For its nineteenth Edition, the Merck Manual of Diagnosis and Therapy have been completely up-to-date and considerately expanded, exceeding 850 extra pages, 15 new sections, more than 300 new tables, and 56 new figures.
Filled with important info on diagnosing and managing medical conditions,  this helpful, compact guidebook was written by a team of clinicians for daily use by medical experts for delivery of the very best care to their patients.
Designed for optimum clinical power, the brand new Merck Manual of Diagnosis and Therapy 19th edition can make simple to use to obtain the right info, right when it's required. It is a must-have for medical students, residents, practicing doctors, nurse practitioners, and allied health professionals.

10 Interesting Facts from New Content material within the Merck Manual, 19th Edition

1 - Pneumonia in elderly patients may be indicated by malaise, anorexia, or confusion.

2 - On average, older people patients have 6 diagnosable problems, and also the physician is usually unaware of some of them. A disordnot awareer in a single organ system can weaken an additional system, exacerbating the deterioration of both and leading to incapacity, dependency, and, with out intervention, death.

3 -Yearly, 30 to 40% of elderly people residing within the community fall; 50% of nursing house residents fall.

4 -The colour (for example, yellow-colored, green) and thickness of sputum do not assist distinguish bacterial reasons for coughing from other causes.

5 -The seriousness of dyspnea isn't necessarily proportional to the seriousness of the cause (for example, pulmonary embolism in a fit, healthy person may cause only mild dyspnea).

6 - Even though angina could be felt between the ear and the umbilicus (and frequently not in the chest), it is usually constantly associated with physical or emotional tension, for example, individuals don't experience angina from climbing 1 flight of stairways 1 day and tolerate 3 flights the next day.

7 - Palpitations aren't a trusted indication of an significant arrhythmia, but palpitations in a patient with structural cardiovascular disease or perhaps an abnormal ECG may be a sign of a significant problem and warrant investigation.

8 - Syncope precipitated by uncomfortable physical or psychological stimuli (for example, pain, fear), happening within the upright position and they often preceded by nausea or vomiting, a weakness, yawning, apprehension, blurred vision, or diaphoresis indicates vasovagal syncope.

9 - A brief history of fat droplets in stool, especially if linked with weight reduction, indicates malabsorption.

10 - When the difference in pupil sizing is increased after dark, small pupil is abnormal; when the difference in pupil size is greater in light, the bigger pupil is abnormal.

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