Book Description

The most up-to-date and readily accessible rheumatology resource available! A Doody's Core Title ESSENTIAL PURCHASE for 2011! 5 STAR DOODY'S REVIEW! "I was impressed with this book and consider it one of the more useful books I've come across for use in treating patients. Not only is it a good book to read from cover-to-cover, but it's also a wonderful resource for injection techniques as well as therapeutics. No other book provides the practicalities like this does. Based on the ever-changing biologic therapies, one would imagine an update every several years makes sense."--Doody's Review Service The second edition of this quick-reference guide has everything you need to keep pace with this fast-moving field--presented in the acclaimed CURRENT format. Valuable to primary care providers as well as practicing rheumatologists, the book offers a straightforward approach to the management of difficult-to-treat rheumatologic diseases and disorders, such as arthritis, lupus, and sarcoidosis. Essential NEW MATERIAL INCLUDES: Updated review of NSAIDs in light of current controversies and developments Expanded coverage of rheumatoid arthritis Brand new chapters on Juvenile Arthritis; The Treatment of SLE; Autoimmune Hearing Loss; and the Approach to the Painful Red Eye A well-illustrated chapter on the performance of joint arthrocentesis and injection More illustrations and radiographs New chapter on Pearls in Hospital Rheumatology, filled with no-nonsense diagnostic and treatment advice for the student, trainee, or clinician Features: Expert coverage of the entire range of rheumatology disorders Full explanations of common and major disorders in clinical immunology Concise chapters geared to the needs of trainees and clinicians Addresses common but difficult-to-diagnose rheumatologic complaints -- and delivers key “approach to the patient” strategies




Clinical Case Studies for the Family Nurse Practitioner


Book Description

Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.




Notes of a Radiology Watcher


Book Description

The Radiology Department is a pivotal part of any acute and/or comprehensive health care facility. The radiologist can no longer just “hide out” there. Matters of imaging are often public concerns, larger in scope than just the scheduling and managing of a series of image tests. Rather radiology is expensive, often intrusive and in some areas earnestly and endlessly controversial. A radiologist must be attuned to these often confounding contingencies. Two recent developments in the monitoring of education of radiologists can be impacted by the content of this book. For trainees in Radiology, and for that matter, for all trainees in every medical specialty in the U.S., a new accreditation system (NAS) has been put into place under the impetus and aegis of the ACGME, the Accreditation Committee for Graduate Medical Education, the body responsible for graduate medical evaluation and oversight in the U.S. Among its many innovations, the NAS curriculum is concerned with knowledge acquired about social and economic issues pertinent to each specialty. It is also focused on improving communication skills and about enhancing quality and safety. In the elaboration of “milestones” for residency education in these issues are codified into focused initiatives that must be addressed by each trainee as he or she advances in capability and seniority within the training interval.




Empathy: Real Stories to Inspire and Enlighten Busy Clinicians


Book Description

For anyone who communicates directly with patients—the complete guide to handling emotionally charged conversations with the empathy vulnerable people deserve Empathy: Real Stories to Inspire and Enlighten Busy Clinicians helps you approach tough conversations with patients in a new, more effective way―by imagining what patients and their families may be thinking and feeling, and then communicating that recognition clearly and confidently. The authors use stories to illustrate what empathy looks and sounds like on an operational level―rather than a theoretical, scientific, or conceptual level―and provide the actionable advice you need to make empathy the central focus when faced with challenging scenarios, such as “denial,” questions about prognosis, existential concerns, difficult family dynamics, anger, and nonmedical opiate use. The viewpoints presented are drawn from a diverse group of clinicians from a variety of medical disciplines, including oncology, palliative medicine, pediatrics, psychology, chaplaincy, and ophthalmology. Each chapter is anchored by a true but anonymized story that clearly illustrates how empathy can unfold in the clinical setting. Vignettes throughout provide sample dialogue and examples of actual words and phrases that help clinicians connect with patients under the most trying circumstances. Much more than a guide to breaking bad news or an overview of all communication skills, Empathy: Real Stories to Inspire and Enlighten Busy Clinicians is a must-read for anyone connected to the healthcare industry.




