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On Rounds: 1000 Internal Medicine Pearls PDF Free Download

On Rounds: 1000 Internal Medicine Pearls PDF Free Download

On Rounds: 1000 Internal Medicine Pearls PDF Free Download

On Rounds: 1000 Internal Medicine Pearls PDF Free Download This monograph is a compilation of aphorisms that I have found useful in almost half a century of clinical experience in internal medicine. They are the distillation of my
interest in the clinical manifestations and the pathophysiology of disease. In many
instances the aphorisms are derived from my own clinical observations; in some cases they reflect the experience and wisdom of others that I have come to appreciate and value over the years. In every case the aphorisms cited here, which I refer to by the time-honored designation as “pearls,” have met the test of veracity and usefulness in my own clinical experience.

While no “pearl” is applicable one hundred percent of the time, I believe, nonetheless, that the ready recall of pithy statements of fact are useful aids to prompt diagnosis and treatment. Clinical medicine is filled with uncertainty, and pearls, these nuggets of
accumulated wisdom, frequently simplify complicated situations and are therefore useful to both physicians in training and physicians in practice. In one sense these aphorisms represent the information store that experienced clinicians can readily bring to bear on a clinical problem. A large repertory of facts is a distinguishing feature of “master” clinicians, and an important resource of highly regarded clinical teachers. The “pearls,” indicated in bold face, are organized by organ systems for ease of reference.

On Rounds: 1000 Internal Medicine Pearls PDF Free Download

There is no attempt for the coverage to be comprehensive. This is not a textbook of medicine. The content reflects my own interests and experience. I have paid particular attention to those areas that, in my experience, have been a source of confusion for students
and trainees.

I have also presented relevant physiology where knowledge of the underlying
mechanisms improves understanding of disease pathogenesis and aids in retention of the pearls. Integrative physiology is less well taught now than previously and I believe some of the material presented here may address that deficiency. Also included are a few “faux pearls” – statements that, although widely believed – are demonstrably false.
This monograph is intended for students of internal medicine. I mean students in the broad sense to include not only medical students and residents but also mature clinicians who can think about these aphorisms and the underlying physiology in relation to their own clinical experience. This book can also serve as a scaffold for the organization and augmentation of an already existing clinical data base. It should be of particular value to those clinicians that teach medical students and residents.

On Rounds: 1000 Internal Medicine Pearls PDF Free Download

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