Wallach's Interpretation of Diagnostic Tests / Edition 9

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Wallach’s Interpretation of Diagnostic Tests, now in its Ninth Edition, has been completely revised and updated by a new author team from the Department of Hospital Laboratories, UMass Memorial Medical Center faculty, who are carrying on the tradition of Jacques Wallach’s teachings.  This text serves as a practical guide to the use of laboratory tests which aids physicians in using tests more effectively and efficiently by offering test outcomes, possible meanings, differential diagnosis, and summaries of tests available.

The book has been reorganized into 2 sections. The first section is devoted to an alphabetical listing of laboratory tests while stressing the integration of the clinical laboratory in the clinical decision making process. Test sensitivity, specificity, and positive and negative infectious disease probabilities are included whenever appropriate. Microbiology tests are listed in a separate chapter.  The second section is devoted to disease states.  Where appropriate, a patient’s chief complaint and/or physical findings are initially presented with subsequent discussions focused on discrete disease states as they relate to a patient’s chief complaint.  Current molecular diagnostic testing, cytogenetics, common pitfalls, test limitations, and identification of appropriate tests for specific clinical presentations are also addressed.

Ninth Edition highlights include:

  • Detailed listing and description of routine and esoteric tests listed alphabetically, with information on when to order and how to interpret the test results based on evidence-based laboratory medicine.
  • Information on how to work up patients with specific symptoms and the appropriate lab tests to order
  • Up-to-date test procedures including molecular diagnostic tests
  • Detailed microbiology chapter of infectious diseases
  • A companion website, http://solution.lww.com/wallachstests9e with additional online-only content, an image bank with algorithms and tables which can be easily exported into PPT for lectures and presentations, and access to a complimentary mobile application.
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Editorial Reviews

Doody's Review Service
Reviewer: Valerie L. Ng, PhD MD(Alameda County Medical Center/Highland Hospital)
Description: This is the ninth edition of this venerable book. The previous edition was published in 2007.
Purpose: The purpose is to provide a practical guide to effective use of the clinical laboratory (i.e., laboratory medicine).
Audience: It is intended for primary care physicians, nurse practitioners, physician assistants, and medical and nursing students, but residents early in their laboratory medicine training also would find it useful, as would clinical laboratory scientists in training or practice.
Features: The major change in this edition is a reorganization of the material into two sections. The first section begins with a short introductory chapter followed by two chapters (486 pages) of laboratory tests — a comprehensive alphabetical list that defines the clinical utility of each test (i.e., in what clinical setting to order the test), discusses test result interpretation and test limitations, and occasionally provides references for additional reading. The next 12 chapters discuss organ systems and related laboratory tests. I found these chapters extraordinarily helpful in bridging the knowledge gaps between laboratory medicine and internal medicine specialties. This book also has an online option where users can readily access testing algorithms for real-time clinical decision-making or already formatted slides to accompany didactic lectures. A few very minor gripes: the introductory chapter is notable for factual statements without references; scattered typographical errors suggest incomplete proofreading (e.g., "JACK2" on p. 840); and there are unexplained references to terms not familiar to me (e.g., Ulysses syndrome on p. 8). The book could do without the bleeding times as well. The first edition was intended to be a handy pocket guide for harried, sleep-deprived interns and residents. This version is too big to fit into a lab coat pocket and the paperback covers will soon be lost with frequent use; the online version is thus that much more useful. Finally, the title has been formally changed to incorporate Dr. Wallach's name as a small measure of honor for his producing eight outstanding editions of this very useful book.
Assessment: This is a very useful book for those wanting a helpful, comprehensive guide to effective use of the clinical laboratory. Comparable clinically-oriented but smaller (fit in a pocket) and considerably less comprehensive books include Oxford Handbook of Clinical and Laboratory Investigation, 3rd edition, Provan (Oxford University Press, 2010), or Clinician's Guide to Laboratory Medicine: Pocket, 3rd edition, Desai (MD2B, 2009). Comparable books focused only on a comprehensive listing and a discussion of tests include Laboratory Test Handbook: Concise with Disease Index, 3rd edition, Jacobs et al. (Lexi-Comp, 2004 - now out of print), and Mosby's Manual of Diagnostic and Laboratory Tests, 4th edition, Pagana and Pagana (Elsevier, 2010).
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Product Details

  • ISBN-13: 9781605476674
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 7/5/2011
  • Edition description: Ninth
  • Edition number: 9
  • Pages: 1160
  • Sales rank: 1,000,847
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.20 (d)

Table of Contents

Contributors vii
Tribute to Jacques Wallach ix
Preface xi
Preface to the First Edition xiii

CHAPTER 1 Introduction to Laboratory Medicine 1
L.V. Rao

CHAPTER 2 Laboratory Tests 10
L.V. Rao, Liberto Pechet, Amanda Jenkins, Edward I. Ginns, Marzena Galdzicka, Guy Vallaro, Charles Kiefer, and Patricia Minehart Miron

CHAPTER 3 Infectious Diseases Assays 396
Michael J. Mitchell and L.V. Rao

CHAPTER 4 Cardiovascular Disorders 498
Guy Vallaro

CHAPTER 5 Central Nervous System Disorders 526
Juliana Szakacs

CHAPTER 6 Digestive Diseases 562
L. Michael Snyder and Michael J. Mitchell

CHAPTER 7 Endocrine Diseases 652
Hongbo Yu

CHAPTER 8 Renal and Urinary Tract Diseases 706
Liberto Pechet and Charles Kiefer

CHAPTER 9 Gynecologic and Obstetric Disorders 765
Liberto Pechet and Mary Williamson

CHAPTER 10 Hematologic Disorders 785
Liberto Pechet

CHAPTER 11 Hereditary and Genetic Diseases 900
Marzena Galdzicka, Patricia Minehart Miron, and Edward I. Ginns

CHAPTER 12 Immune and Autoimmune Diseases 929
Liberto Pechet

CHAPTER 13 Infectious Diseases 941
Michael J. Mitchell

CHAPTER 14 Respiratory, Metabolic, and Acid-Base Disorders 1037
L.V. Rao and Michael J. Mitchell

CHAPTER 15 Toxicology and Therapeutic Drug Monitoring 1083
Amanda Jenkins

Appendix: Abbreviations and Acronyms 1099
Index 1105

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