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Doody's Review ServiceReviewer: Richard Lofgren, MD (Medical College of Wisconsin)
Description: This is the 14th edition of a multiauthored textbook of internal medicine last published in 1994. The book is organized into 15 sections, including an introduction to clinical medicine and a review of the orthodox specialties of internal medicine with special sections on genetics, nutrition, clinical pharmacology, and environmental medicine.
Purpose: This is a comprehensive review of the science and care of the adult patient that incorporates new advances in biomedical research and clinical practice.
Audience: It will serve as a standard reference for medical students, graduate medical trainees, practicing physicians, and any other health providers participating in the care of the adult patient.
Features: This is a well-organized text with an excellent index that is easy to use. There are more than 300 contributors, all of whom are leading authorities in their respective fields. Many chapters have been added since the last edition, while others have been extensively revised. A blue line that runs along the margin easily identifies the sections concerning treatment. The book is filled with many more algorithms that are very useful and complement the text. A color atlas of common findings is included.
Assessment: This edition successfully continues the traditional strength of this textbook — a clear, cogent description of the pathophysiology and mechanism of disease. One of the few limitations is that the discussions concerning treatment are often a general overview that lack specific recommendations needed to assist with difficult therapeutic decisions. With each new edition of this book, I debate whether it is worth the investment. Will I actually use this textbook? Quite simply, yes. It is a reliable source of new information as well as a good review of adult medicine.