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Davidsons Principles and Practice of Medicine .pdf



Nombre del archivo original: Davidsons Principles and Practice of Medicine.pdf
Título: Davidson's Principles and Practice of Medicine
Autor: BOOKSMEDICOS.ORG

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Davidson’s
Principles and Practice of

Medicine
22nd Edition

Sir Stanley Davidson (1894–1981)
This famous textbook was the brainchild of one of the
great Professors of Medicine of the 20th century. Stanley
Davidson was born in Sri Lanka and began his medical
undergraduate training at Trinity College, Cambridge;
this was interrupted by World War I and later resumed
in Edinburgh. He was seriously wounded in battle, and
the carnage and shocking waste of young life that he
encountered at that time had a profound effect on his
subsequent attitudes and values.
In 1930 Stanley Davidson was appointed Professor of
Medicine at the University of Aberdeen, one of the first
full-time Chairs of Medicine anywhere and the first in
Scotland. In 1938 he took up the Chair of Medicine at
Edinburgh and was to remain in this post until retirement in 1959. He was a renowned educator and a particularly gifted teacher at the bedside, where he taught
that everything had to be questioned and explained. He
himself gave most of the systematic lectures in Medicine,
which were made available as typewritten notes that
emphasised the essentials and far surpassed any textbook available at the time.
Principles and Practice of Medicine was conceived in the
late 1940s with its origins in those lecture notes. The first
edition, published in 1952, was a masterpiece of clarity
and uniformity of style. It was of modest size and price,
but sufficiently comprehensive and up to date to provide
students with the main elements of sound medical practice. Although the format and presentation have seen
many changes in 21 subsequent editions, Sir Stanley’s
original vision and objectives remain. More than half a
century after its first publication, his book continues to
inform and educate students, doctors and health professionals all over the world.
Readers may be interested to listen to an interview with
Sir Stanley Davidson, which can be found on the Royal
College of Physicians of Edinburgh website at: www.rcpe.
ac.uk/library-archives/sir-stanley-davidson-1894-1981.

Content Strategist: Laurence Hunter
Content Development Specialist: Wendy Lee
Project Manager: Louisa Talbott
Designer/Design Direction: Miles Hitchen
Illustration Manager: Jennifer Rose

An imprint of Elsevier Limited
© 2014, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Details on how to seek
permission, further information about the Publisher’s permissions policies and our arrangements
with organisations such as the Copyright Clearance Center and the Copyright Licensing Agency,
can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).
First edition 1952
Second edition 1954
Third edition 1956
Fourth edition 1958
Fifth edition 1960
Sixth edition 1962
Seventh edition 1964
Eighth edition 1966
Ninth edition 1968
Tenth edition 1971
Eleventh edition 1974

Twelfth edition 1977
Thirteenth edition 1981
Fourteenth edition 1984
Fifteenth edition 1987
Sixteenth edition 1991
Seventeenth edition 1995
Eighteenth edition 1999
Nineteenth edition 2002
Twentieth edition 2006
Twenty-first edition 2010
Twenty-second edition 2014

Main Edition ISBN-13: 978-0-7020-5035-0
International Edition ISBN-13: 978-0-7020-5047-3
eBook ISBN-13: 978-0-7020-5103-6
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein.
In using such information or methods they should be mindful of their own safety and the safety
of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their
own experience and knowledge of their patients, to make diagnoses, to determine dosages and the
best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.

The
publisher’s
policy is to use
paper manufactured
from sustainable forests

Printed in China

Preface
Since Davidson’s Principles and Practice of Medicine was
first published in 1952, over two million copies have
been sold and the book has acquired a large following
of medical students, doctors and other health professionals all over the world. It has been translated into
many languages, most recently Japanese, Russian,
Italian and Polish, and has won numerous prizes, the
last edition being highly commended in the British
Medical Association Book Awards. Davidson’s has
endured because with each new edition it has evolved
to provide comprehensive updated information in a
concise and easy-to-read format.
From its beginnings, Davidson’s has sought to explain
the basis for medical practice. The integration of ‘preclinical’ science with clinical practice is now a feature of
many undergraduate medical curricula, and many students use Davidson’s from the outset of their medical
course. In recognition of this, the first part of the book,
‘Principles of Medicine’, highlights the mechanisms of
health and disease, along with the professional and
ethical principles underlying medical practice. Many
examples of clinical problems are included to bring the
medical sciences to life for the new student and to rejuvenate the interest of the experienced clinician. The
second part of the book, ‘Practice of Medicine’, covers
the major medical specialties. Every chapter has been
thoroughly revised for this edition to ensure that it
reflects the ‘cutting edge’ of medical knowledge and
practice and is pitched at a level of detail to meet the
needs of candidates preparing for examination for
Membership of the Royal College of Physicians or its
equivalents. In recognition of the emerging specialty of
Stroke Medicine, this topic is now covered in a separate
chapter from Neurological Disease. Surgical approaches
to disease management are mentioned in Davidson’s,
but readers are encouraged to consult the sister book,
Principles and Practice of Surgery, for more details.
Many of the innovations introduced in recent editions have been warmly received. We have retained both
a patient-orientated approach, in the ever-popular ‘Clinical Examination’ overviews and ‘Presenting Problems’
sections, alongside practical content, in ‘Emergency’ and
‘Practice Point’ boxes. Embedding horizontal themes
within the book – for example, with the ‘In Old Age’ and
‘In Pregnancy’ boxes – has been applauded, and we have
extended this approach by adding ‘In Adolescence’
boxes in relevant chapters; these emphasise key points
in managing the transition of patients between paed­
iatric and adult services.

We are proud of Davidson’s international heritage.
As well as recruiting authors from around the globe,
particularly for topics such as Infectious Diseases and
HIV, we have welcomed new members on to our
International Advisory Board. These leading experts
from 16 countries provide detailed comments that,
along with the feedback received from our global readership, are crucial to our planning of every chapter in
each new edition. We have also visited several medical
schools on the Indian subcontinent and received invaluable feedback from students and teachers. We have
addressed as many of these suggestions as possible in
this edition.
Education is achieved by assimilating information
from many sources and readers of this book can enhance
their learning experience by using complementary
resources. The StudentConsult platform continues to
provide online access to the text and illustrations of the
main edition. The book is also available in various eBook
formats. Davidson’s has had a long-standing association
with its sister books, Macleod’s Clinical Examination (now
in its 13th Edition) and Principles and Practice of Surgery
(now in its 6th Edition). The Davidson’s ‘family’ has
expanded with the publication of Davidson’s Essentials of
Medicine, a long-requested pocket-size version of the
main text; Davidson’s Foundations of Clinical Practice, a
guide to starting work as a junior doctor; Davidson’s 100
Clinical Cases, which contains cases directly based on the
‘Presenting Problems’ in the main text; and Macleod’s
Clinical Diagnosis, which describes a systematic approach
to differential diagnosis of symptoms and signs. We
congratulate the editors and authors of these books for
continuing the tradition of concise, easily read and beautifully illustrated texts.
The regular introduction of new authors and editors
to Davidson’s is important to maintain the freshness of
each new edition. On this occasion, Dr Ian Penman has
joined the editorial team and 18 new authors have contributed material. We all take immense pride in producing an outstanding book for the next generation of
doctors, and in continuing the great tradition first established by Sir Stanley Davidson and passed on by all the
previous editors and authors, for what remains one of
the world’s leading textbooks of medicine.

BRW, NRC, SHR, IDP
Edinburgh

v


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