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Doody's Review ServiceReviewer: David Green, MD, PhD (Northwestern University Feinberg School of Medicine)
Description: The third edition of this text reviews current knowledge of hemostasis, both normal and pathologic. It updates the second edition and includes a few new chapters.
Purpose: The book presents current laboratory and clinical knowledge to assist the clinician. The contributors clarify many obscure areas and offer useful information on the diagnosis and management of difficult clinical problems.
Audience: The presentations continue the erudite tradition of the earlier versions; they are geared to meeting the needs of internists, pathologists, and medicine housestaff for a compact, instructive treatise on the diagnosis and management of hemostatic disorders. The book should be quite helpful to oncologists who are often confronted with coagulation problems.
Features: Most chapters have sufficient diagrams, tables, and graphics, and the article on vascular disease and vasculitis is especially well illustrated. References are recent (through 1995) and abundant; the chapter on disseminated intravascular coagulation has more than 500 references. Also well referenced is the review of hemorrhagic disorders associated with circulating inhibitors, which is very comprehensive. The newly rewritten chapter on surgery and hemostasis by Kitchens is especially provocative in its discussion about the indications for preoperative screening tests.
Assessment: There is some overlap among the chapters; for example, the antiphospholipid antibody syndrome is discussed in the inhibitor and in the hypercoagulable state chapters, but the authors of each article offer their unique approaches to this disorder. Missing from this book is a discussion of the use of anticoagulants and thrombolytic agents. Overall, however, the book fills an important niche between the brief paperback books designed for students and the massive tomes used by specialists in the field.