Musculoskeletal Ultrasound in Rheumatology Review


Book Description

Point-of care ultrasound, or ultrasound performed and interpreted by the clinical in the clinic/office or at the bedside, has been rapidly expanding in use among multiple medical specialties. Musculoskeletal ultrasound has added value to clinical care to expedite diagnoses by visualizing mechanical versus inflammatory features and correlating these findings with patient’s symptoms. The use of power Doppler to assess for subclinical inflammation or active hyperemia has been a distinguishing use of ultrasound for rheumatologists. Accurate needle guidance with ultrasound for joint and tendon procedures has allowed expansion of procedures in the clinic and has been associated with less pain and precise targeting of affected structures. Musculoskeletal ultrasound education is now offered in nearly all rheumatology fellowship training programs in the United States and is also included in residency training in other specialties (e.g. physical medicine and rehabilitation, orthopedics, podiatry, emergency medicine, and family medicine). Since the publication of the first edition of Musculoskeletal Ultrasound in Rheumatology Review, there has been tremendous growth of musculoskeletal ultrasound in the field of rheumatology as well as other musculoskeletal specialties. The expanded second edition of this practical guide provides an updated clinical review of diagnostic and interventional applications of musculoskeletal ultrasound in rheumatology. New and revised chapters focus on the use of ultrasound in the diagnosis of specific rheumatic diseases such as osteoarthritis, scleroderma, psoriatic arthritis, gout, and lupus. Each chapter covers a standardized protocol of joint images with probe placement and includes numerous examples of common ultrasound pathologies. Study tools such as key-concept overviews, lists of important studies in the field, and extensive questions for self-assessment are included throughout. Written by current experts and thought leaders in the rapidly advancing field of rheumatology ultrasound, the second edition of Musculoskeletal Ultrasound in Rheumatology Review is an essential reference for physicians and related professionals, residents, fellows, graduate students and nurses in rheumatology, imaging and radiology, sports medicine, internal medicine, and physiotherapy.




Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide


Book Description

Musculoskeletal ultrasound has seen a considerable surge in usage in recent years. Its advantages are manifold. Given adequate training of the examiner, it is very cost-effective; there is no ionizing radiation to contend with; the scanners are normally highly portable; and it enables certain interventional procedures to be performed with great accuracy (therapeutic injections of local anesthetics and/or corticosteroids into areas of complex anatomy, e.g., the shoulder). In this book, the anatomic areas are organized in chapter pairs, of which the first part of the pair summarizes the diagnostic imaging of that area from various angles so as to obtain the standard images necessary for reliable evaluation. The second part covers the image-guided injection techniques themselves, including requisite equipment. Key Features: Concise texts accompanied by typical US scans, brilliant anatomic illustrations, and many photographs showing proper scanner placement Juxtaposes normal and pathologic anatomy for maximum understanding Detailed and lucid description of all common injection procedures, appropriately illustrated Resteghini's Diagnostic Musculoskeletal Ultrasound and Guided Injection: A Practical Guide is an essential introductory reference for physical therapists, sports medicine physicians, orthopaedic practitioners new to the method, radiographers, and allied health professionals involved in the diagnosis and therapy of musculoskeletal conditions.




An Introduction to Clinical Emergency Medicine


Book Description

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.




Ultrasound Guidance in Regional Anaesthesia


Book Description

Ultrasonographic guidance for regional anaesthetic blocks is an innovative technique that allows for the direct visualization of nerves, adjacent structures and the position of the needle, as well as for the precise observation of the spread of local anaesthetic. The advantages of the technique allow for the exact administration of moderate volumes of local anaesthetic, reducing the risk of complications. Written by a physician with 16 years' experience in ultrasound-guided regional anaesthesia, this second edition of the well-received practical handbook provides a concise summary of the basics of ultrasound technology and the most recent techniques in the use of ultrasound to guide peripheral nerve blocks, focusing specifically on ultrasound-guided peripheral nerve block techniques. All chapters have been carefully revised to provide the most recent knowledge in the topic of ultrasound in regional anaesthesia. A strong focus has still been attached on anatomical descriptions and subsequent practical implementations. Paediatric applications are now included in this new edition to aid paediatric anaesthesiologists, as well as the incorporation of neuraxial techniques to complete the entire topic. With illustrated colour images throughout, this book is highly relevant to anaesthesiologists and pain specialists with an interest in regional anaesthesia.