Derived from Harrison's Principles of Internal Medicine, 18th Edition. Approach to Internal Medicine: A Resource Book for Clinical Practice. discussed here in details, as it is presented in internal medicine books. . cooperation with doctors from the Medical University Clinical Departments will. Approach to Internal Medicine: A Resource Book for Clinical Practice. Additional material to this book can be downloaded from enbillitaco.tk
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For a free PDF copy of this book email: Books on clinical medicine tell us how to elicit the history and physical signs whereas standard text books. PDF | On May 7, , J. G. Hardman and others published Oxford Handbook of Clinical Medicine. The largest. section of the book follows: 'internal' medicine. together in the jig-saw puzzle of diagnosis. E Noble Chamberlain. Symptoms and Signs in Clinical Medicine,. 1st edition (). We have split this textbook into.
It is responsible for the registration of doctors, setting and monitoring the quality of their undergraduate education and disciplining them for unprofessional conduct. Doctors have no professional choice but to conform to the standards laid down by the GMC, which are based on the three duties of care Box 1. National practices differ but all countries have similar regulatory bodies.
The law The three duties of care are also enshrined in statute and common law, which also regulate medical practice. Doctors i Box 1. If it can be shown that this failure is intentional, or reckless causing extreme harm or death, doctors may face prosecution in the criminal courts and, if found guilty, imprisonment.
UK law includes the Human Rights Act The provisions of the Act impose duties on doctors to ensure that their clinical practice is not in violation of these rights — the same duties that all other doctors in Europe must observe. The Act also thus helps to ensure that what constitutes legal practice in the UK is judged by broader, trans-national moral standards. Rational self-interest The most rational way for doctors to ensure that their own medical treatment as well as the treatment of those for whom they have deep personal feelings meets high standards of care is to support, through the usual professional and legal channels, the right of all patients to the same high standards of care.
The clinical importance of trust Patients will not trust doctors whom they suspect may ignore their human rights. Without trust, patients will not cooperate in their diagnosis and treatment, undermining the prospect for clinical success. Lack of trust also engenders a defensive and impersonal approach to medicine by both clinicians and patients, potentially spoiling the quality of patient care and professional life.
The doctor—patient relationship Doctors are expected to treat patients, and their carers where appropriate, as active partners in the healing process. What does this mean in practice and what are the penalties for not doing so? This does not mean that doctors have to be experts in everything. In the face of doubts about their ability or training to provide treatment to a reasonable standard, doctors should seek appropriate supervision and refuse to proceed otherwise. For example, the alleged harm may have occurred against the background of a complex medical condition or course of treatment, making it difficult to establish the actual cause.
When has a breach of professional duty occurred? In the UK, whether or not a doctor has acted inconsistently with the duty to protect life and health to an acceptable standard is ordinarily decided in civil cases by a judge on the basis of testimony from expert witnesses.
The testimony of these experienced clinicians will be used to help the court determine a professional standard which doctors working in their specializations should meet in clinical practice of the kind under dispute.
This will not necessarily depend on how representative the clinical opinions given in court are of other doctors practising in the same field. Experts can differ about what is and is not clinically acceptable.
In the face of such conflict, what a judge deems reasonable will partly depend on how probable the evidence presented against the doctor is judged to be e. Equally, the more serious the allegation of clinical negligence, the higher will be the quality of evidence that will be demanded by judges before deciding the outcome of the case. Yet it should be clear that a clinical error is not necessarily a negligent error.
Responsible and experienced clinicians may testify that the erroneous action was and is unavoidable in that type of clinical practice. Under similar circumstances, they too sometimes make — or might make — the same error. As a result of such honesty and humility, there is mounting evidence that patients will feel that they have been respected and are less likely to take legal action or to make formal complaints.
For all of these reasons, there is less to fear legally from patients than doctors sometimes believe.
The law offers wide protection for clinicians provided that they do their best to act reasonably and responsibly in protecting the lives and health of their patients. Doctors seeking consent for a particular procedure must be competent in the knowledge of how the procedure is performed and its problems.
Patients must be competent to consent to treatment.
They cannot do so without the basic ability to reason about information concerning what is wrong with them, what their doctors propose to do about it, and with what potential benefits and risks. Medicine, Patients and the Law. Harmondsworth: Penguin, Mason JK, Laurie G.
London: Butterworths, In these circumstances, such choices become more those of clinicians who unduly pressure patients rather than of patients themselves. Battery It is an unlawful battery to intentionally touch a competent person without their consent. Thus a clinician will commit a battery if such a patient is given an injection without permission, irrespective of the need for it. Further, given the condition of such patients, treatment must be necessary to save their life, or to prevent them from incurring serious and permanent injury.
Otherwise, consent must be obtained from patients expected to regain competence when they do so, however inconvenient this may be for the patient or clinician. To do otherwise constitutes an unacceptable threat to the moral rights and dignity of patients and entails a potential loss of trust in the medical profession.
When in doubt, clinicians should also ask what sort of information they would want for themselves, their families and friends.
They should also remember that the graver the risk, the more necessary it is to disclose information about it, even when the chance of it occurring is small. Indeed, in deciding what information to disclose to patients about risks, clinicians may know little about how they perceive their interests. Since it is the health and lives of patients that are potentially at risk, the moral focus of such disclosure should be on what is acceptable to them rather than to the medical profession.
Internal medicine emergencie, Central and peripheral nervous system, Endocrine system, Hepato-Gastrointestinal conditions, Selected infections and related conditions, Musculoskeletal and connective tissues conditions, Malignancies, Hematological conditions, Lower Respiratory Tract Conditions, Urinary Tract and Renal Conditions.
This book emphasis the change in focus in renal medicine from treatment of established kidney disease to earlier identification and prevention of kidney disease.
It is focussing on prevention and on the early detection and treatment of potentially progressive disease, whilst the prevalence of risk factors for CKD, such as diabetes, obesity and hypertension is rising.
Endoscopy has had a major impact in the development of modern medicine and other medical specialties. The field of endoscopic procedure has developed over the last decade. By using different data it provided a better understanding of pathogenic mechanisms, described new entities and used for early detection, diagnostic procedures and therapeutic procedures.
A simple guide to Appendicitis, its investigations, stages, complications, terminology and conclusion.
Being an encyclopedic collection of rare and extraordinary cases, and of the most striking instances of abnormality in all branches of medicine and surgery, derived from an exhaustive research of medical literature from its origin to the present day, abstracted, classified, annotated, and indexed.
Currently this section contains no detailed description for the page, will update this page soon. About Us Link to us Contact Us. Free Internal Medicine Books. Internal Medicine Books This section contains free e-books and guides on Internal Medicine, some of the resources in this section can be viewed online and some of them can be downloaded. Clinical Guidelines for Management and Referral of Common Conditions This guide provides a firm base for the attainment of equity and high standards in health care and the development of rational procurement and use of drugs by all prescribers, dispensers, hospital managers, and patients.
Author s: World Health Organization Pages. Wladyslaw Grabski and Dariusz Nowak Pages. Tics and Their Treatment The authors of this volume have been resolute in their reference of the pathogeny of tic to a mental process. Internal Medicine Lecture Notes This lecture note has been written primarily for Health officer students; however it can also be used by medical students and all other health science students who deal with patients, who have medical illnesses.
Getachew Tizazu and Tadesse Anteneh Pages. Woods Hutchinson NA Pages. Internal Medicine Clinical Treatment Guidelines The guidelines were developed through extensive consultative work sessions, which included health experts and clinicians from different specialties. Ministry of Health, Republic of Rwanda Pages.