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Peripheral neuropathy is a common medical condition, the diagnosis of which is often protracted or delayed. It is not always easy to relate a neuropathy to a specific cause. Many people do not receive a full diagnosis, their neuropathy often being described as 'idiopathic' or 'cryptogenic'. It is said that in Europe, one of the most common causes is diabetes mellitus but there are also many other known potential causes. The difficulty of diagnosis, the limited number of treatment options, a perceived lack of knowledge of the subject -- except in specialised clinics, the number of which are limited -- all add to the difficulties which many neuropathy patients have to face. Another additional problem for many patients is that once having received a full, or even a partial diagnosis, they are then often discharged back to their primary healthcare team who, in many instances, know little about this condition and how it may impact upon their patients' lives. In order to help bridge this gap in medical knowledge and to give healthcare providers a better understanding of this often distressing condition, The Neuropathy Trust has commissioned a new book on this complex topic. Written by one of the world's leading experts on neuropathy, Professor Gérard Said, it is a 'must read' and also a handy reference book for doctors, nurses, physiotherapists, chiropodists/podiatrists and other health professionals. As well as covering the anatomy of the nervous system and the basic pathological processes that may affect the peripheral nerves, the book covers a whole range of neuropathic conditions. These include, for example, Guillain Barré syndrome, chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, infectious neuropathies, diabetic and other metabolic neuropathies, hereditary neuropathies and neuropathies in patients with cancer. Given the almost explosive increase in diabetes predicted over the coming years and the high incidence of HIV infections alone, not to mention all the other possible causes of peripheral neuropathy, no self respecting medical unit should be without a copy of this new book on their shelves.

Critical Care MCQs is the perfect companion for anyone sitting exams in intensive care, as a training resource or just wanting to improve their knowledge in this constantly developing area of medical practice.Written by critical care doctors with experience of UK and European examination formats, this book leads the reader through 450 true/false questions with referenced explanations, covering core syllabus topics and key influential papers to date. A detailed list of further resources and recommendations relevant to critical care revision is also provided to enable readers to further their knowledge and understanding.It is hoped that this book will prove invaluable for preparation and success in upcoming intensive care exams for both candidates and trainers. This book would be useful for not only candidates sitting the UK Final Fellowship of Intensive Care Medicine (FFICM) and European Diploma of Intensive Care (EDIC) exams, but also the Indian Diploma in Critical Care Medicine (IDCCM), the Diploma of the Irish Board of Intensive Care Medicine (DIBICM), the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM), American Board and any other country-related intensive care exams.

Intensive care medicine is a dynamic and evolving specialty, requiring its practitioners to be part physician, physiologist and anaesthetist. This requires a firm foundation of knowledge and an ability to apply this to the clinical situation. This book contains 270 multiple choice questions allowing self-assessment of the breadth of knowledge required of the modern intensivist. The book is divided into three papers each consisting of 60 multiple true false (MTF) and 30 single best answer (SBA) questions covering areas including resuscitation, diagnosis, disease management, organ support, and ethical and legal aspects of practice. The MTF questions test factual knowledge and understanding of the evidence base underpinning intensive care medicine, while the SBA questions test the ability of the candidate to prioritise, compete options and make the best decision for the patient. Each question is peer reviewed and accompanied by concise and detailed explanatory notes with references to guide further reading. All the authors are practising intensive care physicians with first-hand experience of professional examinations in the specialty. This book will appeal to intensive care physicians approaching professional examinations worldwide, including the European Diploma, American Board and Faculty of Intensive Care Medicine examinations. In addition, it will appeal to intensive care nurses and allied healthcare professionals wishing to update their knowledge as part of continuing professional development, and to physicians sitting professional examinations in related specialties requiring knowledge of intensive care medicine such as general medicine, general surgery and anaesthesia. This book will complement the existing international best-selling title "Multiple Choice Questions in Intensive Care Medicine" (9781903378 649), also written by Dr Steve Benington.

The enthusiastic feedback received from readers of the international bestseller Schein's Common Sense Emergency Abdominal Surgery (now in its 3rd edition, translated to seven languages; Springer Verlag; ISBN 9783540748205) inspired the editors to do a similar book dedicated to surgical complications: practical, non-formal, internationally relevant (in all types of practice and levels of hospitals) - and definitely not politically correct: what is considered taboo by others is not taboo for us; here we discuss everything!As in the editors' previous book, the use of references is restricted to the absolute minimum, and citing figures and percentages is avoided as much as possible. The chapters in this book are the opinion of experts - each contributor has a vast personal knowledge and clinical experience in the field he is writing about. This book will help all surgeons (and their patients), avoid the misery of complications, and will provide advice on the management of those that are unavoidable. Complications and death are an integral component of surgery. Surgeons have to look death in the eyes, try to prevent it and vanquish it - this is what this book is all about."e;Schein's books are always terrific reads, conveying pithy observations and practical advice and doing so with wit and scholarship. This latest is surely a must for every surgeon's bookshelf."e; Abraham Verghese MD, author of CUTTING FOR STONE

Following on from the success of the international bestseller Key Questions in Cardiac Surgery, the long awaited Key Questions in Thoracic Surgery will be the next book in the Key Questions series to be released. Key Questions in Thoracic Surgery will systematically cover all the main topics involved in the current practice of a thoracic surgeon. It will incorporate current guidelines for practice (such as from the American College of Chest Physicians, British Thoracic Society and European Respiratory Society) and up-to-date information based on current literature. Each chapter will be structured to include etiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising thoracic surgeon and a further section on thoracic investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all thoracic surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Respiratory physicians and thoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the thoracic surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with adult thoracic disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding thoracic surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in thoracic surgery that are asked within the confines of an examination.

