Gray's Anatomy: The Anatomical Basis of Clinical Practice / Edition 39

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New York, New York, U.S.A. 2004 Hard Cover 39th Edition Very Good 4to-over 9?"-12" tall. 39th Edition. Text is unmarked (no highlighting or underlining). Covers are clean/minor ... to some shelf wear. Read more Show Less

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Not since it first published in 1858 has Gray's Anatomy introduced so much innovation to the world of anatomical references. A team of renowned clinicians, anatomists, and basic scientists have radically transformed this classic resource to incorporate all of the newest anatomical knowledge reorganized it by body region to parallel clinical practice and added many new surface anatomy, radiologic anatomy, and microanatomy images to complement the exquisite artwork that the book is known for. Although there are now many books called "Gray's Anatomy," only this 39th Edition carries on the true lineage of the original text. And, only this 39th Edition delivers so much pragmatic, clinically indispensable information. The result is, once again, the world's definitive source on human anatomy..

• A new organization—by body region, rather than by organ system—parallels the way physicians approach patients.

• A new clinical emphasis ensures relevance to everyday practice.

• Updates reflect the very latest understanding of the pelvic floor · the inner ear · the peritoneum · preimplantation embryology · assisted fertilization · smooth and cardiac muscle · wrist kinematics and kinetics · the temporomandibular joint · blood supply to the muscles and skin · topographical, clinico-pathological, and functional anatomy · cross-sectional and endoscopic imaging · the spread of infection along fascial planes · anatomical landmarks that facilitate differential diagnosis · key anatomical variants throughout the body · and many other crucial areas.

• Almost 400 new illustrations nearly 2,000 in all, over half of them in full color—depict all structures with optimal clarity, including surface anatomy, radiologic anatomy, and microanatomy.

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Editorial Reviews

From the Publisher
An Institution between Covers - the 39th Edition Expands Gray's Original Task - By Sherwin B. Nuland

"The eminent mid-20th century British historian of medicine F.N.L. Poynter once said of Gray's Anatomy that "what began as a book has become an institution."

Like all progressive institutions, this one periodically looks itself over, evaluates its development and takes measures to be sure that it has kept up with the times. Keeping up has occasionally required increasing the complexity of its operations, necessarily expanding its bureaucracy, and seeking new forward-looking leadership. As the institution among medical books, Gray's Anatomy has throughout its history continued to do all these things, with the result that it has only improved with age; it is venerable, but not hoary.

Quite obviously, no single reviewer is competent to judge the reliability of every bit of material to be found in this encyclopedic book. As a general surgeon selectively studying sections with which I have a career's worth of experience and only perusing others, I am much taken with their usefulness and lucid readability, which says a great deal for an anatomy text. At the astonishingly low price of $169 for the print edition and only an extra $30 to have it on CD-ROM and online as well, this may be the best value seen in medical publishing since 1819, when Rene Laennec's two-volume treatise on auscultation was put on sale at a price of 13 francs, with a stethoscope thrown in for a small additional cost.

One final word. It is customary when reviewing a book that is in all ways as outstanding as this one to introduce a quibble or two, if for no other reason than to show that the volume has been carefully and completely evaluated with a critical eye. Being a surgeon and not an anatomist (who therefore does not know a fissura antitragohelicina from a sulcus antihelcis transversus), I have been able to find only one item about which to grouse: One looks in vain for the "Surface Anatomy of the Lower Limb" to be found on page 1339, as the table of contents claims. It is to be located 60 pages further on, where the topic is just as clearly presented as is every other facet of this beautifully produced and medically invaluable book."
-Scientific American, March 2005

From The Critics
Reviewer: Geoffrey D Guttmann, PhD (The Commonwealth Medical College)
Description: This comprehensive compendium of anatomical knowledge useful in clinical practice clearly shows many excellent clinical correlates to relevant anatomy. Like the previous edition, this edition uses a regional organization, but the book is now entirely in four colors and uses more diagnostic images to illustrate the clinical approach.
Purpose: This 40th edition definitively fulfills Henry Gray's initial aim "to describe the clinically relevant anatomy of the human body, particularly (but not exclusively) for the practicing surgeon" as stated by the editor-in-chief, Susan Standring. Features such as the use of full color and the addition of many more diagnostic images to support the application of anatomy to clinical practice makes this edition a fine completion of the editors' intentions initiated with the previous edition.
Audience: This is truly a long lasting reference well designed for clinicians, anatomists, or scientists with an abiding interest in anatomy, but it is also useful for any residents who would like to have a durable anatomical reference book. The editors are leading clinicians, anatomists, and scientists in their fields who have engaged an outstanding group of contributors to make this edition relevant for practicing clinicians.
Features: The opening sections cover cells, tissues and systems, embryogenesis, and neuroanatomy. The remaining sections describe the regional organization of the body starting with the head and neck and moving through the body to the lower limb. Within each section, where the pages have color-coded edges, chapters cover the development of the organ system relevant to the region. A significant number of subsections discuss clinical conditions, using radiological images and illustrations to further demonstrate these conditions. For example, one may look at chapter 22, on the basal ganglia, and review the subsection on "Pathophysiology of Basal Ganglia Disorders" to learn more about Parkinson's disease and see MRIs showing the placement of deep brain stimulating electrodes in the subthalamic or pedunculopontine nucleus. The 86-page index is both a boon and a bane. It is a help in navigating the book because it is extensive and complete, but it still needs some editing, as seen by the listing of sacrospinous twice under "ligament (named)" and the improper page number associated with the medial palpebral ligament.
Assessment: As an anatomist, I'd call this is a must-have book. As one with clinical experience, I'd buy this edition to keep as an up-to-date anatomical reference compendium. The 40th edition is complete and concise in covering all anatomy, and relevant to clinical practice without becoming unwieldy.
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Product Details

