Cope's Early Diagnosis of the Acute Abdomen

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  • Edition: 22nd
  • Format: Paperback
  • Copyright: 2010-01-12
  • Publisher: Oxford University Press

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This classic text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. It is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: 'If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain.' Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high-anxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 22nd Edition, Dr. Silen has again updated the text in a respectful but significant way. He has added a chapter on the increasing disorder of diverticulitis, reexamines the use of analgesics, emphasizes the costs of over-testing, and updates all recommendations regarding trauma, radiologic studies, and therapeutic recommendations.

Author Biography

William Silen, MD
Johnson and Johnson Professor of Surgery, Emeritus
Harvard University Medical School
Boston, MA

Table of Contents

Platesp. xiii
Principles of diagnosis in acute abdominal diseasep. 3
Method of diagnosis: the historyp. 18
Method of diagnosis: the examination of the patientp. 28
Method of diagnosis: the grouping of symptoms and signsp. 41
Laboratory and radiological testsp. 54
Appendicitisp. 67
The differential diagnosis of appendicitisp. 84
Diverticulitis of the colonp. 105
Perforation of a gastric or duodenal ulcerp. 108
Acute pancreatitisp. 122
Cholecystitis and other causes of acute pain in the right upper quadrant of the abdomenp. 131
Acute abdominal lesions arising in the left hypochondriump. 141
The colicsp. 145
Acute intestinal obstructionp. 153
Intussusception and other causes of obstructionp. 178
The early diagnosis of strangulated and obstructed herniasp. 190
Acute abdominal symptoms due to vascular lesionsp. 197
Acute abdominal symptoms in womenp. 208
Early ectopic gestationp. 217
Acute abdominal disease with genitourinary symptomsp. 228
The diagnosis of acute peritonitisp. 233
The early diagnosis of abdominal injuriesp. 241
The postoperative abdomenp. 252
The acute abdomen in the tropicsp. 261
Diseases that may simulate the acute abdomenp. 271
Acute abdominal pain in the immunocompromised patientp. 283
Abdominal catastrophes when sensation is impairedp. 287
Indexp. 289
Table of Contents provided by Ingram. All Rights Reserved.

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