Clinical Practice  2006

Learn leading-edge clinical management strategies - from the The New England Journal of Medicine New England Journal of Medicine: Clinical Practice is a compendium of the Journal's highly regarded case discussions on clinical management. Featuring unparalleled, peer-reviewed content published in the NEJM's Clinical Practice series, this incredible resource is filled with 26 challenging, skill-building cases from both ambulatory and hospital practice.Each Case starts with a thought-provoking patient vignette, and the discussion then leads you through: the clinical problem (What characteristics define the at-risk population? How prevalent is the condition?); current medical evidence for the patient assessment and possible therapeutic strategies (What are the data to support particular diagstic approaches and therapeutic modalities?); areas of clinical uncertainty/controversy (What are the major gaps in our clinical kwledge?); practice guidelines (What are the current recommendations of the major specialty organizations?); conclusions and management recommendations (What do the authors propose for the management of each case?) Featuring more than 100 full-color illustrations, tables, and algorithms, New England Journal of Medicine: Clinical Practice covers a range of medical practice - from dermatology and gastroenterology, to allergy and women's health. Turn to any chapter, and this incomparable case-by-case guide reads as if a master clinician was personally guiding you, taking you through the best approach to a complex medical disorder.

The Clinical Practice series was introduced in the New England Journal of Medicine in 2001 to help meet the information needs of clinicians who want to remain up to date on a wide variety of problems commonly encountered in practice. Articles in this biweekly series review clinical problems at the interface of primary and specialty care in a concise, easily recognized format. Each article begins with a brief case vignette to highlight the major clinical question or questions to be covered. Subsequent sections include: "The Clinical Problem" (Who is at risk? How common is the condition?), "Strategies and Evidence" (What are the data to support particular approaches?), "Areas of Uncertainty" (What are major gaps in our current knowledge?), "Guidelines" (What do professional organizations recommend?), and finally, "Summary and Conclusions" (What would the author(s) recommend with respect to the diagnosis or treatment of the patient outlined in the vignette?). Simply put, each article is a structured "curbside consult" about a patient with a well-defined clinical problem. Recognizing that data are lacking too guide the "optimal" approach to many clinical problems that physicians must manage, the experts who author these articles are asked to not only make clear where rigorous data are or are not available, but also to provide recommendations based on their assessment of the literature and their personal experience where rigorous data are lacking. This book includes selected Clinical Practice articles previously published in the New England Journal of Medicine. Topics covered include those in cardiology, pulmonary medicine, dermatology, women's health, psychiatry, infectious disease, allergy-immunology, and gastroenterology. In cases where there have been clinically meaningful changes in the area covered by the article since publication, authors have provided a short update to their article. We have created this collection to provide an easy way to access this clinical resource. We anticipate that once you have scanned the book, you will use it as a reference as you encounter problems similar to the ones outlined in the chapters. We hope that you will find the material of value in your care of patients