The aim of this book is to help clinicians to reduce the risk of complications after vascular and endovascular surgery. Whilst it is a surgical truism that the surgeon who does the most operations has the most complications (an acknowledgement of the fact that all vascular and endovascular procedures are potentially hazardous, and some extremely so), some surgeons seem to have more complications than others. This book is for all surgeons and radiologists who accept the challenge continually to improve their results. Each chapter is authored by an experienced (endo)vascular specialist who will have witnessed firsthand the perils and pitfalls of vascular procedures. They have seen all the complications, and even occasionally made errors of judgement. The chapters are full of information to help the reader avoid similar hazards in future. We live in a world of high patient expectation, where complications are seen as 'someone's fault'. Clinicians are familiar with innovations such as outcomes audit and assessment, procedural governance and quality improvement programmes. There is pressure to show progressive improvement. First class surgery is a combination of knowledge and skill and perhaps just a little luck, though as is oft quoted 'the more you practice, the luckier you get'. The information in this book will provide insights, protocols, and tips and tricks to minimise the risks of procedures in vascular and endovascular surgery. It is therefore essential reading for anyone who treats patients with vascular disease.

This textbook aims to examine some of the most controversial areas of neurological surgery by applying the current evidence to illuminate our understanding of the pathophysiology of each disease and the outcomes from surgical and non-surgical treatments. The Evidence for Neurosurgery is a textbook that will challenge current dogmas in many instances, provide an organized framework for understanding where current evidence can be applied clinically, and illustrate where gaps in the evidence exist and how these deficiencies may be filled in the future. In the first chapter, "e;Clinical Evidence"e;, the reader will gain an understanding of the levels of clinical evidence and will learn what types of study designs are appropriate and in which situations. The textbook is then divided into six sections: Spine, Vascular, Tumor, Pediatrics, Functional, and Trauma.

The clinical management of patients with diabetes is rapidly evolving. Evidence-based Management of Diabetes provides a succinct summary of a range of topics, including areas where there is already well developed evidence for a particular treatment, but also those areas where the evidence is perhaps doubtful or there is some associated controversy or ambiguity. Where possible throughout the book treatment recommendations are given based on the available evidence and practice guidelines. The book also highlights the gaps in evidence where further research is needed. In the practice of diabetes care, there are many issues influencing practitoners currently. This book addresses many of the most pertinent issues concerning delivery of diabetes care. The authors are internationally renowned experts in the field of diabetes care who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with diabetes.

The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. Evidence-based Management of Epilepsy differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesized into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the postictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.

Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.

A pocket handbook on the practical and safe use of drugs in inflammatory bowel disease to achieve best patient outcome in day-to-day practice.

Simplicity is an under-rated virtue; where information is vital, it should be possible to put it across in a way that is easy to understand and remember. Epilepsy is a common condition which has been recognised since the beginning of history, and as the opportunities for diagnosis and effective treatment have increased, it becomes more important that health professionals have a working knowledge of how epilepsy interacts with their own area of expertise. The interactions between all aspects of medicine and epilepsy should motivate all to do their best to learn about management of all stages the disease, from first seizure through to status epilepticus. This is recognition that providing a diagnosis of epilepsy has more than medical implications, and in fact it is safe to say that there are few aspects of modern life that will remain untouched by such a diagnosis and consequent treatment. At some point, discussions will be required around the issues of fertility, job prospects, driving issues, family safety, childcare, travel, life insurance, diet, and sports participation. This book, has been produced by Dr Becky O'Dwyer and Dr John Paul Leach, recognised experts in epilepsy from opposite sides of the Atlantic. They have tried to make the key concepts of epilepsy's cause, prognosis and treatment accessible to all in this compact format, providing information for clinicians and permitting informed choice for patients and their families.

To mark the 60th anniversary season of the Castle Combe circuit this book has been published telling the story of the Wiltshire race track from 1950 right through to the end of the 2009 season. The title completely updates the story first told in the book "The First 50 years", which was published in 2000 and sold out several years ago. All the photographs are new and the story of the last 10 years covers the circuit's rise to hosting British Formula 3 and British GT racing. It also cover the subsequent noise issues that brought massive change to this incredibly popular venue, as well as the creation of the Castle Combe Racing Club. The two-wheel action, including non-championship British Superbike events, is also detailed. This new edition also takes in personal views on the circuit from drivers like Ian Flux, Mike Jordan, Ilsa Cox, Brian Fisher and Bob Higgins. The updated story of the last decade takes in the development of the hugely popular local championships.