  • ISBN-13: 9780443071683
  • Publisher: Elsevier Health Sciences
  • Publication date: 12/20/2004
  • Edition description: REV
  • Edition number: 39
  • Pages: 1600
  • Product dimensions: 9.25 (w) x 12.00 (h) x 3.00 (d)

Table of Contents


Anatomical Nomenclature • Basic Structure and
Function of Cells • Integrating Cells into Tissues

Systemic Overview:
Nervous System • Blood, Lymphoid Tissues and Haemopoiesis • Functional Anatomy of the Musculoskeletal System • Smooth Muscle and the Cardiovascular and Lymphatic systems • Skin and its Appendages • Endocrine System: Principles of Hormone Production and Secretion • Embryogenesis • Prenatal and Neonatal Growth


Overview of the Organization of the Nervous System • Autonomic Nervous System • Development of the Nervous System • Cranial Meninges • Ventricular System and Cerebrospinal Fluid • Vascular Supply of the Brain • Spinal Cord • Brain Stem • Cerebellum • Diencephalon • Cerebral Hemisphere • Basal Ganglia • Special Senses


Surface Anatomy of the Head and Neck • Overview of the Development of the Head and Neck

Skull and Mandible • Development of the Skull • Face and Scalp • Infratemporal Region and Temporomandibular Joint

Neck and Upper Aerodigestive Tract:
Neck • Nose, Nasal Cavity, Paranasal Sinuses and Pterygopalatine Fossa • Oral Cavity • Development of the Face and Neck • Pharynx • Larynx • Development of the Pharynx, Larynx and Oesophagus

Ear and Auditory and Vestibular Apparatus:
External and Middle Ear • Inner Ear • Development of the Ear

The Bony Orbit and Peripheral and Accessory Visual Apparatus:
The Orbit and its Contents • The Eye • Development of the Eye


Surface Anatomy of the Back • The Back • Macroscopic Anatomy of the Spinal Cord and Spinal Nerves • Development of the Vertebral Column


General Organization and Surface Anatomy of the Upper Limb • Pectoral Girdle, Shoulder Region and Axilla • Upper Arm • Elbow • Forearm • Wrist and Hand • Overview of Development of the Limbs • Development of the Pectoral Girdle and Upper Limb


Surface Anatomy of the Thorax • Chest Wall • Breast
Heart and Mediastinum:
Mediastinum • Heart and Great Vessels • Development of the Cardiovascular and Lymphatic Systems

Lungs and Diaphragm:
Microstructure of the Trachea, Bronchi and Lungs • Pleura, Lungs, Trachea and Bronchi • Diaphragm and Phrenic Nerve • Development of the Trachea, Lungs and Diaphragm


Surface Anatomy of the Abdomen and Pelvis • Anterior Abdominal Wall • Posterior Abdominal Wall and Retroperitoneum • Peritoneum and Peritoneal Cavity

Gastrointestinal Tract:
General Microstructure of the Gut Wall • Stomach and Abdominal Oesophagus

Small Intestine:
Microstructure of the Small Intestine • Duodenum • Jejunum and Ileum

Large Intestine:
Microstructure of the Large Intestine • Overview of the Large Intestine • Caecum • Vermiform Appendix • Ascending Colon • Transverse Colon • Descending Colon • Sigmoid Colon • Rectum • Anal Canal

Hepatobiliary System

Liver • Gall Bladder and Biliary Tree

Pancreas, Spleen and Suprarenal Gland:
Pancreas • Spleen • Suprarenal (Adrenal) Gland

Development of the Peritoneal Cavity, Gastrointestinal Tract and its Adnexae:
Development of the Peritoneal Cavity, Gastrointestinal Tract and its Adnexae

Kidney and Ureter:
Kidney • Ureter

Bladder, Prostate and Ureter:
Bladder • Male Urethra • Female Urethra • Prostate

Male Reproductive System:
Testes and Epididymes • Vas Deferens and Ejaculatory Ducts • Spermatic Cords and Scrotum • Penis • Accessory Glandular Structures

Female Reproductive System:
Ovaries • Uterine Tubes • Uterus • Implantation, Placentation, Pregnancy and Parturition • Vagina • Female External Genital Organs

True Pelvis, Pelvic Floor and Perineum:
True Pelvis, Pelvic Floor and Perineum

Development of the Urogenital System:
Development of the Urogenital System


General Organization and Surface Anatomy of the Lower Limb • Pelvic Girdle, Gluteal Region and Hip Joint • Thigh • Knee • Leg • Foot and Ankle • Development of the Pelvic Girdle and Lower Limb




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