دانلود کتاب ملزومات پزشکی سیسیل

Cecil Essentials of Medicine presents a core of internal medicine and neurology information that every physician should know. This book provides an essential framework so physicians can appropriately assemble the key elements of history, physical examination, and laboratory data to understand their patient’s illness and develop an appropriate diagnostic and therapeutic strategy. Furthermore, in order to understand advances in medicine, physicians must have a strong background for the acquisition and categorization of new medical knowledge. Cecil Essentials of Medicine is designed for medical students as well as physicians in training, and we hope it will be an appropriate vehicle for course and examination review. We also believe, however, that physicians at all stages in their careers will find it to be a valuable resource for review and reference. This book also serves as a companion to the 26th edition of Goldman-Cecil Medicine, which is more comprehensive in scope and detailed in its content. Cecil Essentials of Medicine is organized into sections, most often representing organ systems, with introductory and then organspecific, disease-based chapters. The chapters themselves are subdivided. For example, the cardiovascular disease chapter is divided into Epidemiology, Anatomy, Pathophysiology, Clinical Diagnosis, and Treatment. The Suggested Readings sections at the end of each chapter include selected critical reviews, guidelines, and important randomized controlled trials. They are not meant to be an exhaustive reference list, but rather to highlight the essential information that physicians should know. We believe that the information in Cecil Essentials of Medicine will encourage evidence-based diagnostic and therapeutic decision making. Importantly, the rational approach to medical problem-solving must be interwoven with the attentive presence of the physician at the bedside, clinic or office, undistracted by electronic devices (particularly the computer), displaying mindful humanistic patient care. Humanistic practice includes integrity, compassion, altruism, respect, service, and empathy, but also excellence. Both the art and the science of medicine must be part of the approach to any patient encounter. The editors believe that these concepts have been best expressed by Frances Peabody, who famously stated that “the significance of the intimate personal relationship between physician and patient cannot be too strongly emphasized, for in an extraordinary large number of cases both the diagnosis and treatment directly depend upon it. One of the essential qualities of the clinician is interest in humanity for the secret of the care of the patient is in caring for the patient,” and by Sir William Osler, who said, “The practice of medicine is an art not a trade; a calling not a business; a calling in which your heart will be exercised equally with your head.” We believe that the fundamentally important bond between caregiver and patient is the starting point to the care of the patient. This is followed by a thorough history and a directed physical examination, which allow a diagnosis in the great majority of encounters. Laboratory data and imaging are supplementary. The focus of the diagnostic process should be on diseases that are common and treatable. Common presentations of common diseases account for the vast majority of cases; next in frequency are unusual presentations of common diseases; less common are typical presentations of rare diseases. Concentrate on common diseases, but know the rare ones as well. We sincerely hope that Cecil Essentials of Medicine will be used to provide the basic and clinical data that are essential for us to practice medicine in a manner informed by both compassion and evidence, so that we may truly heal those with whose care we are entrusted.