The single best answer format of questions is invaluable in assessing a trainee's clinical skills and problem-solving abilities. It allows the trainee to demonstrate application of their knowledge to clinical practice. This book comprises six sets of practice papers. Each set contains 30 single best answer questions which cover topics including clinical anaesthesia, pain and intensive care. The questions are based on the recent changes introduced to the written part of the final FRCA examination. The best possible answer to a given clinical scenario is substantiated by a detailed explanation drawn from recent review articles and textbooks in clinical anaesthesia. These questions will enable candidates to assess their clinical knowledge and skills in problem-solving, data interpretation and decision making. This book is essential study material for candidates sitting postgraduate examinations in anaesthesia and intensive care medicine. It is not only an essential guide for trainees but also an invaluable educational resource for all anaesthetists.

Winner of a HIGHLY COMMENDED AWARD in the Surgical specialties category of the 2011 BMA Medical Book Competition. Key Questions in Cardiac Surgery will systematically cover all the main topics involved in the current practice of a cardiac surgeon. It will incorporate current guidelines for practice (such as from the American Heart Association and European Society of Cardiology) and up-to-date information based on current literature. The data and body of knowledge presented in this book are strictly evidence-based which makes it ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in cardiac surgery that are asked within the confines of an examination. Cardiologists, cardiothoracic intensive care unit specialists, nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the cardiac surgical process.

Winner of a HIGHLY COMMENDED AWARD in the Anaesthesia category of the 2010 BMA Medical Book Competition. This book comprises structured questions and answers that closely simulate the structured oral examination (SOE) format of The Royal College of Anaesthetists' final FRCA examination. The style of exam questions has changed over the years and this book matches the most recent changes in this updated exam. It consists of ten sets (chapters) of complete SOE papers. Each SOE set (chapter) includes one long case, three short cases and four different applied basic science topics (anatomy, physiology, pharmacology and clinical measurement). As this book is presented in the format of complete examination papers, it will enable candidates to assess their knowledge and skills. It will also assist trainers in setting up mock exams. With thorough revision of this book, trainees can confidently sit their exams. The authors have been organising final FRCA viva courses for the past five years, running four exam preparation courses a year, attended by about 200 trainees each year. This book includes updated knowledge based on the syllabus and more recent questions asked in the FRCA examination. It is, therefore, essential study material for trainees and a great educational tool for trainers. This book will also help candidates all over the world to pass highly competitive postgraduate examinations in anaesthesia. It is an invaluable educational resource for all anaesthetists.

Practising evidence-based medicine necessarily depends on the clinician having access to the best evidence available, but in a fast-moving field, keeping up to date with the latest developments is a challenging prospect. In this new volume, leading experts focus on the most important clinical issues associated with the management of lipid disorders, evaluating and interpreting the evidence available to provide the reader with a reliable summary of our current knowledge. Topics covered include therapeutical strategies for managing hereditary lipid disorders, including familial hypercholesterolemia, both in adults and children, and familial combined hypercholesterolemia. The authors also evaluate the evidence for a link between inflammatory disease and cardiovascular risk; the metabolic syndrome and the interconnections between dyslipidemias and diabetes. They also look at therapeutic challenges such as the management of patients who are statin resistant, and the control of lipid levels in those suffering renal insufficiency. Tables highlight important data, evidence from trial results and expert reports, and each section concludes with a series of key points that present a summary of evidence-based recommendations for best practice, graded according to the quality of that evidence. Evidence-based Management of Lipid Disorders provides the busy clinician with a unique analysis of the data supporting current therapies and will help the reader formulate effective strategies for treating their own patients.

This book is both a lively introduction and a guidebook to those pioneers, most of them surgeons, who attempted to help their patients by extending the boundaries of their own knowledge and experience. In the 16 chapters of the book, an international group of authors have provided something of value to all those with an interest in surgical gastroenterology. Medical students and young trainees will come to understand the principles behind modern gastrointestinal surgery. Researchers will find insights and inspiration for their work and publications. Established surgeons and physicians will be rewarded with information that adds colour to their teaching, either on ward rounds or during formal lectures. Great care has been taken in choosing appropriate portraits and illustrations to bring these remarkable pioneers to life for the reader.

Deals with the topic of vascular surgery and contains short chapters, recommendations for management, comprehensive referencing and colour illustration.

Evidence-based medicine is now firmly established in the lexicon of modern health care. In The Evidence for Plastic Surgery the diverse spectrum of plastic surgical practice is called to account by a cross-examination of the available evidence in support of many of the common treatment protocols and surgical procedures in everyday use. The result is a text that makes an important contribution to some of the contentious debates within the specialty and details the critical appraisal of new or developing techniques. The Evidence for Plastic Surgery is a unique and invaluable reference source for senior doctors and for those in training, not only in plastic surgery but also in a variety of other closely aligned specialties including general and orthopaedic surgery.