By Parveen Kumar CBE BSc MD FRCP FRCP(Edin), Michael L. Clark MD FRCP
The seventh version of Kumar and Clark's medical drugs is a completely up-to-date, transformed and revised re-creation of the first-prize winner within the drugs type within the BMA 2006 clinical booklet pageant. it's the market-leading entire and authoritative single-volume textbook of inner medication, consulted through scholars and medical professionals alike through the global. protecting the administration of ailment, according to an realizing of medical ideas, and together with the newest advancements in therapy, it's written for scientific scholars and medical professionals getting ready for expert tests, however it is a perfect common reference textual content for all training medical professionals. the hot variation is a part of Elsevier's StudentConsult digital group. StudentConsult titles include complete textual content on-line, a different photo library, case reviews, questions and solutions, on-line note-taking, and integration hyperlinks to content material in different disciplines - perfect for problem-based learning.Colour-coded chapters make the e-book appealing and straightforward to navigate.Drawings and pictures convey the themes to life.Boxes and tables pull out and show very important information.Clear headings and a accomplished index let the reader to pinpoint details fast and accurately.The on-line model has been prolonged and up-to-date as a part of the coed seek advice platform.Over a hundred new illustrations.Five new contributors.Thoroughly up-to-date, rewritten and revised to mirror alterations in perform and approach.Online model with additional content material, together with animations and sounds, and fuller remedies of domestically particular scientific difficulties similar to malaria, SARS, TB, viral haemorrhagic (dengue) fever, leprosy, snake chew etc.Expanded enter from the foreign Advisory Panel of specialists from world wide, augmenting the book's foreign scope.
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Additional resources for Kumar and Clark's Clinical Medicine, 7th Edition (MRCP Study Guides)
7. Providing closure ■ ■ Breaking bad news Bad news is any information which is likely to alter drastically a patient’s view of the future. The way news is broken has an immediate and long-term effect. When skillfully performed the patient and family are enabled to understand, cope and make the best of even very bad circumstances. These interviews are difficult because biomedical measures may be of little or no help, patients are upset and can react unpredictably, and the clinician may be upset as well – the more so if there is an element of medical mishap.
1255). Gap junctions Gap junctions allow substances to pass directly between cells without entering the extracellular fluids. g. amino acids and sugars), as well as ions, chemical messengers and other factors. The diameter of these channels is regulated by intracellular Ca2+, pH and voltage. Connexins are made up of six subunits surrounding a channel and their isoforms in tissues are encoded by different genes. Mutant connexins can cause disorders, such as the X-linked form of Charcot–Marie–Tooth disease (p.
Withholding information from patients or telling just the family is becoming a thing of the past even in those parts of the world where traditionally disclosure did not occur. Although truth can hurt, deceit hurts more. It erodes trust and deprives patients of information to make choices. Most people now express the wish to be told the truth and the evidence is that patients: A framework Having a plan helps clinicians to present bad news in a factual, unhurried, balanced and empathic fashion that responds to each patient.