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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.
- Sales Rank: #32245 in Books
- Published on: 2010-01-12
- Original language: English
- Number of items: 1
- Dimensions: 5.50" h x .80" w x 8.20" l, .85 pounds
- Binding: Paperback
- 320 pages
About the Author
William Silen, MD
Johnson and Johnson Professor of Surgery, Emeritus
Harvard University Medical School
Boston, MA
Most helpful customer reviews
4 of 4 people found the following review helpful.
ER Doc
By Albuquerque, NM
Timeless medical book - with a clinical approach to evaluating the acute abdomen written by seasoned practitioners, and updated with latest diagnostics. A must read for all in primary care and emergency medicine.
2 of 2 people found the following review helpful.
Critical book for surgeons and ER docs
By jim
Are you going into gen surg or ER? What about pediatrics or ob/gyn? Rural family med? Do you plan on providing healthcare to human beings?
If yes to any of these questions, then you definitely can benefit from this book. It gives a great breakdown of the various causes of abdominal pain as well as a guide to performing a thorough yet also time and cost effective differential diagnosis. This book will be of most benefit to ER and surgery physicians but anybody who deals with patients (hospitalists and rural family med especially) will likely benefit.
It is not a quick reference type of book, but if you invest the time to read it and understand the concepts you will find your need for such materials vastly reduced.
3 of 4 people found the following review helpful.
I was recommended this book by one of the physicians several years ...
By S. Cohen
As an Emergency RN, I was recommended this book by one of the physicians several years ago and have always had this in my wish list. I finally took the plunge and have not regretted it. It should make every provider realize how poor there hands on assessment really is, as Cope made these diagnoses without the aid of the CT Scan. At work sometimes, I think the radiologists are the only real diagnosticians anymore.
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