Cope's Early Diagnosis of the Acute Abdomen

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Oxford University Press, 2005 - Medical - 298 pages
5 Reviews
This famous text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. Despite its relatively narrow focus, 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 more than 30 years ago, 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 21st Edition, Dr. Silen has again updated the text in a respectful but significant way. He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching.
  

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Review: Cope's Early Diagnosis of the Acute Abdomen

User Review  - James Herrington - Goodreads

This should be required reading in medical school and residency. Read full review

Review: Cope's Early Diagnosis of the Acute Abdomen

User Review  - Jan - Goodreads

A medical classic. Read full review

Contents

The principles of diagnosis in acute abdominal disease
3
the history
19
the examination of the patient
29
the grouping of symptoms and signs
42
Laboratory and radiological tests
54
Appendicitis
67
The differential diagnosis of appendicitis
84
Perforation of a gastric or duodenal ulcer
106
The early diagnosis of strangulated and obstructed hernias
190
Acute abdominal symptoms due to vascular lesions
197
Acute abdominal symptoms in women
208
Early ectopic gestation
217
Acute abdominal disease with genitourinary symptoms
228
The diagnosis of acute peritonitis
233
The early diagnosis of abdominal injuries
242
The postoperative abdomen
253

Acute pancreatitis
121
Cholecystitis and other causes of acute pain in the right upper quadrant of the abdomen
130
Acute abdominal lesions arising in the left hypochondrium
140
The colics
144
Acute intestinal obstruction
152
Intussusception and other causes of obstruction
177
The acute abdomen in the tropics
262
Diseases that may simulate the acute abdomen
271
Acute abdominal pain in the immunocompromised patient
283
Abdominal catastrophes when sensation is impaired
287
Index
289
Copyright

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