دانلود کتاب جیبی پزشکی

Written by residents, fellows, and attendings, the mandate for Pocket Medicine was to provide, in a concise a manner as possible, the key information a clinician needs for the initial approach to and management of the most common inpatient medical problems. The tremendous response to the previous editions suggests we were able to help fill an important need for clinicians. With this seventh edition come several major improvements. We have updated every topic thoroughly. In particular, we have included the newest diagnostic algorithms and pharmacotherapy for acute coronary syndromes, the revolutionary data for transcatheter aortic valve replacement (TAVR), and distilled the most recent guidelines for the classification and treatment of hypertension. We have added a dedicated section for the management of cystic fibrosis and updated the treatment of sepsis and shock. We continue to revise the approach to malignancies based on molecular classification and the corresponding biologic therapies, including dedicated sections on immunotherapy. We have incorporated the paradigm-shifting data for diabetes medications that lower cardiovascular risk and cover the newest classes of lipid-lowering therapies. As always, we have incorporated key references to the most recent high-tier reviews and important studies published right up to the time Pocket Medicine went to press. We welcome any suggestions for further improvement. This edition builds on the work of the many contributors to prior editions of Pocket Medicine. In addition, we appreciate the advice on specific topics from additional attendings including Dr. Adam Sperling. Of course, medicine is far too vast a field to ever summarize in a textbook of any size. Long monographs have been devoted to many of the topics discussed herein. Pocket Medicine is meant only as a starting point to guide one during the initial phases of diagnosis and management until one has time to consult more definitive resources. Although the recommendations herein are as evidence-based as possible, medicine is both a science and an art. As always, sound clinical judgement must be applied to every scenario. I am grateful for the support of the house officers, fellows, and attendings at the Massachusetts General Hospital. It is a privilege to work with such a knowledgeable, dedicated, and compassionate group of physicians. I always look back on my time there as Chief Resident as one of my best experiences. I am grateful to several outstanding clinical mentors, including Hasan Bazari, Larry Friedman, Nesli Basgoz, Eric Isselbacher, Mike Fifer, and Roman DeSanctis, as well as the late Charlie McCabe, Mort Swartz, and Peter Yurchak. This edition would not have been possible without the help of Melinda Cuerda and Abby Cange, my academic coordinators. They shepherded every aspect of the project from start to finish, with an incredible eye to detail to ensure that each page of this book was the very best it could be. Lastly, special thanks to my parents for their perpetual encouragement and love and, of course, to my wife, Jennifer Tseng, who, despite being a surgeon, is my closest advisor, my best friend, and the love of my life. I hope that you find Pocket Medicine useful throughout the arduous but incredibly rewarding journey of practicing medicine.